Emerging U.S. Regulatory and Payer Trends in Laboratory Revenue Cycle Management image

Emerging U.S. Regulatory and Payer Trends in Laboratory Revenue Cycle Management

U.S. clinical labs face mounting regulatory challenges and shifting payer dynamics that are fundamentally changing how laboratory revenue cycle management (RCM) must be handled. Staying ahead means mastering compliance, optimizing payor contracting, and modernizing medical billing for laboratories to protect revenue and reduce expensive denials. If you manage a clinical lab, you’ve likely experienced how yesterday’s billing strategies no longer deliver. To survive – and thrive – you need to rethink your approach.

Regulatory Trends Shaping Laboratory Revenue Cycle Management

The regulatory spotlight on clinical laboratories in the U.S. is intensifying. The Centers for Medicare & Medicaid Services (CMS), the Food and Drug Administration (FDA), and new federal mandates have made lab RCM

The Top Medical Billing Errors and How to Address Them in a Time of Deregulation

The Top Medical Billing Errors and How to Address Them in a Time of Deregulation

The healthcare revenue cycle is undergoing significant transformation, driven by evolving regulations, shifting payer policies, and increasing administrative burdens. For revenue cycle leaders, these changes present both challenges and opportunities, especially in optimizing medical billing accuracy and choosing a medical billing outsourcing company partner.

With the current administration promising more deregulation in

Introduction to the CERT Program Enhancing Compliance and Reducing Risk

Introduction to the CERT Program: Enhancing Compliance and Reducing Risk

For revenue cycle leaders, maintaining compliance while minimizing financial risk is an ongoing challenge. As healthcare entities continue to see increasing risk from changes to government policies, shifting patient demographics, and shrinking margins, risk management will become an increasingly essential focus for survival. One of the most effective tools for achieving risk management goals is examining the application of Comprehensive Error Rate Testing (CERT) and how it impacts organizations that deal

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