We deliver detailed, actionable reports covering key metrics such as revenue trends, denial rates, reimbursement turnaround times, and payor performance analysis. These insights empower lab owners to make data-driven decisions.

We actively monitor and interpret payor policies to ensure claims are submitted correctly the first time. Our team reviews policy changes, manages pre-authorization requirements, and provides guidance on medical necessity documentation.

We create customized Standard Operating Procedures (SOPs) tailored to your laboratory’s workflows, ensuring efficiency and compliance. This includes processes for billing, documentation, claim submission, and denial management.

Our credentialing team ensures your laboratory is properly enrolled and credentialed with payors to prevent reimbursement delays. We also negotiate payor contracts to secure competitive reimbursement rates for your services.

We implement rigorous compliance programs to ensure adherence to all relevant regulations, including HIPAA for patient data protection and CLIA standards for laboratory operations. Regular audits, staff training, and policy reviews are integral to our approach.

Let me know if you’d like to expand on any of these or tailor them further!