The document outlines the two main types of laboratory services: clinical and diagnostic, highlighting the differences in their testing requirements and billing processes. It discusses the importance of laboratory billing departments in navigating payor challenges and ensuring compliance for maximum reimbursement. Additionally, Bikham Healthcare offers customized billing solutions to improve revenue and manage the complexities of the laboratory billing cycle.

1. Laboratory services may be classified in two types: Clinical and Diagnostic.
Clinical laboratory services involve examination of materials from the human body to prevent or diagnose a certain
disease or condition. These tests are related to biological, chemical, biophysical or pathological aspects of the patient.
Diagnostic laboratory services, on the other hand, are quite different to simple clinical tests. It involves surgical
pathology, hematology and blood banking services.
The main difference between the two is that diagnostic services require a physician or some other certified professional
to perform a test, where as for clinical services, only a pathologist is required.

2. Laboratory billing process is an interaction between a clinical laboratory and the insurance company. This entire
laboratory billing interaction is known as a billing cycle, which can take up a few days to several months to complete.
Laboratory billing require many interactions before a resolution is reached. The entire process is a function of what is
commonly known as the laboratory billing department.
Here at Bikham we work closely with your laboratory staff to develop strategies in overcoming any kind of payor
challenges, handle appeals as well as advocate on behalf of your laboratory for reimbursement. Our process utilizes
sound and compliant billing practices to work with your team resolving unpaid claims, medical necessity denials, and
payer requests. Understanding national and local coverage policies is a crucial aspect of provider education. We work
with your team to provide documentation to your physicians, develop billing practices and offer multiple customized
reports reflecting your financials so that you are always informed. With 13 years of on hand Industry experience and
various compliances like HIPPA and ISO/IEC: 27001:2013 accreditation, we are well capable of dealing with the claim
denials and the reconsideration requests so the collections may be increased.

3. With an understanding of services and procedures offered by a typical commercial medical laboratory, proper billing
and follow up on payment for services can be a daunting and exhaustive process.
The inefficiencies or mistakes in billing can result in denied or unpaid claims, and thousands of dollars in lost revenue.
Our modern and state-of-the-art laboratory medical billing solutions allow us to increase revenue and reduce costs.
We design a customized service package best suited for your billing needs

4. The healthcare industry is vast and laboratories play a crucial role especially during the course of diagnosis.
whether it's a molecular laboratory or a toxicology or even a pathology one. Each caters to a different regimen
and each requires an expert medical practitioner at hand. But the business end of the operation cannot be
neglected either for that's the part which ensures the financial wellbeing of the operation. Laboratories require
specific billing solutions with a team of billing and coding experts that understand their niche and needs. Bikham
Healthcare has long assisted labs and offered customized billing solutions for the same.

5. Our team can bill for many laboratory
services and procedures including:
 Histopathology
 Immuno-hematology
 Immunology Lyme Disease
 Microbiology/Mycology
 Obstetrics and Gynecology
 Parasitology
 Virology
 Bacteriology
 Clinical Chemistry
 Cytology
 Dermatopathology
 Genetics
 Hematology

6. A laboratory billing system is a specialized solution
meant to improve the financial standing of labs. It
provides medical testing for patients and help the
staff work in a swift manner. This new and exciting
field of testing has quickly become a challenging
area for insurance reimbursement. Laboratory
billing starts with laboratory coding. After a lab
service has completed, the diagnosis and
procedure codes are assigned. These codes assist
an insurance company in determining coverage
and medical necessity of the services. The codes
used for laboratory billing are the International
Statistical Classification of Diseases and Related
Health Problems, usually called by the short-form
name International Classification of Diseases
(ICD), and the Current Procedural Terminology
(CPT) codes. The ICD is designed as a health care
classification system, providing a system of
diagnosis codes for classifying diseases, including
classification of a wide variety of signs, symptoms,
abnormal findings, complaints, social
circumstances, and external causes of injury or
disease.

7. By streamlining the administrative and personnel costs associated with handling the revenue billing and claims process,
we save additional money for our clients and offer the freedom and peace of mind to focus on their core services.
Many practices and hospitals prefer coding and billing on their own, either with a dedicated team or as part of a
hospital billing team. These operations can be effective as long as the investments in billing technologies are kept
current and the staff members are well trained. But we often see numerous problems which reduce effectiveness and
therefore cash flow. These problems can be: Staff turnover, Outdated or inflexible systems, Limited reporting
capabilities.

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