Integrated Revenue Cycle Management Services for Better Billing and Faster Payments.
Integrated Revenue Cycle Management Services for Better Billing and Faster Payments.
Integrated Revenue Cycle Management Services for Better Billing and Faster Payments.
Integrated Revenue Cycle Management Services for Better Billing and Faster Payments.
Integrated Revenue Cycle Managemedf
Integrated Revenue Cycle Management Services for Better Billing and Faster Payments.
Integrated Revenue Cycle Managemedf
Integrated Revenue Cycle Management Services for Better Billing and Faster Payments.
Integrated Revenue Cycle Managemedf
Integrated Revenue Cycle Management Services for Better Billing and Faster Payments.
50 %
Collect Cost ↓
30 %
Client Revenue Growth
120 +
Happy Clients
97 %
Collection Rate
We are a specialized medical billing company serving a wide range of healthcare specialties, including primary care, cardiology, orthopedics, mental health, and more. However, our core expertise and primary focus is helping diagnostic and imaging laboratories achieve faster payments, lower denials, and sustainable growth through expert, affordable, and lab-specific solutions.
Are these issues holding back your lab's profitability?
- High claim rejection rates due to eligibility or coding errorsHigh claim rejection rates due to eligibility or coding errors
- Rising billing costs and internal staffing challenges
- Delayed payments from insurance payers
- Constantly changing payer requirements and compliance hurdles
- Lack of performance visibility and outdated reporting
- Missed credentialing renewals and expiring payer contracts
Why Outsource to us?
Specialized Lab Billing Experts:
Years of experience in pathology, genetic, molecular, toxicology, and radiology labs
Complete Transparency:
Real-time dashboards, performance metrics, and billing reports accessible 24/7
Scalable Support:
Whether you're a startup lab or a multi-location enterprise
Cost-Efficiency:
Market-beating pricing with flexible models
Compliance First:
HIPAA-compliant, audit-ready documentation with secure access controls
Dedicated Success Manager:
One point of contact for smooth communication
Why To Choose Our Revenue Cycle Management Services
We deliver impactful, cost-efficient revenue cycle solutions see how below.
Medical Coding
Certified lab coders ensure accurate CPT, ICD-10, and HCPCS coding, using correct modifiers like 26, TC, and QW, while staying current with payer guidelines.
Charge Entry & Claim Submission
Claims are prepared within 24 hours of receiving data, using real-time capture from LIS/EMR systems, followed by pre-submission scrubbing to minimize denials resulting in a 99.5% clean claims ubmission rate. information about
Payment Posting & Reconciliation
We handle both electronic and manual posting of EOBs and ERAs, identify payment variances, denials, and short pays, and ensure daily reconciliation with accurate bank deposit matching.
A/R Management & Denial Follow-up
We conduct aged A/R analysis segmented by payer and aging bucket, proactively follow up with payers and manage appeals, perform root cause analysis to prevent future denials, and assign a dedicated team to handle claims aged over 30, 60, and 90 days.
Credentialing
We manage initial credentialing and re-credentialing, maintain CAQH profiles and handle payer updates, provide timely notifications for expiring documents or contracts, and offer complete support for payer follow-up and applications.
Denial Management
We provide denial trending reports by payer and procedure, create customized appeals with proper documentation, and offer workflow feedback to the billing and coding team to reduce future denials.
Reporting & Analytics
We provide weekly and monthly KPI dashboards covering collections, clean claim rates, and DSO, along with custom drill-down reports by provider, payer, and procedure performance, and executive summaries to support informed decision-making.
Eligibility Verification (FREE for 6 Months)
We perform real-time patient eligibility checks, including verification of deductibles, coinsurance, and prior authorization requirements. Our automated process, integrated with your EMR/LIS systems, helps reduce eligibility-related denials by over 20%.
Specialized BPO for Enterprise Healthcare
Boost efficiency and cash flow with our RCM BPO services—covering coding, audits, insurance checks, AR follow-up, CDI, and variance management for hospitals and practices.
End-to-End RCM
Complete billing cycle coverage from coding to A/R
Modular Services
Choose specific services (e.g., only A/R, only credentialing)
Hybrid Models
Combine in-house and outsourced teams seamlessly
We ensure same-day processing with a 24–48 hour claim turnaround, supported by SLA-backed accuracy and response times. Weekly performance reports keep you informed, and we also provide transition support and staff training as needed.
Technology Stack
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- Seamless integration with LIS/EMR (LabDAQ, Orchard, eClinicalWorks, Kareo, etc.)
- HIPAA-compliant, encrypted data exchange
- (FTP, SFTP, VPN)
- AI-based claim scrubbing and rule engines
- Automated posting and denial tracking tools
- Secure client portals for documentation and reporting access
Automated processes reduce errors, speed up reimbursements, offer real-time tracking, and scale with your needs.
Q1. What exactly does your RCM service cover?
At Coditi Labs, we provide end-to-end RCM solutions — starting from patient registration, insurance eligibility verification, and medical coding to claim submission, payment posting, denial management, and AR follow-ups. Our goal is to ensure you get maximum reimbursement with minimal delays.
Q2. How do you ensure a high first-pass claim acceptance rate?
Our team uses AI-driven claim scrubbing, automated eligibility checks, and multi-level quality audits to catch errors before submission. As a result, our clients consistently achieve 98–99% first-pass claim acceptance rates, reducing rework and speeding up payments.
Q3. What is your average denial rate and how do you handle denied claims?
We keep denial rates well below the industry average through proactive coding accuracy, pre-authorization checks, and payer rule monitoring. When denials occur, our denial management specialists analyze root causes, resubmit corrected claims within 24–48 hours, and implement prevention measures.
Q4. How do you keep up with changing payer rules and compliance requirements?
Our RCM team undergoes regular training on ICD-10, CPT, and HCPCS updates. We closely monitor payer bulletins, state regulations, and CMS guidelines to ensure compliance. We are fully HIPAA-compliant with robust internal audits and security protocols in place.
Q5. What kind of reports and analytics will I receive?
We provide executive-ready, real-time dashboards and monthly performance reports covering KPIs like collections, days in AR, denial trends, and net collection rates. Our analytics help you make data-driven decisions to improve cash flow and operational efficiency.
Q6. Can you integrate with my existing EHR/PM system?
Yes. Coditi Labs has experience working with all major EHR and practice management platforms including Epic, Cerner, Athenahealth, eClinicalWorks, NextGen, and custom-built systems. We ensure smooth data migration, interoperability, and minimal disruption during onboarding.
Q7.What’s your pricing model?
We offer flexible pricing — percentage of collections, flat monthly fee, or a hybrid model — depending on your needs. Our pricing is transparent with no hidden charges, ensuring you get a measurable ROI from our services.
Q8. How do you ensure data security and patient privacy?
We follow HIPAA, HITRUST, and SOC 2 standards. All data is encrypted in transit and at rest, with strict access controls and continuous monitoring. We conduct regular security audits to safeguard PHI and maintain complete confidentiality.
Q9. How quickly can we expect to see improvements in cash flow?
Many clients see noticeable improvements within 60–90 days of onboarding. Our process optimization, denial reduction strategies, and faster payment cycles ensure steady cash flow growth from the first quarter.
Q10. Do you offer specialty-specific RCM expertise?
Absolutely. Our team has specialized billing expertise across multiple specialties including cardiology, orthopedics, behavioral health, dentistry, urgent care, and more. We adapt workflows and coding guidelines to fit your specialty’s unique requirements.