Centralized payment processing takes care of receiving and matching payments, as well as building worklists to manage denials and unexpected payment amounts.
Our integrated, automated clearinghouse is connected to 1,800 of the nation’s largest insurance carriers and can disclose insurance details without a manual search process.
Each claim is inspected for 3.5 million edits, including CCI, HIPAA, LCD & carrier-specific requirements prior to submission. This automated process helps you achieve nearly 100% first-pass clean claims.
We offer flexible options to check patient insurance eligibility before processing the lab order. You can run daily or weekly batches as a report or on-demand checks with one click.
We have integrations with most leading lab information management systems (LIMS) so as you track and manage samples, our diagnostic billing software automatically updates charges and billing information for a more seamless experience.
Each order is scrubbed through a HRSA data base to prevent ID duplication. All claims are submitted to the uninsured program through the Optum clearing house then posted and reconciled in our software.
You get proprietary revenue cycle management tools designed specifically to capture and process charges throughout the lifecycle of the claim. You can manage billing from a centralized location to keep all referring providers separate in your workflow and reporting. Claims and productivity tracking is a breeze with our claim center dashboards that give you real-time visibility into your A/R. Custom collection worklists can be assigned to technicians and billing staff with specific payer expertise. You can manage inbound and outbound faxes with our electronic fax solutions.
Measure your success and maximize your revenue with reporting tools to fast-track your finances and billing performance. For improved financial visibility and data analysis, we offer a variety of reporting options so you can make data-driven, strategic decisions in real-time. Our team of experts identify areas of improvement and pinpoint opportunities for revenue growth.
While lab billing uses comparatively fewer codes compared to other fields like surgery and primary care, it retains a unique challenge to manage those that are unique to your field. Laboratory codes supported by our software include a wide variety of code types: ICD-10, CPT, and HCPC. Most people with general billing experience won’t be familiar with the ins and outs of billing for laboratory services, so leveraging our RCM services makes even more sense if you are a high volume lab. We support the complete laboratory CPT code range, even those divided into smaller groupings, covering areas such as disease panels, drug assays, urinalysis, molecular pathology, genomic sequencing, multianalyte assays with algorithmic analyses, immunology, transfusion medicine, microbiology, and surgical pathology.
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