Laboratory billing is an intricate landscape of modifier 90 rules, payer-specific coverage, and ever-evolving test codes. At CloudRCM, we understand the revenue bottlenecks your lab faces, from toxicology panels to genetic testing. That’s why our end-to-end laboratory billing services are built for precision, speed, and compliance. Free your lab from billing headaches while we ensure every test is reimbursed correctly and on time.
CloudRCM offers more than just billing—we deliver complete laboratory billing solutions tailored for clinical, toxicology, molecular, and genetic testing labs. We tackle every major revenue obstacle, including:
Are your claims underpaid or denied? Our deep-dive audits uncover revenue leakage in modifier usage, medical necessity, and toxicology billing patterns—securing full compliance and payment.
Struggling with CLIA certification, state licensure, or payer-specific test menu approval? CloudRCM streamlines lab-specific credentialing with Medicare (CMS-855B), Medicaid, and commercial insurers.
Lab coding isn’t just about codes—it’s about getting paid. Our certified coders master the 10,000+ CPTs/HCPCS used in laboratory medical billing, avoiding compliance risks and maximizing approvals.
From house billing to advanced molecular tests, we manage the full laboratory billing process—including eligibility checks, clean claim submission, denial appeals, and accurate payment posting.
Avoid 30+ day delays for PA-required tests. We automate payer workflows for labs using integrated tools to speed approvals and eliminate claim rejections.
Patients confused by genetic test costs? We offer empathetic billing support and flexible plans, increasing collection rates by up to 35%.
CloudRCM’s laboratory billing company model means no setup fees or long-term contracts. Our clinical laboratory billing services integrate with popular lab billing software and LIS systems—streamlining claims for high-throughput labs. From daily eligibility checks to modifier 90 accuracy, we pursue every dollar until it’s paid.
Reclaim lost income and lab time with CloudRCM.
If you’ve answered “yes” to any of these, it’s time to consider outsourcing your billing department.
CloudRCM boosts lab cash flow by reducing denial rates, speeding payments, and optimizing your laboratory billing system with:
CloudRCM supports every niche of lab RCM with deep understanding of test codes, payer guidelines, and credentialing rules:
Correct coding for BRCA (81211), PGx, and panels (81455)
Billing for 80307, G0483, bundled services
High-volume labs with tests like 80053, 82306 (Vitamin D)
Clean split billing to avoid pass-through penalties
Endocrine, infectious disease, and oncology lab billing precision
We understand the unique billing challenges faced by each specialty, and our team of verified billing experts is here to manage them, so you don’t have to.
Handling every claim, appeal, and credentialing deadline while you focus on delivering fast, accurate test results. Lab billing for dummies? Not here. We bring expertise, compliance, and relentless follow-up to collect what you’re owed.
No startup costs. No hidden fees. No volume minimums. CloudRCM only wins when you do. Outsource laboratory medical billing with confidence and discover how much revenue you’re missing. Contact us now for a free analysis of your lab billing KPIs.
Modifier 90 is used when lab tests are performed by a reference lab. Incorrect use leads to denials or pass-through violations. We ensure clean usage and compliance.
We stay current on payer rules like Aetna payment policies and proactively validate coverage for each test, avoiding denials.
Yes. We manage the entire process—from CMS-116 and state licensing to payer credentialing, test menu approval, and revalidation.
Our coders ensure CPT/ICD-10 pairing accuracy and documentation support, drastically reducing medical necessity denials.
Absolutely. We use HIPAA-compliant encryption, secure access controls, and routine audits to protect all lab and patient data.
Medical Billing
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Medical Audit
Provider Credentialing
Denial Management
A/R Follow-up
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