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ligo lab LIS

Billing Built for Labs Running the LigoLab LIS & RCM Platform

You chose a platform that puts your LIS and your billing in one system. Your billing team should know how to get the most out of both. TransLabs delivers LigoLab billing services for labs working inside the LigoLab ecosystem; the LIS, the RCM module, and its rule engine; so nobody on our team is learning your system while your claims sit unpaid.

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Serving Nationwide

1,100+ Certified Billers

Pay Only When We Collect

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Client Retention Rate
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First-Pass Claim Rate
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Avg. Revenue Growth
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Avg. Denial Reduction

Your LigoLab Platform Isn't Losing You Money. The Handoff to Billing Is.

No lab buys LigoLab expecting the software to chase payers by itself. It accessions the specimen, releases the result, builds the billing encounter, and scrubs the claim. The money leaks out where people and rules meet: outdated codes, untuned edits, and work queues nobody has time to clear. Most lab directors don’t catch it until a denial batch lands or aging passes 90 days, and by then it isn’t a fix, it’s a write-off.

Here's where it actually happens, by platform:

TransDontics Table Preview
Where It Happens
What Happens
Real Cost
LIS Module — Test Dictionary to Billing Encounter Drift
LigoLab builds the Lab Billing Encounter from your test and procedure setup, so an outdated code there flows straight onto the claim. After the January CPT update or a new PLA code, the encounter keeps billing the old code. In pathology, missed specimen parts or extra IHC antibodies quietly cost 88305, 88342, or 88341 units.
Stale test-to-CPT setup is the largest recoverable category we find in first audits.
RCM Rule Engine — Payer Rules Left on Default
The claim scrubber ships with AMA and Medicare logic, but custom payer policies have to be written and kept current. Without them, frequency limits, MUEs, and modifier 59 or 91 rules for each commercial plan slip through.
Labs that never build out payer rules send claims that pass the scrubber and still get cut. Clean does not always mean correctly paid.
Client, Payer & Patient Billing — TC/PC Splits & Billing Routes
LigoLab can split technical and professional charges and route each encounter to the client, the payer, or the patient. Those routes only work if the client setup is right. Hospital specimens fall under the Medicare 14-day rule, and some states require pathology to be billed directly.
This produces the denials nobody can explain. The test was billed as always; the client agreement or routing rule just didn't match.
Every Lab — Medical Necessity, Work Queues & Timely Filing
Molecular and genetic tests often need prior authorization, a MolDX Z-code, or diagnosis codes that meet the LCD or NCD. Denials and holds land in LigoLab work queues, and when nobody clears them daily, the filing window closes on claims that were fixable.
Timely filing denials are avoidable almost 100% of the time. They're a process gap, not a payer decision.
None of this means LigoLab is doing anything wrong. It means lab billing is its own discipline, and a strong RCM module still needs people who tune its rules and work its queues every day, which is what most labs are missing.

Not sure which of these is actually happening in your claims?

That’s exactly what the free audit below is built to find out.

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Expert Across All Major Laboratory Insurance Payers

Our billing team handles claims across the payers your patients carry like national commercial plans, Medicare, Medicaid, and regional Blues plans. Payers we bill include but aren’t limited to:

Billing That's Fluent in LigoLab; Not Learning It On Your Claims

TransLabs specializes in end-to-end revenue cycle management for clinical, pathology, and molecular labs running the LigoLab platform:

LIS-to-Encounter Charge Capture

Test dictionary and CPT audits, PLA updates, specimen and stain unit checks, and daily review of billing encounters, so every resulted test gets billed.

RCM Rule Engine Tuning

Custom payer policies, frequency and MUE rules, and modifier 59 and 91 logic written into your scrubber and tuned to your actual denial history.

Client, TC/PC & Patient Billing

Client setup review, TC/PC split accuracy, 14-day rule checks, direct-billing compliance, and clear client invoices and patient statements.

Full-Cycle Lab RCM

Eligibility checks, charge review, claims scrubbing, ERA posting, denial follow-up, and monthly reporting; all worked inside the LigoLab RCM module you already have, not a system we’re asking you to switch to.
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Full-Spectrum Laboratory Billing & RCM Services, From Accession to Final Payment

TransLabs’ specialized RCM services are built exclusively for labs, addressing the unique challenges that generalist billers miss. We provide end-to-end revenue cycle solutions designed specifically to turn laboratory complexity into profitability.

Lab Rcm services

Revenue Cycle
Management

End-to-end financial management covering patient registration, claims submission, payment posting, and final collection. Our integrated approach optimizes every revenue touchpoint to maximize reimbursements and eliminate costly gaps in your billing workflow.
Billing and coding

Billing & Coding
Services

AAPC/AHIMA certified coders ensure precise CPT, ICD-10, and HCPCS code assignment across all laboratory specialties. Accurate coding reduces denials, accelerates payments, and keeps your lab fully compliant with evolving payer requirements

lab credentialing

Credentialing
Services

Complete payer enrollment, CLIA certification management, and network participation setup across all insurance carriers. TransLabs manages every credentialing detail so that your laboratory gets paid in-network from day one without any administrative delays.

Eligibility Verification

Eligibility
Verification services

Real-time insurance verification, benefits investigation, and prior auth completed before specimen processing begins. Confirming coverage upfront eliminates preventable denials and protects your lab from unexpected reimbursement failures.

