Laboratory Billing Services to Strengthen Your Revenue Cycl
While you focus on delivering accurate test results, we maximize your revenue with our laboratory billing services. Our main lab billing expertise includes:
- Compliance with CLIA, HIPAA, and payer-specific regulations
- Pre-authorizations for high-cost genetic and diagnostic procedures
- Accurate charge capture for molecular, pathology, and clinical tests
- Seamless LIS and EHR integration for clean claim submission
- Detailed reporting and analytics to track lab financial health
Contact Our Experts
What are Some Lab Billing Challenges Faced by Laboratory Around the United States?
Here are the top billing challenges laboratories face:
Complex Test Coding: Labs require expert billers to manage frequent CPT and HCPCS updates for molecular and clinical testing.
Prior Authorizations: High-cost molecular and genetic tests often need timely pre-approvals to avoid claim denials and revenue loss.
Specialized LIS Integration: Laboratory billing experts streamline data from lab systems to claims, reducing errors and accelerating payments.
Compliance with CLIA: Specialized lab billing teams keep labs compliant with the latest regulations and payer-specific rules.
How RevCure Handles Laboratory Billing Challenges?
All of these lab billing challenges hit laboratories where it hurts, cash flow and margins. Industry estimates show labs can lose about 5 to 10% of annual revenue to coding mistakes and denials. That’s where RevCure steps in with its expert laboratory billing services.
| Challenge | How Does RevCure Handle this Lab Billing Challenge |
|---|---|
| Complex Test Coding | RevCure has a specialized lab coding team that stays updated with CPT and ICD-10 codes. Our experts implement automated scrubbing to prevent miscoding and denials. |
| Prior Authorizations | Our lab billing services providers coordinate prior authorization workflows with eligibility checks and follow set protocols to prevent costly denials. |
| Specialized LIS Integration | With us, you get fully integrated services that connect with your Laboratory Information System and EHRs, ensuring clean data flow. |
| Compliance with CLIA | RevCure monitors regulatory updates and payer-specific rules, ensuring your laboratory billing processes remain compliant with CLIA standards. |
Comprehensive Laboratory Billing Services for Labs of Every Size and Type
From independent labs to hospital-based facilities, each facility has unique billing challenges. Once you outsource lab billing services to RevCure, you can get peace of mind, no matter the size of your laboratory.
Independent Labs Billing
Independent laboratories often struggle with payer-specific rules and revenue leakage. Our laboratory billing experts handle everything from claim submission to denial appeals. This makes sure that labs receive maximum payments without increased overhead.
Hospital Laboratory Billing
Hospital-based labs have complex billing workflows that require precise coordination with hospital RCM teams. We specialize in integrating lab billing with hospital systems, accelerating reimbursements for high-volume testing.
Physician Office Labs Billing
Physician-owned labs face unique compliance and coding challenges. We streamline lab billing for in-office tests, manage prior authorizations, and keep practices compliant while supporting sustainable growth.
Toxicology Laboratories Billing
High-value toxicology services often undergo strict payer audits. Our outsourced laboratory billing team manages coding for confirmatory testing, ensures compliance with medical necessity requirements, and prevents costly denials.
Molecular Diagnostics Labs Billing
Genetic and molecular testing generate high revenue but require accurate coding and bundling knowledge. For accuracy, our lab billing services handle the complexity of NGS panels, PCR, and advanced genomic testing with precision.
Pathology Laboratories Billing
Pathology lab billing demands expertise in biopsies, immunohistochemistry, and cytogenetics. RevCure has certified billers to ensure accurate documentation, coding, and compliance, helping labs avoid underpayments.
Complete Expertise in Laboratory CPT Coding and Billing
RevCure’s laboratory billing specialists apply accurate coding for molecular, pathology, and diagnostic testing procedures. Our team follows the latest coding updates to help you achieve clean claims and maximum reimbursement. Our laboratory coding expertise includes, but is not limited to:
59400
Comprehensive metabolic panel
85025
Complete blood count with automated differential
81001
Urinalysis with microscopy
87086
Urine culture, bacterial
88305
Level IV surgical pathology, microscopic exam
87635
SARS-CoV-2 detection by probe technique
81225
CYP2C19 gene analysis (pharmacogenomics)
81445
Targeted genomic sequence panel
88112
Cytopathology, selective cell enhancement
Compare How Much You Can Save After Outsourcing Laboratory Billing Services to RevCure
In-House Medical Billing Services
$50000 / per year
The calculations are done for small to medium-sized medical billing practices.
Annual Salary: $25000 to $35000
Overhead Cost: $15000 to $25000
Downsides
- Not Cost-Efficient
- Less Skilled Billers
- Lacks Automation
Outsourcing to RevCure
$50000 / per year
The calculations are done for the practices earning around $100000 per year.
