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Expert Laboratory Billing Services by Wecare

Stop letting complex coding, payer edits, and high-volume claims erode your profits. Wecare’s specialized laboratory billing solutions ensure accuracy and compliance, maximizing your reimbursement so you can focus on delivering timely, critical results.

Partner with Wecare to achieve:

98% Clean
Claim Rate

Reduce denials with meticulous and accurate lab coding.

Faster
Reimbursements

Accelerate payments with an efficient billing process.

Maximized
Revenue

Capture every dollar with expert knowledge of payer rules.

Full PAMA & HIPAA
Compliance

Ensure secure, compliant, and professional service.

Navigating the Unique Complexities of Clinical Laboratory Billing

Laboratory billing is a high-volume, highly complex specialty. Unlike other medical billing, it’s defined by constant challenges: evolving PAMA regulations, strict payer edits like NCDs and LCDs, intricate rules for toxicology and molecular diagnostics, and the need to manage thousands of low-dollar claims efficiently. Even minor errors in coding or modifiers can lead to mass denials and significant revenue loss.
At Wecare, we are more than just a billing vendor; we are your laboratory’s financial backbone. As a leading laboratory billing company, we manage these complexities with precision, ensuring your lab’s financial health is as robust as your testing accuracy.

Comprehensive Laboratory Billing Solutions for Your Lab

We provide a complete suite of lab billing services tailored to the unique needs of independent labs, hospital-based labs, and pathology groups.

Rated 4.9/5 By 10k+ Happy Customers

Our Core Services Include

Accurate Charge Entry & Coding

We handle high-volume test ordering, ensuring every CPT code is captured correctly, from routine blood draws to specialized assays.

Expert Clinical Lab Coding

Our certified coders are specialists in all areas of lab testing, including chemistry, hematology, microbiology, toxicology, and molecular pathology.

Proactive Denial Management

We don’t just manage denials; we prevent them. Our team analyzes denial trends to fix root causes and aggressively appeals every wrongful denial to recover your revenue.

Diligent A/R Follow-Up

Our dedicated AR laboratory billing services team relentlessly pursues unpaid claims from both insurance payers and patient accounts to minimize write-offs.

Payer & Provider Credentialing

We manage the entire credentialing process to ensure your lab is enrolled and can be reimbursed by all necessary payers.

Robust Reporting

Gain complete visibility into your financial performance with customized reports that track key metrics like denial rates, collection percentages, and revenue trends.

We Support All Types of Laboratory Providers

Clinical Laboratories – Streamlined billing workflows for routine and specialty testing.

Pathology Laboratories – Accurate billing for anatomic and clinical pathology services.
Molecular & Genetic Labs – Expertise in molecular diagnostic billing and prior authorization management.
Toxicology Labs – Denial-free billing for toxicology testing and drug monitoring.
Hospital-Based Labs – Integrated billing aligned with your hospital’s LIS or EHR system.

Mastery of Lab-Specific Coding and Modifiers

Accurate coding is the foundation of successful laboratory medical billing. Our team possesses deep expertise in the
specific codes and modifiers that are critical for labs.

Venipuncture and Blood Draws:

We ensure the correct application of CPT code 36415 for routine venipuncture. We understand the specific rules and documentation required, including when it can be billed with an office visit and its reimbursement guidelines.

Reference Laboratory Billing
(Modifier 90):

When your lab sends a test to an outside or reference lab, correct billing is crucial. We are experts in applying Modifier 90, which indicates that the procedure was performed by a different entity. This ensures transparency and compliance in your billing.

Panel and Profile Coding:

We are proficient in the correct use of common panel codes like CPT code 80053 (Comprehensive Metabolic Panel) and understand the unbundling rules that can lead to denials if not followed precisely.

Why Choose Wecare Over Other Laboratory Billing Companies?

Selecting the right partner is a critical decision for your lab’s success. Here’s what sets Wecare apart:

    • Unmatched Specialization: We are not generalists. Our entire focus is on clinical laboratory billing. Our team understands your world, from the lab bench to the final payment.
    • Technology-Driven Efficiency: We utilize and can integrate with any laboratory billing system or LIS, leveraging technology to manage high claim volumes with speed and accuracy.
    • Dedicated U.S.-Based Team: You are assigned a dedicated account manager and a team of U.S.-based experts who know your lab and are always available to answer your questions.
    • Transparent Partnership: We believe in clear, honest communication. Our detailed reports provide complete visibility into your financial performance, with no hidden fees.

What They’re Talking About Us?

Frequently Asked Questions

Questions? We’ve got you covered

What is CPT code 36415 used for?

 CPT code 36415 is the standard medical code for a “collection of venous blood by venipuncture.” It represents the routine blood draw procedure itself and is one of the most common codes billed by laboratories.

When should Modifier 90 be used?
Modifier 90 should be appended to a CPT code when your laboratory bills for a test that was actually performed by a different, outside laboratory (a reference lab). It signifies that you are billing for the service, but another entity performed the technical component.
How do you ensure claims are compliant with local and national coverage determinations (LCDs/NCDs)?
Our billing system is continuously updated with the latest payer rules. Before submission, every claim is automatically scrubbed against a database of LCDs and NCDs to check for medical necessity, ensuring the diagnosis codes support the tests being ordered.
How do you manage denials for lack of medical necessity?

We launch a comprehensive appeals process. Our team works with your staff to gather all necessary clinical documentation, from imaging reports to physical therapy notes, to build a strong, evidence-based case to overturn the denial.

Secure Your Lab's Financial Health Today

Don’t let billing complexities compromise your lab’s mission. Partner with Wecare to ensure your practice is as financially successful as it is clinically accurate. Contact us today for a free, no-obligation analysis of your current billing performance.