Revenue cycle and operational support built for pathology.
Pathology organizations manage high volumes of orders, specimens, clinical documentation and payer requirements while ensuring services are accurately coded and reimbursed. Reveloop provides operational and revenue cycle support across the patient-to-payment journey, helping pathology organizations keep processes connected and reimbursement moving.
Days
Days in AR
%
Clean claim rate
%
Denial rate
Less than
%
Cost to collect
%
Net collection rate
Built around the demands of pathology.
Pathology workflows depend on accurate information moving between referrals, orders, clinical documentation, coding and billing. Keeping these processes aligned helps reduce administrative delays and supports accurate reimbursement.
Reveloop supports the operational processes behind pathology services, helping organizations manage the journey from order and eligibility through claims, payment and payer requirements.
How we support you —The three stages
Support across the patient-to-payment journey
From patient intake to reimbursement, behavioral health organizations manage interconnected operational and revenue cycle processes. Reveloop supports the full journey, helping keep patient access, care, billing and reimbursement connected.
Front End Operations
Data Entry
Maintained accurate patient, demographic, insurance, and related information across operational systems.
Eligibility & Verification of Benefits
Verified coverage, benefits, payer requirements, and patient patient financial responsibility before services were provided.
Scheduling
Coordinated appointments and related administrative requirements to support efficient patient access.
Concierge Services
Provided responsive administrative support to help patients navigate scheduling, billing and related processes.
Middle Operations
Keep care, authorization and documentation aligned.
Authorization Management
Managed payer authorization requirements to support coverage and reimbursement for applicable services.
Utilization Review Management
Managed utilization requirements to help align services with payer coverage criteria.
Clinical Review
Reviewed clinical information against payer and service requirements to support appropriate billing and reimbursement.
Daily Chart Audits
Reviewed documentation for gaps or inconsistencies that could affect compliance, coding or reimbursement.
Coding & Charge Submission
Applied accurate coding and submitted charges based on documented pathology services.
Back end Operations
Turn completed pathology services into collected revenue.
Claims Management
Managed claims through submission and follow-up to support timely reimbursement.
Denial Management
Reviewed and worked denied claims to support resolution and revenue recovery.
Repricing & Negotiations
Supported payer repricing and negotiations to help pursue appropriate reimbursement.
Payment Posting
Recorded payments, adjustments and related transactions to maintain accurate accounts.
Patient Statement Billing
Managed patient statements and outstanding balances to support accurate patient billing.
Refund Management
Reviewed and processed eligible refunds to maintain accurate accounts and resolve overpayments.
Government Payer Post-Payment Audit Management
Managed post-payment audit requirements and responses for government payer reviews.
Medicare Audit Management
Supported documentation review and response processes for Medicare audits.
Medicaid Audit Management
Supported documentation review and response processes for Medicaid audits.
Who we support within Pathology
We support pathology organizations across hospital, independent and laboratory-based settings, with services tailored to the workflows of each environment.
Hospital-Based Pathology
Support the operational and revenue cycle processes associated with pathology services within hospital environments.
Independent Pathology Groups
Support referrals, patient access, billing and reimbursement across independent pathology practices.
Diagonistic Laboratories
Support the administrative and revenue cycle processes behind high-volume diagnostic laboratory services.
OPERATIONAL METRIC
AR aging over 120 days – under 15%
Payment posting TAT – under 2 days
In network quadrant performance- over 99%
Out of network quadrant performance – Over 47%
VOB TAT – Under 30 minutes
Charge Lag – under 2 days
DNFB/ Charges on hold – under 3%
Keep your pathology operations moving.
From order and eligibility management through claims, payment and payer audits, Reveloop helps pathology organizations manage the operational work behind accurate and timely reimbursement.