RevCure’s Rate: 5% on average
Total Amount: Approximately $5000
Upsides
- Save up to $45000 annually
- Team of over 1100 skilled billers
- RPA-powered Billing
Stop Lab Billing Claim Denials with CLIA and LIS Accuracy
In laboratory billing, the Clinical Laboratory Improvement Amendments number is a required 10-character identifier for any facility testing human specimens to meet quality standards. Missing or invalid CLIA numbers on billing forms like the CMS-1500 or UB-04 often result in costly denials and payment delays.
RevCure helps labs by validating CLIA numbers to ensure compliance with Medicare and Medicaid. Our lab billing services also integrate LIS data seamlessly into billing workflows to handle coding and claim submissions properly.
Our Success in Numbers
$500 M+
Value of claims processed
24
Accounts Receivable Days
48 Hours
Turn Around Time (TAT)
99%
Customer Retention
2.7 M
Number of Claims Processed
98%
First Pass Clean Claims Rate
5%- 10 %
Revenue Improvement
30 %
Reduction in A/R
Why Choose RevCure for Laboratory Billing Services?
When picking the right partner for laboratory billing services, RevCure should be your go-to choice as we offer:
Advanced Analytics for Laboratories
Laboratories can make smarter operational and financial decisions with powerful analytics. As labs manage high-volume testing and evolving payer rules, our insights help identify revenue leaks and optimize payment strategies.
Automation Tools and RPA
Human error remains one of the leading causes of claim denials in laboratory billing. Our robotic process automation (RPA) improves data entry, eligibility checks, and claim submission, which facilitates accuracy and speeds up payments.
Transparent Pricing Structure
Our outsourced laboratory billing experts offer a percentage-based billing model with no hidden costs. This gives your laboratory predictable financial outcomes and complete visibility into revenue cycle management expenses.
Distinctive Laboratory Billing Technology
Unlike many providers, RevCure combines expert billers with advanced RCM technology. From seamless LIS integration to compliance safeguards, our platform helps you get cleaner claims and stronger cash flow.
Our Simple Onboarding Process for Medical Billing Services
Welcome Call
Your journey with our billing services starts with a welcome call from your dedicated account manager. In this session, we introduce you to our outsourced medical billing process.
Laboratory Setup Questionnaire
You’ll receive a structured questionnaire to provide essential details such as CLIA number, laboratory type, LIS requirements, test volumes, and payer mix.
Onboarding Meeting
Our lab billing experts guide you through a detailed onboarding consultation. During this stage, we coordinate secure access to your LIS, EHR, and billing platforms.
Defining Workflow SOPs
Based on your lab’s unique operations, we create customized standard operating procedures. These define the entire billing cycle, from test order capture and coding to claim submission.
Go-Live Date
After thorough preparation, your laboratory billing services officially go live. On the launch date, all lab billing operations transition seamlessly to RevCure’s team.
We work with these EHRs
Our medical billing specialists know the workarounds of all the EHRs. We help you submit clean claims no matter which EHR you use.
Trusted Mips Reporting Services
Dr. Emily Rodriguez
Family Physician
“RevCure made MIPS reporting effortless for our clinic. Their experts handled everything and helped us secure the full Medicare incentive.”
Dr. Jacob Miller
Orthopedic Surgeon
“Before RevCure, MIPS reporting was stressful. Now it’s seamless. They ensured accuracy and maximized our score without disrupting workflow.”
Dr. James Patel
ENT Specialist
“RevCure provides personalized MIPS reporting assistance. Their expertise helps us present accurate submissions and get reimbursements every performance year.”
Frequently Asked Questions (FAQs)
Can a physician bill for laboratory services?
Yes, physicians can bill for laboratory services if the tests are performed within their practice or office lab. However, proper CLIA certification and correct CPT coding must be followed to prevent denials in laboratory billing.
Where Can I Get CPT Codes for Medical Billing Services?
An EHR is not always required for laboratory billing. An LIS often integrates directly with billing software, handling test orders, results, and coding. Many labs rely solely on LIS for efficient revenue cycle management and compliance with payer rules.
Will I Receive Financial Performance Reports After Getting Medical Billing Services from RevCure?
The cost of outsourcing laboratory billing typically ranges from 6% to 10% of collections. However, RevCure offers an affordable pricing range of 4 to 5% of the monthly revenue, which makes it a go-to choice for lab billing outsourcing.
What's the difference between LIS and LIMS in lab billing?
A Laboratory Information System is designed for clinical labs to support diagnostic testing, coding, and billing. On the other hand, the Laboratory Information Management System (LIMS) serves research or industrial labs, focusing on sample tracking and data management.