Service

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.

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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

View all insights

Article

Pillars of Physician Revenue Cycle Management

Article

Pillars of Physician Revenue Cycle Management

Learn why cultivating the appropriate and optimal combination of people, processes, and technology will remain a critical driver of RCM success.

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White Paper

No Surprises Act: Physician Revenue Cycle Management Recommendations

White Paper

No Surprises Act: Physician Revenue Cycle Management Recommendations

Read this white paper to learn how physicians can help ensure NSA compliance while also adhering to revenue cycle management best practices.

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Case Study

Industry Experts Advise a Pathology Group on Navigating the Pandemic and Capitalizing on New Opportunities

Case Study

Industry Experts Advise a Pathology Group on Navigating the Pandemic and Capitalizing on New Opportunities

See how our practice-management experts helped a pathology group with volume and budget forecasting/management, physician recruitment, and contract negotiations.

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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

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

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