Laboratory

Financial / Billing / Management Automation for Clinical, Toxicology, Genetics and Esoteric Laboratories…

HealthQuest RCM is the best revenue cycle management company for laboratory billing and other services. We are ideal for the laboratories that want to outsource their RCM. We have a client-oriented approach, transparent services, and ensure 24 x 7 x 365 access to all of their data.

Features of our software:

  • LIS integrations;  interfaces to EHRs and other systems as well
  • PAMA reporting and sales rep activity reporting.
  • Payer-based authorization alerts and a very consistent 99% success rate on first attempt clearinghouse claims.
  • Comprehensive laboratory EDI with eligibility verification
  • In and out-of-network claim denial. management with “on the fly” edits and resubmissions.
  • Laboratory-specific KPIs, reports, and analytics with data drill-downs and exports to Excel.
  • Patient demographics database with MPI architecture supports user-defined searches and filters; prevents creating duplicate records and for identifying the correct patient.
  • Real-time claim tracking as claims appear in payers’ queues.
  • Powerful claim denial management with “on the fly” edits and resubmissions.
  • Automated cascade billing for multiple payers per patient
  • Customized fee schedules by a physician, CPT, or payer.
  • System-produced patient statements with options that include.
  • Incredibly affordable offsite production and fulfillment.
  • Electronic statements with a secure online payment option for payments directly through the statement.
  • Data conversions from existing systems.
  • Patient payments can be made at the laboratory in a variety of ways (cash, check, credit, or debit card) all of which are posted directly onto each patient’s record in HealthQuest RCM.

Billing Services for Laboratories

Comprehensive, Outsourced Medical Billing and Revenue Cycle Management
  • Ideal for Laboratories that prefer to outsource their RCM needs
  • Clients have transparent24 x 7 x 365 access to all of their data.

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