Billing Assessments & Compliance

CredablePro has a vast knowhow in the optimization of Laboratory Billing. Our professional lab managers and billing experts’ staff become provisional to you with a detailed assessment of your laboratory’s billing functions. Out Team takes the initiative of accessing your LIS / BIS and clearinghouse, reviewing all financial data and reports towards giving you a comprehensive analysis of the existing key factors, pain points, bad debts that your Lab is indebted with, besides presenting optimization solutions.

We are highly experienced at Analyses and Identification of Revenue Cycle Problems.

Our assessments are customized to the client’s requirements along with their particular situation at the time, but can include:

  • Reviewing of in-house compliance programs and CPT coding for laboratory procedures.
  • Analyzing revenue loss starting from medical necessity with recommended changes to follow-up procedures towards insurance of greater compliance.
  • In-depth analysis of the billing and collection history of the laboratory towards pinpointing areas of opportunities for the improvement of performance.
  • Fee schedules, provider arrangements and CPT coding examinations, along with recommendations of changes to address situations where there are denials or inadequate payments of claims.
  • Operational reviews of billing functions towards determination of appropriateness of systems and resources for the performance of activities.
  • Reviewing of internal processes with recommendations for the rationalization of patient registration, the follow-up of missing information, and the attempts of collection.

The estimated outlay of our operational assessment is based on the requisite time by the work scope that has been agreed to in advance. There may be a reduction or pro-rating of the assessment fee subject to the fact that your lab has decided to enter into a contract with CredablePro for the additional services of Lab Billing and Coding.

We have outright confidence in our detailed assessment and follow-up recommendations that are bound to translate into major cost savings and revenue recovery opportunities for your laboratory.

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