RCM Automation services

RCM
Automation services

Intelligent RCM automation reduces manual tasks by 80%, accelerates claims processing 3x faster, and eliminates costly billing errors. Our automation solutions free your staff from repetitive workflows so they can focus on higher-value patient care activities.

Front Office
Management

Patient registration, appointment coordination, insurance verification, and customer service excellence managed by experienced laboratory billing professionals. A well-run front office reduces downstream billing errors and creates a better experience.

Lab Billing audit

Complimentary
Revenue Audit

Complimentary 12-month analysis identifying revenue leakage, denial patterns, and untapped improvement opportunities potentially worth thousands in recovered revenue. No obligation, no risk—just a clear picture of what your lab is leaving on the table.
AR Management

AR
Management

Systematic accounts receivable follow-up, aging management, and payment acceleration strategies designed to reduce AR days by 30%. We pursue every outstanding balance with disciplined follow-up so no earned revenue is left uncollected.
Denial Management

Denial
Management

Expert appeal preparation achieving an 85% success rate backed by comprehensive root cause analysis and targeted prevention strategies. We fight every denial aggressively while addressing underlying issues to stop recurring revenue losses.
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Serving Laboratories Nationwide 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.

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Three Steps, Starting With a Free Look at Your Actual Claims

Start with a free audit of your actual claims; no pitch, just real findings. We build your billing workflow around your existing LIS , so your team’s process doesn’t change. At go-live, you get a dedicated account team who already knows your setup, not a call center.

Free LigoLab Billing Audit

We review a sample of your LigoLab claims, billing encounters, scrubber rules, and work queues from the past 12 months, then show you exactly where denials and missed charges are happening, not a generic sales pitch.

Custom Rules & Coding Protocol

We build the billing workflow around your existing LigoLab test setup, client accounts, and RCM rules. Your team doesn’t change how it works; we adapt to your system, not the other way around.

Go-Live with Dedicated Account Oversight

You get a dedicated account team that already knows your LigoLab setup, not a rotating call center. Denials, reporting, and questions go to people who understand your
configuration.
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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

Why Lab Directors and Pathology Groups Choose TransLabs?

LIS-Specific Expertise, Not Generic Medical Billing

We don’t treat LigoLab as “just another LIS.” Its billing encounter, rule engine, and routing logic works differently than other platforms.

98% First-Pass Clean Claims Rate

98% clean claims rate across all lab clients: fewer denials, faster payments, stronger cash flow.

Transparent Reporting

Monthly dashboards showing clean claim rate, days in A/R, denial reasons by payer, and net collection rate.

High-Volume Architecture

Built for reference and pathology labs handling thousands of daily claims; volume rises, accuracy holds.

No Long-Term Contracts

Month-to-month, results-based partnership with measurable improvement in 90 days, no exit fees, just 30 days’ notice.

Compliance-First

HIPAA-compliant processes, certified coders, and ongoing LCD, NCD, and payer policy monitoring so your billing holds up under audit, not just a quick glance.

Stop Losing Revenue to Untuned Rules and Coding Errors

Every month without a LigoLab-aligned billing team means more denials, write-offs, and slow cash. Let’s find out exactly where your LigoLab billing is leaking revenue, at no cost.

Dedicated LigoLab billing specialist assigned to your lab

Complimentary 12-month claims audit across all payers

Discover your lab's top 3 revenue leaks

Live in 24 hours with no contracts and no upfront fees

Pay only a percentage of what we collect for you

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Frequently Asked Questions

What is LigoLab, and how do its LIS and RCM modules work together?

LigoLab is a Glendale, California company founded in 2006 that makes the LigoLab LIS & RCM Operating Platform, a single system for clinical, anatomic pathology, and molecular labs. The LIS handles accessioning, testing, and results. The RCM module builds a Lab Billing Encounter for each case, sorts it by client, payer, or patient, scrubs claims against AMA, Medicare, and custom payer rules, and handles eligibility, ERA posting, statements, and dashboards.

Do we need a billing company if LigoLab already has a built-in RCM module?

LigoLab gives you strong billing tools, but tools don't write payer rules or clear denial queues on their own. Most lost revenue comes from outdated codes, untuned edits, and work left waiting, which is why labs on LigoLab benefit from LigoLab billing services run by people who know those patterns.

Can TransLabs Billing work inside our existing LigoLab setup without changing our workflow?

Yes. We work directly in your LigoLab RCM module, using your existing test setup, client accounts, and rules, rather than moving your billing to another system.

What does the free LigoLab billing audit include?

A review of sample claims, billing encounters, scrubber rules, and work queues from your LigoLab environment to find denial trends, missed charges, and coding gaps, delivered at no cost and with no obligation.

Do you handle anatomic pathology, molecular, and outreach lab billing on LigoLab?

Yes. We manage per-specimen and IHC units, TC/PC splits, molecular prior authorizations and Z-codes, 14-day rule reviews, and client-bill versus insurance routing, alongside standard commercial, Medicare, and Medicaid lab claims.

How much does it cost to outsource lab billing to a company like TransLabs?

Outsourced lab billing is usually priced as a percentage of collections rather than a flat fee, which keeps the incentive aligned; we only get paid when you get paid. The exact percentage depends on claim volume, test mix, and how much A/R cleanup is needed. We quote a specific number after the free audit, since a rate quoted without real claims data isn't worth trusting.
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