Laboratory Billing Services
Laboratory billing services are the coding, claim submission, follow-up and payment posting work that turns a clinical lab's completed tests into collected revenue from Medicare, Medicaid, commercial payers and patients. Sound Lab Consultants (SLC) provides laboratory billing and revenue cycle management services nationwide, paired with CLIA compliance support.
What laboratory billing services include
Order and demographic review before claims go out
CPT, PLA and HCPCS test coding with ICD-10-CM diagnosis codes and required modifiers
Clean claim submission with the lab's CLIA number (CMS MLN006270: CLIA Program & Medicare Lab Services)
Denial and rejection follow-up, corrections and appeals
Payment posting and reconciliation against expected payment
Regular reporting on collections and denial trends
Why lab billing needs lab-specific expertise
Medicare pays most lab tests under the CLFS (CMS: Clinical Laboratory Fee Schedule)
Coverage often depends on NCDs and LCDs tied to diagnosis codes (CMS: Coverage determination basics)
Medicare pays only for tests within the lab's CLIA certificate (CMS MLN006270: CLIA Program & Medicare Lab Services)
How Sound Lab Consultants helps
SLC provides laboratory revenue cycle management and billing services, from coding and claims to denials and payment posting, backed by CLIA, CAP and COLA compliance consulting. See the lab revenue cycle management guide and clinical lab billing.
FAQ
What are laboratory billing services? Services that code, submit and follow up on a lab's claims and post payments so the lab is paid for the tests it performs.
Does SLC provide lab billing services? Yes. SLC provides laboratory billing and revenue cycle management services for clinical labs nationwide.
What labs does SLC bill for? Clinical labs including physician office labs, reference labs and specialty labs. Ask during a consultation about your test menu.
Does lab billing involve CLIA? Yes. CMS requires the CLIA number on lab claims and pays only for tests covered by the lab's certificate.
How do I get started? Book a free consultation to review your current billing process.
Related guides
Sources
Sound Lab Consultants · PO Box 2135, Chandler, AZ 85244