Revenue Cycle Management Services for Laboratories

Industry-leading RCM services for independent and hospital-owned laboratories that want to reduce ineffective touches, increase speed to payment, and maximize cash flow faster.

What’s included in RCM for Laboratories

  • Revenue integrity

    • Charge reconciliation
  • Billing and A/R follow-up

    • Insurance verification, authorization management, and enrollment
    • Eligibility and coverage discovery
    • Claim creation and submission via clearinghouse
    • Delinquent claim management and resubmission
    • Under/over payment and payer contract monitoring
    • Credit-balance management
    • Patient-friendly statements
    • Balance transfer
  • Denials management

    • Denial root cause analysis
    • Appeals management
    • Remittance monitoring
  • Payment reconciliation

    • Payment management (for insurers and patients)
    • Digital patient engagement
    • Financial call center
  • Reporting

    • Monthly deliverables with executive summary
    • Standard and ad hoc reporting
    • Self-service analytics
  • Physician group management services

    • Practice management
    • Accounting
    • Financial management
    • Learn more

Modern laboratory billing solutionsfocusing on people, processes, and technology

Independent and Hospital-owned Laboratories Billing - lab tech looking through microscope

Resources to support your lab’s growth

Our access to resources, combined with our expertise, helps us match growth needs faster. Use our laboratory billing solutions and partner with us to get the resources to do things quickly and at scale.

Independent and Hospital-owned Laboratories Billing - business meeting

Add profitable service sites to your portfolio

We guide decision-making through profitability analysis, including RFP support. Plus, we offer facility negotiations, including associated financial support.

Independent and Hospital-owned Laboratories Billing - lab techs looking at monitor

Fast, accurate AI to help support cash flow

Our laboratory billing solutions include an AI-infused workflow, which helps us target claims based on payer success rates. Ultimately, this helps support cash flow at a faster rate.

Independent and Hospital-owned Laboratories Billing - call center rep looking at computer smiling

Help identify undisclosed or unknown coverage for self-pay patients

We can help you improve reimbursement and patient experience by finding coverage patients didn’t know they had. Our comprehensive insurance identification service is designed to identify previously unbilled coverage.

Our outcomes

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Let’s start a conversation

We’re here to help you find out how this solution could benefit your organization. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information? Start here.

Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.