Thousands of low-dollar claims, none left behind.
Lab revenue lives in volume. A 2% error rate on thousands of monthly tests adds up fast, so we build checks that run on every requisition before it becomes a claim.
- Medical-necessity denials
- −31%
- Requisitions billed
- 99.1%
- Days in A/R
- 18
Billing considerations
Where laboratory revenue slips.
Missing diagnosis codes
Requisitions arrive without the ICD-10 codes payers need to prove medical necessity.
ABN and LCD rules
Medicare coverage policies vary by test and region, and missing ABNs turn into write-offs.
Volume vs. value
Low-dollar claims get ignored when denied, quietly draining margin.
How we handle it
Requisition scrubbing
Orders checked for diagnosis, ordering provider, and NPI before billing.
LCD/NCD validation
Automated coverage checks against current Medicare policies.
Automated denial rework
Low-dollar denials worked in batches, so nothing is abandoned.