Today’s overall healthcare landscape – including laboratories – is driven by data, speed, and accuracy. That’s why artificial intelligence (AI) has rapidly emerged as a transformative force in laboratory billing, helping to streamline administrative tasks, improve efficiency, and optimize revenue cycle performance.
But while AI is a powerful tool, it’s not a replacement for experience, strategy, or human judgment because the real power in laboratory billing comes from blending intelligent automation with deep, human industry knowledge.
And that’s precisely the unique value proposition our clients benefit from with ADSRCM-a powerful combination of AI and human expertise in laboratory billing.
AI Is a Tool, not a Replacement
Yes, we’ve built cutting-edge, AI-driven tools into our MedicsPremier laboratory billing platform to assist with high-volume tasks such as claim scrubbing, intelligent data extraction, charge capture, and predictive analytics. The system is designed to reduce manual entry, catch errors before they happen, and help ensure that clean claims are submitted on the first submission.
Even the best AI needs the right people behind it. AI can flag a pattern or an anomaly, but it takes a seasoned billing expert to determine whether that issue is tied to changing payer rules, coding updates, or a laboratory-specific billing nuance. That human oversight is critical for maximizing reimbursement and ensuring compliance.
Why Expert Users Matter
It’s not enough to simply have access to advanced technology. Our billing team, with their extensive experience and training, knows how to use it to its fullest potential. With our behind-the-scenes team working on your behalf, you’ll have billing, analytics, and workflow professionals who are not just knowledgeable, but proactive in managing every aspect of your laboratory’s revenue cycle.
The ADSRCM team knows how to:
- Use AI insights to detect trends and identify revenue leakage
- Prevent denials by getting it right the first time
- Work appeals and rejections quickly and effectively
- Follow up directly with insurance carriers to accelerate payments
- Handle patient billing with professionalism and clarity
- Analyze performance data to inform ongoing billing strategy
We don’t just use our MedicsPremier system; we optimize it every day with every claim.
Clients also have transparent, on-demand access to their data. They can see exactly what we see at any time.
Laboratory Billing Is a Different Game
Laboratory billing is one of the most complex areas of medical billing, and we’ve specialized in it for decades. From navigating CPT codes specific to laboratory tests to managing reference laboratory arrangements and staying compliant with Medicare’s 70/30 rule and other payer-specific policies, our team knows what it takes.
We go beyond basic billing by proactively preventing many denials and managing/ resubmitting others, working every appeal, producing patient statements, including via interactive texts and emailable statements, and directly engaging with payers to keep your revenue cycle moving forward.
With ADSRCM, you’re not just outsourcing your billing; you’re gaining a full-service, AI-enabled billing collaborator who is entirely knowledgeable with laboratories of any specialty, including complicated NGS and genetic billing. Our services will help you reduce denials, improve claim accuracy, speed up reimbursement timelines, maximize reimbursements, offload patient statements and calls from patients, and gain visibility into performance metrics and analytics.
Proven Experience and an Industry-Grade Infrastructure
ADSRCM has provenance in medical billing for over four decades. A national client base is supported by a team of over 350 employees, ensuring a powerful bandwidth and infrastructure to support laboratories of any size.
Our cloud-based servers are hosted by Equinix®, a SOC 1 and SOC 2-certified global leader in cloud hosting. We meet rigorous data security, privacy, and operational excellence standards.
This combination of advanced technology, regulatory compliance, and hands-on expertise makes us not just a vendor but a trusted billing partner.
People + AI = Optimal Results
At ADSRCM, we believe in the power of synergy: AI enhances what we do, but our people make it work. With the right team using the right tool (MedicsPremier), your laboratory can:
- Dramatically reduce denials
- Improve claim accuracy
- Speed up reimbursement timelines
- Maximize reimbursements
- Offload patient statements and calls from patients
- Gain visibility into performance metrics and analytics
- Laboratory sales teams can access the MedicsPremier sales portal to access their data without disrupting other laboratory staff
The future of laboratory billing isn’t just automation. It’s intelligent billing powered by technology and driven by people who know what they’re doing.
If in-laboratory automation is preferred, the same MedicsPremier platform is available from ADS on our cloud or locally deployed on your server.
For more information and about ADSRCM’s guarantee to increase your laboratory’s revenue in 90 days, contact us at 844-599-6881 or email rcminfo@adsc.com. Visit us at Laboratory Billing Services | Lab RCM | ADS.
