What’s included in RCM for Laboratories
Help improve compliance and turnaround time
Charge reconciliation
Help increase speed and accuracy of payments
- Insurance verification, authorization management and enrollment
- Eligibility and coverage discovery
- Claim creation and submission via clearinghouse
- Delinquent claim management and resubmission
- Under- and over-payment and payer contract monitoring
- Credit balance management
- Patient-friendly statements
- Balance transfer
Expertise to support accurate and timely reimbursement
- Denial root-cause analysis
- Appeals management
- Remittance monitoring
Improve accuracy, efficiency and the patient experience
- Payment management (for insurers and patients)
- Digital patient engagement
- Financial call center
Improve the speed, cost and quality of the revenue cycle
- Monthly deliverables with executive summary
- Standard and ad hoc reporting
- Self-service analytics
Physician Group Management Services
- Practice management
- Accounting
- Financial management
Key benefits
Modern laboratory billing solutions focus on people, processes and technology.
Resources to support your lab’s growth
Partner with us to access resources and expertise to help you meet your growth goals quickly and at scale.
Add profitable service sites to your portfolio
Guided decision-making through profitability analysis and RFP support. We also offer facility negotiations, including associated financial support.
Fast, accurate AI to help support cash flow
AI-infused workflow helps target claims based on payer success rates. This helps support cash flow at a faster rate.
Identify undisclosed coverage
Identify previously unbilled coverage. Improve reimbursement and the patient experience by finding coverage patients didn’t know they had.
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