Service

Revenue Cycle Management Services for Pathology Practices

Revenue cycle management services for pathologists who want to reduce ineffective touches, increase speed-to-payment, and maximize cash flow.

Contact Sales

What’s included in RCM Services for Pathology Practices

  • Revenue integrity

    • Charge reconciliation
    • Coding
    • Documentation audit

  • 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
    • Clinical documentation support

  • Payment reconciliation

    • Lockbox
    • 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

RCM for pathology practicesfocuses on people, processes, and technology

Automation to reduce wasted time in the labor force

Our pathology billing services include an automated claims status engine that helps decrease time wasted and allows our RCM operators to place a laser focus on processing claims.

Labor pools to cover staffing needs with greater ease

It’s hard to find, hire, and train people. We can do this with greater ease than providers can independently, through access to national and global labor pools coupled with our pathology billing services.

AI to increase speed to payment and accuracy of claims

Our pathology billing services include an industry-leading AI-enabled coding service that can help code claims faster while producing highly accurate results. Our ability to transmit electronically allows accuracy and speed. Plus, we have electronic connections to most payers via the nation’s largest clearinghouse.

A claim-editing repository to reduce denials and improve the appeal process

Our pathology billing services offer a robust claim-editing repository that enables operators to submit properly formatted clean claims with all the appropriate clinical support.

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.

Learn More

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.

Learn More

White Paper

Physician Reimbursement - Technology-Enabled RCM Services

White Paper

Physician Reimbursement - Technology-Enabled RCM Services

Discover how automation and analytics are helping improve physician billing and coding to overcome today’s cash flow challenges

Learn More
Explore related solutions

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.