--- title: "Invoicing & billing for clinical laboratories" description: "Invoicing & billing for clinical laboratories: outsourced invoicing and billing: invoice creation, recurring and progress billing, credit notes and." url: https://ledgerbpo.com/industries/clinical-labs/invoicing-and-billing/ updated: 2026-09-11 publisher: LedgerBPO (SS Support Network LLC) language: en-US --- # Invoicing & billing for clinical laboratories Invoicing for clinical laboratories means client billing: monthly invoices to physician practices, nursing facilities, hospitals, employers running drug-testing programs, research sponsors and other labs that send you specimens under a contract price. Each invoice is built from LIS accession volumes at the client's fee schedule, has to survive line-by-line scrutiny, and must reflect pricing your compliance counsel has approved. - Since 2020 - US · UK · CA · AU - Named accountant plus backup - Your software, no lock-in [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Updated September 2026 ## How it runs for clinical laboratories LedgerBPO prepares those invoices from your LIS and billing-system exports, sends them under your brand on a fixed cycle, posts them to AR and issues patient statements for deductibles and non-covered tests. Third-party claims remain with your billing team or SS Support Network. ## What are outsourced invoicing services? Outsourced invoicing services mean a remote billing team prepares, checks and sends your customer invoices instead of your office staff doing it between other tasks. The team works inside your accounting or billing software, follows your rate cards and contract terms, and issues credit notes and corrections. You keep control of pricing, approvals and the customer relationship. ## What we handle for clinical laboratories - Monthly client invoices generated from LIS accession exports at contracted fee schedules - Employer drug-testing and occupational health accounts invoiced per panel with chain-of-custody references - Patient statements for deductibles, non-covered tests and ABN-signed services - Invoice disputes worked line by line from the accession list and resolved in writing - Every invoice and statement posted to AR the day it is sent ## The KPI that matters here Client invoices issued by the third business day of each month with fewer than two percent of lines disputed. ## Clinical labs compliance notes ### CLIA Every lab that tests human specimens must hold a CLIA certificate matched to the complexity of its testing, renewed on a two-year cycle with fees based on test volume. We record certificate fees, proficiency-testing subscriptions and inspection-related costs as compliance expenses and keep renewal dates on the close calendar. Certification and inspection readiness stay with your lab director. ### Payer rules and PAMA Medicare pays lab tests from the Clinical Laboratory Fee Schedule, commercial payers pay contract rates, and both apply medical-necessity and frequency rules that produce denials. PAMA private-payer rate reporting also falls on applicable labs in reporting years. We keep revenue, adjustments and denials in separate accounts so your billing team and CPA can see each effect. ### HIPAA Remittances, client invoices and LIS exports carry patient identifiers and test names. Our staff are HIPAA-trained, we sign a BAA, all access is logged with MFA, and exports are handled inside your systems and our portal rather than on local drives. ### Anti-kickback and EKRA The federal Anti-Kickback Statute and the Eliminating Kickbacks in Recovery Act restrict how labs pay marketers and how they price or discount services for referral sources. We record sales compensation and client discounts exactly as your compliance counsel has approved them, and flag any arrangement that looks volume-based so it can be reviewed. We do not give legal advice. ## Clinical labs software we work in - [QuickBooks Online](https://ledgerbpo.com/software/quickbooks-online/) - [Sage Intacct](https://ledgerbpo.com/software/sage-intacct/) - [Bill.com](https://ledgerbpo.com/software/bill-com/) - [ADP](https://ledgerbpo.com/software/adp/) - LIS exports (Orchard, Sunquest, SCC Soft) - XIFIN - TELCOR - [All 50 platforms](https://ledgerbpo.com/software/) ## More for clinical laboratories Other services for clinical labs - [Bookkeeping](https://ledgerbpo.com/industries/clinical-labs/bookkeeping/) - [Accounts receivable](https://ledgerbpo.com/industries/clinical-labs/accounts-receivable/) - [Accounts payable](https://ledgerbpo.com/industries/clinical-labs/accounts-payable/) - [Bank reconciliation](https://ledgerbpo.com/industries/clinical-labs/bank-reconciliation/) - [Month-end close](https://ledgerbpo.com/industries/clinical-labs/month-end-close/) - [Financial reporting](https://ledgerbpo.com/industries/clinical-labs/financial-reporting/) - [All clinical labs services](https://ledgerbpo.com/industries/clinical-labs/) Invoicing and billing in other industries - [Marketing agencies & consultancies](https://ledgerbpo.com/industries/agencies/invoicing-and-billing/) - [Auto repair shops & dealerships](https://ledgerbpo.com/industries/auto/invoicing-and-billing/) - [Behavioral health practices](https://ledgerbpo.com/industries/behavioral-health/invoicing-and-billing/) - [Daycares, schools & education](https://ledgerbpo.com/industries/childcare-education/invoicing-and-billing/) - [The full invoicing and billing page](https://ledgerbpo.com/services/invoicing-and-billing/) ## Frequently asked questions ### How do you build a client-bill invoice from the LIS? We take the monthly accession export for the client, apply the contracted price per test or panel, remove any accessions that were billed to a third party or patient instead, and lay the result out with accession number, date, ordering provider and panel. The invoice is reviewed by a second accountant before it goes out under your brand and is posted to AR. ### Can you invoice employer drug-testing and occupational health accounts? Yes. Employer accounts are invoiced per panel or per collection at the contracted rate, with chain-of-custody or donor reference numbers where the client requires them. Collection-site fees, medical review officer charges and expedited results are added as separate lines when they apply. Volume tiers and rebates are tracked so pricing matches the agreement. ### What about patient statements for non-covered tests? Statements go out under your name through our BillingLine desk for deductibles, non-covered tests and services where the patient signed an advance beneficiary notice. The wording explains what was tested, what the payer paid and what remains, and points to your payment portal. Reminder cadence follows DunningDesk rules you approve, and agents never store card details. Next step ## Books closed. Invoices paid. Every month. Tell us what is going on with your books or billing. You will hear from a named person within 1 business day, with a custom quote and a plan for the first close. - Reply from a named person within 1 business day - No setup fee, month-to-month - Your software, your data, no lock-in Start with a custom quote [Book a billing audit](https://ledgerbpo.com/book-a-call/?topic=billing-audit) [Book a 20-minute call](https://ledgerbpo.com/book-a-call/) Or call [+1-657-777-0006](tel:+16577770006) during US, UK or Australian business hours. --- Source: https://ledgerbpo.com/industries/clinical-labs/invoicing-and-billing/ · Contact: https://ledgerbpo.com/contact/ · Full site map for agents: https://ledgerbpo.com/llms.txt