Stop Claim Denials with Genetics Billing Services
94% Chronic Care Accuracy
50% Faster Medicaid Pay
HIPAA Compliance Partner
24/7 Caregiver Support
2+
Satisfied Providers
26+
Medical Specialties
6+
Billing Experts
Why Geneticists & Clinicians Trust Medical Biller
Medical genetics billing is a labyrinth of prior authorizations for multi-gene panels, rare disease coding, and evolving payer policies. Errors in genomic test documentation, ICD-10-CM coding for hereditary conditions, or CMS compliance lead to denials and delayed research funding. Medical Biller ensures precision in billing for genetic testing, counseling, and rare disease management.
Prior Auth Mastery
Rare Disease Expertise
Lab Collaboration
Pediatric Genetics Support
Telegenetics Compliance
Modifier Defense
Research Billing
Patient Eligibility Checks
24/7 Support
Exclusive Free Guide:
The Essential Billing Playbook for Maximizing Revenue
Unlock proven strategies to reduce billing errors, speed up reimbursements, and increase your earnings. This guide includes step-by-step instructions, practical templates, and expert tips to help you streamline your practice’s finances.
Benefits of Our Medical Genetics Billing Services
Specialized Genetic Coding Accuracy
Ensure precise medical coding for genetic tests, reducing claim denials and improving reimbursements.
Maximized Reimbursement for Genetic Testing
Optimize billing workflows to secure full insurance and Medicare payments for genetic diagnostics.
Strict Compliance with Genetic Billing Regulations
Stay up to date with CMS, HIPAA, and payer-specific policies to avoid legal complications.
Data-Driven Revenue Growth
Leverage advanced analytics to track reimbursement trends, reduce denials, and boost cash flow.
How It Works
1
Share Your Challenges
“Struggling with prior auths or rare disease coding? Let’s talk now.”
2
Get a Custom Audit
Medical Biller’s experts identify gaps in test billing, coding, and compliance.
3
Launch & Scale
We manage your revenue cycle—you focus on groundbreaking genetic care.
How Medical Biller Helped City General Hospital Recover $1.2M
City General Hospital faced 25% claim denials due to DRG coding errors and 90-day delays in Medicare reimbursements. Charge capture gaps cost $300K annually, and CMS audits loomed.
By implementing AI-driven coding audits, real-time claim tracking, and an advanced reimbursement system, Medical Biller reduced claim denials to 6% and cut Medicare reimbursement time to 22 days. This streamlined revenue cycle management helped recover $1.2M in lost revenue.
Coding Errors: 30% of rare disease claims were undercoded or denied.
Telehealth Gaps: Virtual counseling sessions were frequently rejected.
Created payer-specific prior auth templates for 50+ genetic tests.
Trained staff on ICD-10 coding for hereditary conditions (e.g., Ehlers-Danlos, Marfan syndrome).
Telehealth counseling claims approved at a 98% rate.
Zero audit penalties for 12 months.
“Medical Biller cut our prior auth delays from 3 months to 2 weeks. Revolutionary!”
Dr. Emily Carter
GeneCare Clinic
“Rare disease coding errors dropped by 80%. Revenue increased by 60%!”
John Smith
CFO, Precision Genetics
“Their WGS billing support saved us $200K in denials last year.”
Sarah Lee
Billing Director, DNA Nexus
“Telegenetics claims are now seamless. 10/10 recommend!”
Dr. Raj Patel
Heritage Genetic Health
“CMS audit support was flawless—zero penalties since we partnered.”
Jane Doe
Compliance Officer, Genome Wellness
Hassle-Free Medical Billing & Claims Processing
Eliminate billing errors, speed up insurance approvals, and boost your practice’s profitability with our end-to-end medical billing services.
The Financial Challenges in Medical Genetics Billing
$8 Billion
Lost annually due to incorrect coding and claim denials in genetic testing.
37%
Of genetic testing claims are denied due to coding errors and insufficient documentation.
60 Days
Average delay in reimbursement for genetic testing procedures.
$500-$5,000
Cost per genetic test, making accurate billing essential for financial stability.
How We Optimize Medical Genetics Billing
Medical genetics billing faces complex challenges due to frequent coding updates, payer-specific policies, and pre-authorization requirements. With 37% of claims being denied, accurate coding is critical to avoid revenue loss.
Our billing service ensures compliance with CPT codes like 81479 (Unlisted Molecular Pathology) and 81225-81355 for genetic sequencing. We also provide automated claim validation and documentation support to reduce denials by up to 60%.
Genetic testing procedures often face reimbursement delays of over 60 days. Our billing team expedites claims by handling prior authorizations, verifying medical necessity, and ensuring complete documentation for faster payments.
With the average genetic test costing between $500 and $5,000, accurate billing is essential to maintaining practice profitability. Our solution helps laboratories and clinics maximize revenue capture, reduce denials, and streamline billing workflows.
Frequently Asked Questions (FAQs)
We submit clinical justification letters, family history, and peer-reviewed evidence to meet payer criteria.
Yes! We ensure coding aligns with CMS GT modifiers and private payer telehealth rules.
We use CPT 81432-81437 and ICD-10 codes (e.g., Z80.41) with payer-specific documentation.
Absolutely. We code for tests like PKU, galactosemia, and cystic fibrosis (ICD-10 E70-E88).
We separate clinical and research charges, ensuring CMS and OIG guidelines are met.
Yes. We rebut denials with clinical notes, LOINC codes, and published guidelines (e.g., ACMG).
Yes. We code for CYP2C19, warfarin sensitivity, and other PGx tests with medical necessity proof.
We monitor CMS, Aetna, and UnitedHealthcare updates daily and adjust billing strategies proactively.
Yes. We navigate cross-border billing, self-pay agreements, and insurance verification.
Yes. We use ICD-10 codes like F88, R62.50, and Q87.2 with detailed developmental assessments.