Maximizing Laboratory Revenue with PulseMedix Laboratory Medical lab Billing Services
Welcome to PulseMedix, your trusted partner in independent laboratory billing services. We understand the challenges that clinical and reference laboratories face when it comes to managing revenue cycle management.
The complex landscape of clinical laboratory billing, evolving regulatory demands, legacy applications, and data accessibility issues can be overwhelming. That’s where PulseMedix steps in to streamline your laboratory operations and maximize the reimbursement process.
Tailored Independent Laboratory Billing Solutions
With over 10 years of experience working with independent clinical, hospital outreach, and reference labs, PulseMedix has developed one of the most effective lab billing services, coding, and financial management services in the industry. We are dedicated to helping you manage high-volume, small-dollar claims, improve laboratory collection rates, and provide valuable insights through in-depth financial management reports.
Our approach is tailored to meet the strategic business objectives of your laboratory. We provide full-service laboratory billing solutions, covering both technical and professional components, in-network and out-of-network billing. Here’s an overview of our services:
- Direct payments from payers to patients
- Our advanced LIMS (Laboratory Information Management System), which includes denial & AR recovery services, is designed to organize your data throughout the lab revenue cycle system.
- Monitoring of patient encounters or access to ensure that each case is submitted for payment.
- Better Decision Making
- Verify payments to make sure the agreed-upon rates are being followed.
- Appeals for molecular laboratory claims were denied because they were investigational.
- Billing for a patient's outstanding balance.
- Taking care of patient inquiries regarding billing
- Make sure that billing, collections, coding, and financial reporting are accurate. Boost revenue while processing high-volume, low-value claims efficiently.
Our focus is on increasing revenue while cost-effectively processing high-volume, low-dollar claims, making PulseMedix the partner you can rely on to enhance your laboratory’s financial performance.
Streamline Laboratory Revenue Cycle Management
Effective revenue cycle management (RCM) is crucial for the financial health of your laboratory. PulseMedix offers comprehensive RCM services that cover the entire spectrum of laboratory billing. Our lab billing services include
- Medical Coding: Accurate and optimum reimbursement for your laboratory's procedures
- Charge Upload: Streamlining the process for efficient revenue management
- Claim Audits: Ensuring the accuracy and completeness of your claims
- Claim Submission: Submit claims to various payers for reimbursement.
- Payment Posting: Efficiently handling payments received
- KPI Tracking: Monitor the efficiency of your lab billing system and benchmark performance against industry standards.
- Proactive Approach: Turn insights into action and plan for the future with actionable data at your fingertips.
- Payment Tracking: Monitoring payments to ensure adherence to contracted rates
- Denial Management: Proactive follow-up on denied claims
- Patient Balances: Managing patient billing functions effectively
- Reporting: Real-time visibility into your laboratory's claim status and operations. PulseMedix combines industry experts, advanced analytics, and the latest technology to help you simplify complicated administrative workflows, increase your bottom line, and streamline your revenue cycle management.
- Strategic Partnership: Work with a partner dedicated to your financial success.
- Streamlined Workflow: Leverage AI-powered solutions to increase cash flow and reduce lab workload.
Accurate Laboratory Coding
Accurate coding is an essential part of the lab medical billing service. The AMA reports that labs often submit more than 50% of claims with incorrect codes, which can lead to undercharging, overcharging, and post-payment audits. PulseMedix ensures accurate coding through a practice evaluation, combining the expertise of our certified coders and reimbursement specialists.
Patient Charge & Demographics Data Entry /Upload
We streamline the process of entering patient demographics and admission charges and make sure it is error-free.
Claims Review
Our reimbursement specialists compile and review patient and charge data, ensuring clean claims for submission.
Claim Submission
We electronically transmit claims to payers whenever possible, with paper claims for those without electronic capabilities. At PulseMedix, unlike other lab billing companies, we leave no stone unturned to ensure that your laboratory billing data is accurately captured, resulting in cleaner claims and increased payment rates.
Improved Performance and Customized Solutions
PulseMedix focuses on improving your laboratory’s performance by streamlining billing processes, reducing denials, and maximizing collections. We understand the importance of growing your laboratory, and our services are designed to free up your time to focus on success and growth.
Personalized Assistance
At PulseMedix, we provide personalized assistance to all our clients. Each client is assigned a dedicated account executive, ensuring a high level of support and familiarity with your business. Our Intelligent lab billing solutions team keeps you informed about industry changes, offering valuable insights and guidance on policy issues and regulatory compliance.
100% Transparency and Data Visibility
We understand that understanding your laboratory’s financial performance can be challenging. That’s why PulseMedix provides advanced financial and practice analysis tools designed to give you enhanced visibility into your operations and capture key data for internal benchmarking and regulatory reporting. Our reporting engine allows you to measure everything in real-time from sales representative performance to accession summary data, giving you control over your revenue.
HIPAA Compliant Laboratory Billing
PulseMedix places a high priority on security and compliance. We provide HIPAA-compliant billing services, and our certified laboratory coding specialists are well-versed in HIPAA protocols and guidelines. Your Protected Health Information (PHI) is safeguarded with state-of-the-art security measures to ensure compliance with government regulations.
Why Choose PulseMedix?
PulseMedix is the partner you can rely on to optimize your laboratory’s revenue cycle management. Here are some reasons to choose PulseMedix:
- Data-driven decisions for meaningful results.
- 95% first-pass claim rate
- 30% decrease in account receivables
- Flexible EHR/EMR solution
- A client-centric approach for building long-lasting partnerships.
- Dedicated staff
- The technology to capture every last dollar.
- HIPAA-compliant billing services
Our laboratory billing technology is designed to simplify and enhance your revenue cycle management. We offer tools and solutions that streamline your laboratory’s operations, including AI-powered analytics, automation tools, and system integration. With our advanced lab medical billing technology, we ensure data accuracy and timely processing.
For Labs, For Pathologists, PulseMedix Makes the Difference
PulseMedix is your catalyst for improved financial and operational outcomes, allowing you to focus on providing exceptional testing and diagnostic services.
If you’re looking for a reliable laboratory billing provider, it’s time to partner with PulseMedix. Let’s have a conversation to see how we can work together to achieve your financial success.