Laboratories (CGX & PGX, CLIA-certified)

Laboratory Billing and Coding Services for CGX & PGX Testing

Protouch Medical Billing provides tailored billing solutions for laboratories specializing in CGX (Cancer Genetic) and PGX (Pharmacogenetic) testing. We ensure compliance with CLIA standards and optimize reimbursement for complex genetic testing services, helping labs streamline their revenue cycles and maintain financial health.

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Expertise in Genetic Testing Billing

Genetic testing, especially CGX and PGX, involves complex coding and stringent regulatory requirements. Protouch Medical Billing specializes in the unique challenges faced by laboratories performing these tests. We ensure that all documentation meets CLIA requirements and that your billing and coding processes are accurate, improving claim success rates and reducing denials.

From pre-authorization to managing appeals, we handle every aspect of the billing cycle for genetic testing laboratories, ensuring timely and accurate reimbursement while keeping your lab in full compliance with payer and federal guidelines.

Tailored Billing Solutions for Laboratories

Pre-Authorization Management

Genetic testing often requires prior authorization. Our team ensures that all pre-authorizations are secured before testing, reducing the likelihood of denials and ensuring compliance​.

Accurate Charge Capture for Complex Tests

We ensure that all billable components of CGX and PGX tests are accurately documented and submitted with the correct codes, maximizing reimbursement​.

Denial Management and Appeals

Genetic testing claims often face a higher rate of denials due to their complexity. We proactively manage denials and handle the appeals process, ensuring that all claims are reimbursed appropriately​.

Automated Claims Submission

Our automated claims submission system ensures fast, accurate billing, minimizing errors and speeding up payments for your lab​.

Compliance with CLIA Standards

We help your laboratory stay compliant with CLIA regulations, ensuring accurate testing and documentation to meet federal guidelines​.

Real-Time Financial Reporting

Track your lab’s financial performance with real-time metrics such as claim approval rates, collections, and denials, enabling you to make data-driven decisions​.

Why Choose Protouch Medical Billing for Genetic Testing Laboratories?

  • Specialized Expertise in Genetic Testing Billing
    We understand the complexities of billing for CGX and PGX testing and ensure that your lab maximizes reimbursement while maintaining compliance with regulatory standards.
  • Faster Reimbursement for Genetic Tests
    Our automated billing system submits claims quickly and accurately, helping your lab receive timely payments and avoid cash flow disruptions.
  • Compliance and Regulatory Support
    We ensure your lab stays compliant with CLIA standards and other payer-specific guidelines, reducing the risk of audits and penalties.
  • Aggressive Denial Management
    Genetic testing claims are complex, but our experienced team is proactive in preventing denials and swiftly handling appeals, ensuring your lab gets reimbursed for every test conducted.