A Year That’s Testing Every Lab’s Financial Model Halfway through 2025, many diagnostic and clinical laboratories are facing a strange paradox. Test volumes remain healthy—or even rising—yet revenue is trending downward. This gap isn’t just frustrating; it’s a warning sign that familiar revenue-cycle levers no longer work in today’s reimbursement environment.
The Clock Is Already Ticking The next round of PAMA reimbursement cuts takes effect in 2026, but the data that determines those rates is being collected throughout 2025. That means the decisions you make this year—how you map payers, report rates, and validate contracts—will directly shape your revenue through 2029.
The Importance of Patient Engagement: Why They - And You - Need It
Learn why patient engagement is a necessity and how you can master it within your practice.
Medical Billing / RCM | RCM | Laboratory
Why Lab Billing Is Different Laboratory medical billing is not the same as billing for a physician’s office or hospital system.
Medical Billing / RCM | RCM | Laboratory
A New Era for Lab Billing Technology Laboratory billing has always been complex, but in 2026, the landscape will demand even more precision. Between payer rule changes, the continued expansion of molecular diagnostics, and tighter compliance requirements, labs can no longer afford “good enough” billing systems.
Medical Billing / RCM | RCM | Laboratory
Why the Right Billing Partner Matters Running a successful laboratory is about more than producing accurate test results. Behind the scenes, the financial health of your lab depends on whether claims are submitted correctly, denials are prevented, and reimbursements flow consistently. The reality is that many labs don’t have the internal resources to manage this complexity at scale. That’s where a laboratory billing company comes in.
Medical Billing / RCM | RCM | Laboratory
Lab directors know the pressure. Reimbursement rates are falling, denials are rising, and the administrative load of keeping a lab financially healthy grows heavier each year. The right laboratory billing solutions don’t just handle claims—they actively improve the lab’s financial performance, compliance posture, and operational efficiency.
Medical Billing / RCM | RCM | Laboratory
As we hit the midpoint of 2025, laboratories across the country are facing a critical question:
Medical Billing / RCM | Laboratory
Diagnostic labs operate at the intersection of science, regulation, and financial complexity. In today’s climate of razor-thin margins and heightened payer scrutiny, effective lab billing services are no longer optional—they’re fundamental to lab survival and scalability.
Medical Billing / RCM | RCM | Laboratory
The regulatory landscape for clinical laboratories is rapidly evolving. With CMS increasing improper payment audits, MACs tightening enforcement, and commercial payers revising medical necessity and frequency rules, 2025 is shaping up to be one of the most compliance-intensive years ever for lab billing.
Medical Billing / RCM | RCM | Laboratory
For clinical laboratories, time is money—literally. When claims take 72 hours or longer to reach the payer, the revenue cycle slows, aging AR builds, and downstream denials increase. In an environment where margins are shrinking and payers are tightening scrutiny, slow claims submission is a silent killer of cash flow.