Revenue Cycle Management Solutions
Comprehensive RCM Consulting for Laboratories & Pathologists
Looking to fine-tune your billing and collections? Lighthouse offers the nation’s leading RCM consulting and auditing services. From charge creation to EOB, our team finds the billing issues that affect your revenue or jeopardize your compliance.
Laboratory Billing & Auditing
Lighthouse RCM Solutions specializes in revenue cycle auditing, refining revenue cycle processes, and negotiating managed care contracts. We are not a billing company. Our experts utilize a three-tiered process of assessing revenue strategy, management, and insight to help clients find weaknesses and strengthen billing processes.
We help our clients recover millions of dollars in lost revenue each year due to incorrect coding.
By specializing and working with laboratories and pathologists, our team has insight into industry trends and key payer issues that are affecting health providers today.
We Review and Analyze
Entire Revenue Cycle
Denials and Trends
Monthly Charges
Payer Contracts
How We Help
Private Laboratories
We help private, reference, and physician-owned laboratories align testing menus with their front-end processes to ensure correct and consistent reimbursement, and evaluate coding accuracy.
Hospital Systems
Lighthouse assists hospital systems in reviewing specialty group contracts, FMV for pricing, coding/billing audits for ancillary groups, staffing levels, fee schedules, and more.
Specialty Practices
RCM Solutions team provides business and revenue strategies focusing on coding, billing, and compliance. Practices of all sizes have reaped the benefits of using our expert industry knowledge.
Case Studies
We love to show off the results of our hard work. Check out the case studies below for a few examples of our recent successes.
Payer Policy Errors
See how we unlocked more than $200,000 in unpaid claims that were impacted by a payer misinterpreting its own policy for outreach work.
Payer Contracting
After being initially engaged for a routine coding review, we later secured seven new contracting opportunities to expand our client’s footprint.
Document Requests
Stumped by denials or request for additional documentation? Check out our recommended best practices for navigating PCR testing requiements.
Billing Terms
Curious about industry standards and norms for third-party billing contracts to ensure agreements are fair? Check out this fact sheet for a breakdown.
Thought Leadership and Video Resources
Billing and Coding Best Practices for Digital Pathology
Safeguarding Lab Revenue Against Ongoing Reimbursement Cuts
Current Pathology Coding Errors and How to Avoid These Mistakes
Get a free laboratory billing consultation
Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule for free. Schedule a Complimentary ConsultationWhen you need a complete picture of your laboratory revenue cycle, Lighthouse RCM Solutions offers an end-to-end solution to find errors that jeopardize your compliance and affect your revenue.
Related Consulting Services
Our team of laboratory and pathology billing specialists can help transform the way you manage your revenue.
Lighthouse RCM Solutions will work closely with you to implement the checks and balances needed to improve your bottom line and secure the future of your practice.