Find Your MAC!
  • 4009 Hackney Springs Ln, Sachse, TX 75048
Inquire Now
Lab Revenue Cycle Management

Complete Laboratory RCM Services

Your lab runs complex tests. Your billing shouldn’t be complicated. TransLabs delivers hassle-free RCM built exclusively for clinical laboratories and specialty testing facilities which translates into clean claims, faster payments, zero headaches for your laboratory.
Improve My Revenue
Complete Laboratory RCM Services
0%
Client Retention Rate
0%
First-Pass Claim Rate
0%
Avg. Revenue Growth
0%
Avg. Denial Reduction

The True Cost of Laboratory Revenue Cycle Inefficiency

Systemic revenue leaks drain 15% of lab income through stagnant AR and costly manual rework. TransLabs stops this with a specialty-specific RCM engine built for high-complexity diagnostics, delivering surgical coding accuracy and a 98% first-pass resolution rate.

Preventable Denials

Capturing the 25% of revenue lost to NCD/LCD and authorization failures.

AR Stagnation

Reducing Days Sales Outstanding (DSO) below the critical 40-day benchmark.

Coding Erosion

Eliminating the $3,000 per-claim underpayments common in Molecular billing.

Administrative Drain

Reclaiming the 40% of operational focus lost to in-house billing. TransLabs knows payer protocols and requirements that accelerate approvals.
Elite Lab Specialists
We bypass generalist failures with certified coders focused exclusively on molecular, genetic, and high-complexity RCM.
LIS Integration
Our cloud-based platform syncs with your LIS to provide real-time visibility and workflows generic software misses.
Performance-Based Pricing
We get paid when you do. Our transparent, collection-based model perfectly aligns our incentives with your profitability.
Scalable Infrastructure
From boutique specialty facilities to high-volume reference labs, our RCM engine scales without compromising service quality.
Dedicated Ac. Management
Eliminate the call center runaround with a single, expert point of contact managing your entire revenue cycle.

Critical RCM Challenges We Solve

1

Prior Authorization Complexity

High-value tests need prior authorizations. Our team at TransLabs manages the entire process including tracking, submitting, aggressive follow-up and documentation.
2

Review of Policy Benefits and Limitations

Prior to claim submission, we thoroughly verify coverage, identify what isn’t covered, check for frequency limitations or restrictions and review secondary insurance as well.
3

Timely Filing Deadlines

Miss a payer’s filing deadline and claims become uncollectible. We submit claims within days of test completion, track filing deadlines meticulously, and escalate delayed claims.
4

Coordination of Benefits

Patients with multiple insurance policies create complexity in determining primary payers, secondary billing, and proper coordination. Our system manages COB automatically, ensuring proper sequence.
5

Payor Policy Changes

Insurance carriers constantly modify coverage policies, coding requirements, and billing procedures. Our team monitors policy changes continuously to maintain compliance.
6

Underpayment Detection

Many laboratories fail to identify when payers reimburse below contracted rates. We compare every payment to contracted amounts, identifying underpayments and recovering missing revenue.
7

Patient Collection Challenges

Collecting from patients is increasingly difficult as high-deductible plans shift costs to consumers. Our patient engagement strategies significantly improve collection rates.
8

Staff Turnover and Training

Billing staff turnover disrupts operations and requires constant training investment. Outsourcing to TransLabs eliminates these concerns entirely, providing consistent expertise.
$0M+
Processed Claim Value
0.0M+
Annual Claims
0 Days
Avg. A/R Collection Time
0-0Hrs
Payment Posting

Serving Labs Across The United States

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.

View Your State

Our Certifications

Our labs billing services adhere strictly to CMS Laws and HIPAA guidelines

Proficient Across Multiple LIS & EHRs to Simplify Your
 Laboratory Management

ChartLogic
Collaborate md
Greenway health
Haemonetics
jane
cgm Labdaq
Modmed
open emr
Harris Data Integrity Solutions
siemens healthineers
Tebra
Oracle Health
Confience
Power path
Benchmark solutions
Xifin
Psyche Systems
veradigm
Turemed Lis
Telcor
Practice pro
novo path
Nextgen Healthcare
Next tech
meditech
Advanced data systems corporation
Logilab
Labware
Lab vantage
labs os
Epic
Dr Chrono
dendi
Corepoint
clinisys
Care Cloud
apex healthware
clinisys copathplus
Advanced md
softlab
athenaone

Compliance and Regulatory Expertise

Medicare Compliance

  • National and local coverage determination adherence
  • ABN implementation and management
  • Modifier usage compliance
  • Fraud and abuse prevention

Coding Compliance

  • CPT coding accuracy
  • NCCI edit compliance
  • Modifier usage appropriateness
  • Unbundling prevention
  • Proper use of unlisted codes

Commercial Payor Compliance

  • Contract term adherence
  • Out-of-network billing regulations
  • Balance billing prohibitions
  • Surprise billing compliance
  • State-specific billing requirements

Privacy and Security

  • HIPAA compliant data handling
  • SOC 2 Type II certified operations
  • Secure data transmission
  • Access controls and audit logging
  • Business Associate Agreement provided

Stop Leaving Laboratory Reimbursements on the Table

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.

Book Consultation Today!

Frequently Ask Questions

What's included in laboratory revenue cycle management services?
Laboratory RCM services encompass the complete financial process from patient registration through final payment collection. This includes insurance verification, prior authorization management, medical coding by certified specialists, claims submission, payment posting, denial management, appeals, patient billing, collections, and comprehensive reporting.
How long does it take to see results from outsourced lab RCM?
Most laboratories see measurable improvements within 30-60 days. Initial gains typically include increased clean claims rates, reduced claim rejections, and faster payment cycles. More substantial improvements in denial rates, AR days, and overall revenue become evident within 90-120 days as we work through your existing AR backlog and implement systematic process improvements. Our clients average 28% revenue increases within the first year.
Will I lose control over my laboratory's billing?ory doesn't have CLIA certification yet?
No. TransLabs operates as an extension of your team, not a replacement for your oversight. You maintain complete visibility through our real-time portal, receive regular performance reports, and have direct access to your dedicated account manager and billing specialists. You approve major decisions, review reports, and maintain final authority over your revenue cycle. The difference is you gain expert support without the administrative burden.
How does TransLabs pricing compare to in-house billing costs?
In-house laboratory billing typically costs 8-12% of collections when you account for staff salaries, benefits, software licensing, training, turnover, overhead, and hidden costs. TransLabs charges 4-7% of collections with no additional fees, often resulting in lower total costs while delivering superior results. Additionally, improved collection rates and reduced denials typically generate revenue increases that far exceed any fee differential.
Do I need to change my laboratory information system (LIS)?
No. TransLabs integrates with your existing LIS regardless of vendor or system. We have successful integrations with all major laboratory systems including EPIC Beaker, Sunquest, Cerner, Soft Computer, Psyche Systems, CoPath, PowerPath, and many others. Our integration team works directly with your LIS vendor to establish seamless data exchange without requiring you to change systems.
TransDontics Testimonials

Your Trusted Lab Billing Partner

Book Your Free Consultation

Book Consultation Today!

Book Consultation Today!