- 4009 Hackney Springs Ln, Sachse, TX 75048
A denial isn’t a dead end, it’s a symptom. Chase the payment without fixing the cause, and the same denial keeps coming back next month. TransLabs Laboratory Denial Management Services work every denial back to its root cause, whether that’s a coding gap, a missing prior authorization, or a payer policy your team hasn’t seen yet, then fix the process so it stops recurring.
Most labs can tell you their denial rate. Few can tell you why those denials are happening, and that gap is where the money disappears. A denial that’s reworked without addressing its cause is a denial you’ll see again on the next batch of claims. TransLabs treats every denial as two problems: the unpaid claim in front of us, and the pattern behind it. We close both, which is why clients see denial rates fall by more than half within the first two quarters.
Elite Lab Specialists
LIS Integration
Performance-Based Pricing
Scalable Infrastructure
Dedicated Ac. Management
TransLabs provides expert RCM services to clinical laboratories in all 50 states, delivering the same exceptional results whether you’re a community hospital lab or a large reference facility. We bring specialized lab billing expertise to facilities nationwide, combining remote efficiency with hands-on partnership.
Our labs billing services adhere strictly to CMS Laws and HIPAA guidelines
Labs lose revenue to preventable denials; miscoded panels, missed modifiers, payer-specific mismatches. TransLabs built its billing process around what labs actually need to get paid, coast to coast. Start with a complimentary claims audit. We’ll review your CPT/HCPCS coding, test methodology, and denial trends to show you exactly what’s recoverable.
Claims checked against your MAC's local coverage rules before submission.
Medicaid and commercial prior-auth rules built into your workflow, not discovered after denial.
Appeals strategy built from denial data across all 50 states.
A dedicated billing specialist; never a shared call queue.
Live in 24 hours. No contracts. No upfront fees.
Denial management covers denial tracking and categorization, root-cause analysis, appeals and reconsiderations, prior authorization follow-up, coding corrections, and prevention reporting that feeds back into your front-end billing process. TransLabs works both the individual denial in front of us and the pattern causing it.
AR management works aged and stuck balances of every kind, including underpayments and unworked claims. Denial management focuses specifically on claims a payer has actively rejected, with an emphasis on why the denial happened and how to prevent it from recurring, not just recovering the individual payment.
Laboratory denial rates above 10 to 12% usually point to a fixable process issue, whether that’s coding, authorization tracking, or documentation. Most TransLabs clients bring their denial rate under 5% within six to nine months, though high-complexity molecular testing carries a naturally higher baseline than routine clinical chemistry.
Yes. Our appeal specialists prepare the clinical and coding documentation for peer-to-peer calls, write first and second-level appeals, and file formal reconsiderations where a payer’s process allows it. Peer-to-peer calls involving direct physician-to-physician conversation are coordinated with your ordering providers.
TransLabs exclusively serves laboratories, which means our entire operation consisting of coders, billing specialists, technology, and processes is purpose-built for lab RCM across all specialties.
