Experience the UnisLink Difference

• Professional & Technical Component Complexity: Correctly billing for the “26” and “TC” modifiers—especially in hospital-based settings—is a constant compliance challenge. UnisLink’s certified professional coders and AI technology ensure that every slide and specimen is coded with 95% accuracy, preventing the double-billing or missed components that often lead to audits.
• The “Date of Service” & 14-Day Rule Bottleneck: Navigating the Medicare 14-day rule for molecular and surgical pathology is essential to avoid automatic denials. We integrate directly within your Laboratory Information System (LIS) to ensure that the correct “Date of Service” is applied and that billing is routed to the correct payer (hospital vs. insurance) based on federal guidelines.
• High-Volume Specimen Tracking & Charge Capture: In a high-volume lab, it is easy for charges to “fall through the cracks” between the clinician’s office and the pathology report. Our systems audit your accession logs against billed claims to ensure that every biopsy, stain (88312/88313), and IHC (88342) is identified and claimed, eliminating revenue leakage.
• Proactive Denial Management & AI Resolution: We don’t just react to denials; we prevent them. Our expert team identifies and resolves issues related to medical necessity, prior authorization for molecular tests, and NCCI edits before they result in a denial, significantly increasing your first-pass clean claim rate. And when denials do happen, UnisLink’s advanced AI systems (CLARA™) help resolve and appeal them automatically.
• Lack of Visibility into Payer & Client Profitability: Most pathology groups struggle to see which referring clients or specific tests (e.g., Cytology vs. Histology) are driving their bottom line. Our Engage Analytics™ platform provides real-time, transparent access to your data, allowing you to monitor accession volumes, payer reimbursement trends, and collection ratios by facility.