Hospital-based ‘outreach’ laboratories are operating in an era of intense competition, rising costs, and increasingly complex regulations. One of the keys to succeeding in this environment is efficient revenue cycle management (RCM)—which includes ensuring accurate billing and compliance. Unfortunately, optimal RCM is not always attainable due to several limitations, including: • Traditional hospital billing platforms are often unable to handle multiple fee schedules. [This can also limit the outreach lab’s ability to compete with other reference laboratories] • Central billing office staff often has difficulty processing an outreach lab’s high volume of small-balance claims. The net result can be chronic write-offs that may snowball, endangering the lab’s financial health

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