Labs & Diagnostics · Medical Billing & RCM
Full-Cycle RCM for Labs & Diagnostic Centers
Revenue cycle management built around PAMA reporting, LCD compliance, and ABN discipline — not standard physician billing.
Lab billing runs on PAMA fee schedules, Local Coverage Determinations, and ABN rules that don't have close equivalents in physician office billing. We run full-cycle RCM for labs and diagnostic centers with that regulatory framework built into every stage — eligibility, LCD-matched coding, submission, denial management, and reporting.
What Matters Here
Why labs & diagnostics needs this differently
LCD compliance has to happen before submission, not after denial
Systematic diagnosis-to-test matching against Local Coverage Determinations needs to be part of the workflow, not a post-denial discovery.
PAMA reporting obligations are easy to underweight
Getting private payer rate and volume reporting wrong has downstream consequences for reimbursement that show up months later, disconnected from the original filing.
ABN workflows need to trigger correctly, not become a blanket habit
ABNs only protect revenue when issued before testing, tied to genuine non-coverage expectations — not as a routine hedge.
What's Included
Medical Billing & RCM, built for labs & diagnostics.
A dedicated implementation team and full transparency through your client portal — the same standard as everything else we run, tailored to how labs & diagnostics practices actually operate.
Talk to Our TeamMore for Labs & Diagnostics
Call Center Support for Labs & Diagnostic Centers
Results-related calls, ABN questions, and referring-provider coordination handled with lab-specific care.
Credentialing for Labs & Diagnostic Centers
CLIA-aware enrollment and payer credentialing for independent labs and diagnostic networks.
Back-Office Support for Labs & Diagnostic Centers
Claims processing and denial management built around lab-specific compliance and audit exposure.
Medical Billing & RCM for Other Specialties
Behavioral Health
End-to-end revenue cycle management built around MBHO carve-outs, session limits, and parity-related denial patterns.
Primary Care
Revenue cycle management built around E/M coding accuracy and CCM/AWV capture at high claim volume.
Cardiology
Revenue cycle management built around prior authorization volume, modifier 26 compliance, and device billing.
Multi-Specialty Groups
One revenue cycle operation with the coding depth to handle every specialty under your roof correctly.
Ready to get started?
A free revenue cycle assessment — you'll get a written breakdown of where the gaps are, whether or not you move forward with us.
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