What’s included in RCM for Pathology Practices
Help improve compliance and turnaround time
- Charge reconciliation
- Coding
- Documentation audit
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 overpayment 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
- Clinical documentation support
Improve accuracy, efficiency and the patient experience
- Lockbox
- 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
Support for helping independent practices thrive
- Practice management
- Accounting
- Financial management
Key benefits
RCM for Pathology Practices focuses on people, processes and technology.
Automation helps save time
Our proprietary automated workflow routes the right claim to the right resource at the right time. This allows our RCM operators to stay laser-focused on processing claims.
Cover staffing needs with greater ease
Our access to national and global labor pools, along with our pathology billing services, makes it easier to find, hire and train people.
AI helps increase speed and accuracy of claims
Our AI-infused workflow helps target claims based on payer success rates. This helps support cash flow at a faster rate.
Reduce denials and improve the appeals process
Our robust claim-editing process enables operators to submit properly formatted, clean claims with all the appropriate clinical support. Predictive analytics help correct claims prior to submission.
Related healthcare insights
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How cultivating a combination of people, processes and technology is a critical driver of RCM success.