Doctor Management Services

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About Company

Why is lab billing more prone to compliance risks than people think? Well, high claim volume and payer rules that limit medical necessity and/or frequency can cause a single coding pattern problem to show up as a compliance flag on thousands of claims, rather than just one. Recurring patterns need to be identified in the laboratory billing company before they can be a future audit risk, as these patterns can be atypical in the sense of frequency and mismatching diagnosis codes in the lab billing process.