Be certain about what you do

Toxicology billing can become convoluted because it undergoes constant and seemingly random changes very frequently. CMS has repeatedly introduced new toxicology CPT codes only to later reverse or eliminate them. In many cases, toxicology labs have resorted to trial and error, hoping they choose the appropriate code for a particular level of drug testing. The drastic changes in toxicology billing in the past five years have caused a considerable decline in reimbursements. You have to be absolutely certain that you are providing the proper screening or confirmation tests, and your billing must accurately reflect the services you provided.

Toxicology Billing Claim

However, the difficulties do not stop with accurate coding for tests and services. The documentation provided by the ordering physician is frequently critical to successful medical billing for toxicology lab work. Claims are denied in the absence of patient-specific CPT requirement drug codes that clearly offer a diagnosis or indicate medical necessity. Denials for the number of drug classes tested on one patient are frequently based on a lack of medical necessity. It’s also important to think about test frequency.
Your lab would not be reimbursed for services if a particular toxicology lab test is conducted more often than the coverage requires. These billing and service issues place an unnecessary financial burden on labs.

avoid difficulties by Choosing
Right Billing Partner

The right billing partner is vital for most labs, particularly small and medium-sized labs that have a hard time securing insurance contract. That means keeping current on the toxicology codes' frequent additions, deletions, and revisions. It also entails regular contact with a variety of doctors and facilities to ensure that you have access to all of the patient information and documents needed to support the billing claim. And it must be done quickly: the longer you take to file a claim after the date of operation, the more difficult it would be to get reimbursed. Finally, you must engage in vigorous denial management on a regular basis. These billing practises also decide a lab's ability to offer services and stay in business.

you should focus on
Providing Patient Care

Toxicology labs around the country depend on DOCTO BILL. Since they can rely on our team to keep their data and reports coordinated, our clients can concentrate on patient treatment and testing best practises. To ensure the accuracy and prompt filing of claims, our accredited medical billing professionals thoroughly understand the nuances of toxicology billing. We don't stop there, either. Our billers and coders keep up with coding updates and reporting standards as they arise, but they still keep an eye out for possible problems in the future. We take pride in finding, correcting, and collecting on rejected claims because we know that the work, we do today will affect your lab's future.