Billing & accounting for medical facilities.
With our comprehensive suite of billing and accounting services, medical facilities can reap the benefits of streamlined, hassle-free revenue cycle management to reach their maximum financial performance potential.
Who we serve.
Purpose-built revenue cycle and accounting support for the settings below — with medical laboratory billing as our deepest expertise.
Laboratory billing that captures every reimbursable dollar.
High-volume molecular, toxicology, pathology, and clinical labs — LIS-aware RCM with LCD/NCD discipline. This is where MedfirstRCM goes deepest.
Volume, complexity, and policy — all at once.
High volume, thin margins
Thousands of accessions mean a 2% denial rate becomes a six-figure problem fast.
Complex CPT / HCPCS families
Molecular panels, PLA codes, and evolving NGS guidance change faster than most billing teams can track.
Medical necessity / LCD-NCD rules
Payers demand precise ICD linkage — generic coding collapses under lab scrutiny.
Panel unbundling compliance
Incorrect unbundling invites audits; over-bundling leaves reimbursable dollars behind.
Payer-specific lab policies
Every major payer maintains lab carve-outs, frequency limits, and unique edit logic.
Built for the menu you actually run.
Molecular & Genetic Testing Billing
Panel coding, unbundling compliance, and payer-specific molecular policies — handled by specialists.
Toxicology & Pain Management Labs
Defensible UDT billing with medical necessity linkage and frequency edits.
Pathology
Professional and technical pathology billing with clean accession-to-claim traceability.
Clinical / Reference Lab Billing
High-volume clinical testing with CLFS awareness and client-bill vs. insurance routing.
LIS Integration & Automation
HL7/API accession feeds, auto charge creation, and exception queues — no rip-and-replace.
Prior Auth for Genetic Testing
Clinical packets, portal submissions, and auth numbers tied to the claim.
Medical Necessity & ICD-to-CPT Linkage
LCD/NCD checks before submission so medical necessity denials never become the norm.
Medicare CLFS & PAMA Reporting Compliance
Rate awareness and private-payer reporting support so compliance doesn’t become a surprise.
From accession to remittance.
LIS-aware onboarding
Map accession flows, charge masters, and client-bill vs. insurance paths.
Rule the edits
Deploy lab-specific scrubbing — LCD/NCD, frequency, and molecular policies.
Work denials like specialists
Molecular and toxicology denial playbooks with clinical appeal support.
Prove the lift
Accession-level KPIs, denial mix, and net collections reviewed monthly.
Independent molecular lab — denials cut 48%, net collections ↑27% in 6 months.
Regional NGS & infectious disease lab · 1,200 accessions/day
“MedfirstRCM finally spoke fluent laboratory. Our denial mix dropped and cash stabilized within a quarter.”
Straight answers for lab leaders.
Yes. We connect via HL7, API, or secure file exchange so accessions flow into charge capture without disrupting lab ops.
Comprehensive billing — plus accounting that leadership trusts.
MedfirstRCM pairs day-to-day RCM with financial visibility so facility operators can focus on patients and performance, not payer phone trees and spreadsheet reconciliations.
- HIPAA Compliant
- SOC 2 Type II
- AAPC-Certified Coders
- 98%+ Clean-Claim Rate
Billing & claims management
Clean institutional and professional claims, scrubbing, submission, and remittance posting — with payer-specific edits for your facility type.
Accounting & financial reporting
Reconciliation, month-end close support, and leadership-ready reports so administrators see cash, not just claim volume.
Denials & A/R recovery
Root-cause analysis, appeals, and persistent follow-up on aging — tuned to UB-04, CMS-1500, and your payer mix.
Compliance & documentation
HIPAA-aligned workflows, audit-ready trails, and coding discipline that protects revenue without adding admin drag.
From discovery to measurable lift.
A structured onboarding path — whether you run a lab, community hospital, SNF, group home, or home health agency.
Discovery & baseline
We map your settings, systems, payer panel, and leakage across billing and accounting before go-live.
Workflow design
Charge capture, authorizations, and posting rules built for labs, hospitals, SNFs, group homes, or home health.
Go-live & stabilization
Phased cutover with daily KPI monitoring until clean-claim rate and days in A/R hit agreed targets.
Optimize & report
Monthly reviews with denial trends, collection lift, and action items your leadership team can act on.
Ready for hassle-free revenue cycle management?
Request a free facility audit — we'll review billing, aging, and accounting gaps and outline a clear path to stronger financial performance.
Numbers our clients feel.
Aggregate outcomes across MedfirstRCM-managed practices — measured monthly, reviewed transparently.
0.0%
Clean-Claim Rate
↑0%
Avg. Revenue Lift
<0
Days in A/R
<0%
Denial Rate
See exactly how much revenue you're leaving behind.
Book a free practice audit. We'll map your denials, aging, and coding gaps — and show you a clear path to lift.