How Pathology Revenue Cycle Management Helped Increase Revenue By 191%
A multi-site Southern California pathology group was experiencing stagnant revenue growth along with limited billing expertise and missed reimbursements. By strengthening pathology revenue cycle management, Coronis Health helped increase annual revenue by 191%.
Client Profile
Multi-site pathology group
- Client
- A multi-site group providing pathology services across Southern California.
- Specialty
- Pathology
- Location
- Southern California
- Scope
- Pathology revenue cycle management and billing services
The Challenge
Missed Revenue Opportunities
Pathology revenue cycle management was limiting the group’s ability to maximize reimbursement often resulting in missed revenue opportunities. In-house billing lacked the specific knowledge to capture all billable services, optimize coding and identify opportunities to expand reimbursement. As such, valuable revenue remained uncaptured and financial growth stalled.
The group wanted specialized pathology billing services that could strengthen reimbursement performance, introduce revenue opportunities and build a stronger financial foundation.
The Coronis Health Approach
Coronis Health Strengthened Pathology Revenue Cycle Management
Coronis Health strengthened pathology revenue cycle management by helping the group capture more financial value from its services while identifying additional sources of revenue. By introducing specialized billing expertise and new technology, the organization gained greater confidence in its billing processes and was in a better position for sustained financial growth.
- Billing optimization — enhanced pathology billing services improved revenue capture, coding accuracy and billing performance
- Revenue expansion — introduced CPC billing establishing a new revenue stream and strengthening pathology reimbursement
- Technology and expertise — combined experienced billing professionals with technology to improve billing accuracy and operational efficiency
- Client partnership — prioritized responsive service and long-term collaboration to build trust with both the pathology group and its patients
The Results
Pathology Billing Services Performance
Pathology billing services performance was improved by capturing more revenue from existing services along with the introduction of new opportunities and revenue stream. This collaboration helped the pathology group diversify its revenue, improve overall financial performance and maintain strong collections.
- Revenue growth: increased annual revenue by 191% over a 3 year period
- Anatomic pathology revenue: increased core anatomic pathology revenue by 162%
- New revenue stream: CPC billing grew to represent 17% of total practice revenue
Disclaimer: All results are based on internal reporting from this specific client engagement and are not guaranteed outcomes.
Why It Matters for Pathology Groups
Strong pathology revenue cycle management can uncover revenue opportunities that existing billing processes may overlook. Experienced and effective pathology billing and coding services combined with proactive reimbursement strategies help pathology groups improve financial performance while creating a stronger foundation for long-term growth.
Pathology
See where pathology RCM can strengthen reimbursement performance and unlock new revenue opportunities.
Let's discuss your transformation
Wherever you want revenue cycle operations to go, we can help!
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step 1
Connect
Tell us about your organization, specialty and revenue transformation goals.
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step 2
Evaluate
We'll evaluate your current state and identify strategic opportunities for improvement.
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step 3
Transform
Together we'll implement solutions that improve performance from day one.
