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Technological difficulties presented by the interface between the professional billing office and the hospital mainframe makes pathology billing one of the most challenging types of medical billing.

During the past 15 years Medi-Bill has developed a substantial amount of expertise at linking our software with most major hospital mainframe computer systems.

Recent HIPPA regulations have further compounded this dilemma

Problem:
The separation of clinical pathology data from anatomical billing data is crucial. Most pathology billing services spend vast amounts of time attempting to separate the massive amounts of non payable clinical data, which is an inevitably mixed together with anatomical data. Writing off non payable clinical charges, making sure patients are not inappropriately billed( which many times places the practice itself at risk with hospital administration) and making sure anatomical data is properly accounted for is a daunting task for any billing service. This is also a major factor in the relativity high cost billing services charge pathologists.

Solution:
Medi-Bill has the most advanced PHDI," Practice Hospital Data Interface" in the industry. Our advanced programming allows us to completely separate the anatomical billing from the clinical billing and places the data into separate relational databases. This process gives us tremendous flexibility and control which is customizable to your exact specifications.

Example:
1.If it is the clients wish, we have the flexibility to bill insurance companies ONLY for clinical laboratory charges and simultaneously prevent patients from ever receiving statements for clinical laboratory tests.

2. We can create carrier specific modalities. Blue Cross of Florida, with the exception of a couple CPT codes simply does not pay for clinical lab tests. Furthermore combining anatomical cases with clinical cases often causes the entire claim to be denied. With our system BCBSFL will not receive a bill for the non-payable clinical CPT codes.

Our system dramatically reduces patient complaints to administration and allows us to focus our attention on collecting your money. Another compounding factor is that clearinghouses are charging upwards of $.35 claim and consequently many billing services; because they cannot separate the two types of charges fail to properly generate a bill for payable clinical charges due to the substantial associated with clearinghouses.