Laboratories billing
Labs process high volumes with thin margins and complex medical necessity rules. We bring the automation and expertise to get those claims paid.
The problem
How we handle it
Missing demographic, insurance, and diagnosis data is fixed before billing.
Automated LCD/NCD validation and ABN workflows.
PLA codes, MolDX Z-codes, and genetic test billing.
Batch processing designed for thousands of claims a day.
Workflow
Client example
The situation. Claims were held for missing diagnosis codes and requisition data.
What we did. We automated requisition checks and worked missing information with ordering providers every day.
Client details anonymized. Results vary by practice.
ABA Therapy, Behavioral Health, Mental Health, Primary Care, Cardiology, Orthopedics, Physical Therapy, Home Health, and Specialty Clinics.
Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.
We sign a BAA before any patient data changes hands.
