Compliance

Ensure Operational Excellence and Avoid Costly Pitfalls with Laboratory Compliance

  • Minimize Your Risk
  • Improve Claim Acceptance Rates
  • Enhance Operational Efficiency
  • Maintain Trust with Payors and Providers

Compliance is the backbone of an effective revenue cycle management strategy for laboratories. Ensuring your lab adheres to all compliance requirements safeguards your revenue.

Why Compliance Matters

Non-compliance with regulations, payor policies, or operational guidelines can result in denied claims, financial penalties, and reputational damage. Ensuring your lab adheres to all compliance requirements not only safeguards your revenue but also builds trust with payors, providers, and patients.

  • Avoid Regulatory Penalties
  • Streamline Operations
  • Maximize Reimbursements
  • Build Credibility

LRN Protects Your Lab and Revenue

Our compliance solutions are tailored to the unique needs of laboratories, ensuring that your policies, processes, and workflows align with regulatory and payor requirements.

  • Policy Development
  • Procedures and Processes
  • Billing and Payor Compliance
  • Training and Documentation
  • Ongoing Support and Updates

Our Compliance Services

Comprehensive Compliance Services to Protect Your Lab and Revenue

Policy Development

We establish clear and effective policies for billing, fee schedules, provider acknowledgments, and test order authorizations to meet payor and regulatory standards.

Procedures and Processes:

Our team creates and optimizes workflows for requisitions, accessioning, and send-out processes. We also provide detailed job descriptions to ensure clarity in staff responsibilities.

Billing and Payor Compliance

Ensure all billing activities adhere to payor-specific requirements, including the accurate use of diagnostic (DX) codes and medical necessity validation.

Training and Documentation

We provide training for your team on compliance best practices and develop SOPs to maintain consistent and auditable operations.

Ongoing Support and Updates

Stay up-to-date with changes in payor policies and regulatory standards with Lab Revenue Navigator’s ongoing compliance monitoring and support.

Get More Value with our Revenue Cycle Leadership Services

Our Revenue Cycle Leadership Service package streamlines every aspect of your laboratory’s billing process, from accurate coding and compliance to payor policy alignment and credentialing management.

Learn More

Frequently asked questions

What does compliance mean for my lab?

Compliance refers to adhering to legal, regulatory, and payor-specific guidelines to ensure your lab operates lawfully and efficiently, minimizing risks and maximizing reimbursements.

What happens if my lab is non-compliant?

Non-compliance can result in denied claims, fines, reputational damage, and even the loss of payor contracts.

How does Lab Revenue Navigator ensure my lab stays compliant?

We develop tailored policies, procedures, and workflows, train your team, and monitor ongoing regulatory and payor changes to keep your lab compliant.

Yes, we review denied claims, identify compliance gaps, and help implement corrective actions to reduce future denials.

How often should compliance policies and procedures be updated?

We recommend reviewing and updating compliance policies at least annually or whenever significant regulatory or payor changes occur.

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Our team is here to help, please contact us with any questions, or to get a quote today.

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