Enhance Your Hematology Billing with the Expertise of USMed Billing Solutions

Are You Facing These Common Billing Challenges?
  • High claim denial rates
  • Time-consuming administrative workload
  • Revenue leakage and payment delays
  • Ineffective communication with payers and patients
  • Managing large volumes of claims
  • Handling patient billing inquiries efficiently

If these issues sound familiar, USMed Billing Solutions is here to help.
In today’s complex healthcare landscape, managing hematology billing doesn’t have to be a constant struggle.

At USMed Billing Solutions, we specialize in simplifying and streamlining the intricate processes involved in hematology billing and coding. Our experienced billing professionals ensure every claim is coded with precision, reducing errors and accelerating reimbursements — so your practice can focus on delivering exceptional patient care while we handle the rest.  

Why Choose USMed Billing Solutions as Your Hematology Billing Partner?

Outsourcing your hematology billing and coding to USMed Billing Solutions allows your team to dedicate their time and energy to patient care rather than administrative tasks.

Hematology billing requires detailed coding knowledge, adherence to evolving payer regulations, and careful documentation management. Our experts bring a deep understanding of these nuances to minimize claim denials, maximize revenue, and maintain full compliance.

When you partner with us, you gain access to:

  • Specialized Expertise: Our billing professionals are trained specifically in hematology billing procedures and terminology.
  • End-to-End Revenue Cycle Support: From coding and claim submission to denial management and payment posting, we manage the full cycle seamlessly.
  • Customized Solutions: We tailor our services to the unique needs and workflow of your practice.
  • Reduced Administrative Stress: Our team handles the paperwork so your staff can focus on patient care.
  • Improved Cash Flow: We ensure faster, more consistent reimbursements with minimal claim rejections.

Let USMed Billing Solutions enhance your revenue cycle performance while you deliver quality healthcare without interruptions. 

Understanding the Complexities of Hematology Billing

Hematology is a highly specialized field involving extensive diagnostic testing, complex procedures, and evolving payer requirements. Billing for these services demands exceptional attention to detail and regulatory accuracy.

Common challenges faced by hematology practices include:

  1. Navigating changing insurance and compliance requirements
  2. Managing complex documentation and medical coding
  3. Handling delays in the revenue cycle process
  4. Addressing frequent claim denials and delayed reimbursements
  5. Managing prior authorizations and medical necessity documentation

Our dedicated billing team proactively manages these challenges through accurate coding, compliance-focused documentation, and timely claim submission — ensuring your revenue remains steady and predictable. 

Common CPT Codes and Terminology in Hematology Billing

Accurate CPT coding is essential for proper reimbursement in hematology. Below are some of the most frequently used codes categorized by procedure type.

1. Laboratory Testing

These codes cover a broad range of standard and specialized lab procedures.

Complete Blood Count (CBC) – Key CPT Codes

  • CPT 85002: Microscopic examination of blood smear to assess cell size, shape, and count.
  • CPT 85004: Qualitative platelet count for identifying potential clotting abnormalities.
  • CPT 85025: Comprehensive CBC with automated cell count and blood component analysis.
  • CPT 85027: CBC with automated differential to classify white blood cell types.
  • CPT 85048: CBC with manual differential performed by a laboratory technician.

2. Coagulation Studies – Key CPT Codes

  • CPT 85610: Prothrombin Time (PT) test to assess blood clotting function.
  • CPT 85730: Partial Thromboplastin Time (PTT) test to detect clotting disorders.
  • INR: Reported alongside CPT 85610 to standardize PT results across different laboratories.

3. Bone Marrow Procedures

Bone marrow procedures play a critical role in diagnosing and monitoring hematologic disorders such as leukemia, lymphoma, and other blood cell diseases.

  • CPT 38220: Bone marrow aspiration for cellular analysis, including specimen handling and site preparation.
  • CPT 38221: Bone marrow biopsy using a subcutaneous needle to extract a core tissue sample.
  • CPT 38222: Combined bone marrow aspiration and biopsy performed in a single session.
  • CPT 38230: Bone marrow harvest from the posterior iliac crest for transplantation.
  • CPT 38232: Extraction of bone marrow from multiple anatomical sites during one session. 

Partner With Confidence

At USMed Billing Solutions, our mission is to simplify the financial side of healthcare by offering precise, compliant, and technology-driven billing solutions tailored to hematology practices.

Our certified coders, compliance specialists, and revenue cycle experts work collaboratively to:

  • Improve claim accuracy and turnaround time
  • Enhance compliance with payer and federal regulations
  • Reduce administrative workload
  • Optimize cash flow and financial performance

With USMed Billing Solutions as your trusted billing partner, you can focus on providing advanced, compassionate patient care while we handle the details that keep your practice financially strong.

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