High-Throughput Clinical Laboratory Revenue Cycle Management
Protect laboratory operating margins against PAMA rate reductions, streamline reference laboratory billing splits, and automate patient statement distribution.
The Protecting Access to Medicare Act (PAMA) has systematically depressed Clinical Laboratory Fee Schedule (CLFS) reimbursements by up to 15% annually on routine blood chemistry and hematology tests. To survive, independent laboratories must operate with near-zero billing friction. TravaLabs delivers an enterprise revenue cycle management platform tailored to diagnostic workflows, automating secondary insurance claims, resolving client billing fee schedules, and ensuring compliance with federal molecular pathology and toxicology coding standards.
Key results
- 22 Days — Average Days in Laboratory A/R
- 99.1% — First-Pass Electronic Claim Adjudication
- +31% — Patient Direct Collection Recovery
- Zero-Latency — PAMA Pricing Crosswalk Updates
Core capabilities
- PAMA Fee Schedule Rate Defense & Carve-Outs — Real-time monitoring of commercial payer contract rates against CMS CLFS benchmarks to prevent unauthorized payer downcoding.
- Client Billing vs Third-Party Insurance Partitioning — Automated splitting of institutional client billing accounts (nursing homes, corporate wellness) from direct third-party commercial insurance claims.
- Automated Molecular Pathology & PLA Code Adjudication — Advanced rule logic supporting Proprietary Laboratory Analyses (PLA) codes, MolDX technical assessments, and Z-Code identifier pairing.
- Self-Pay Price Transparency & Merchant Processing — Instant self-pay cash fee options with integrated card-on-file processing compliant with No Surprises Act Good Faith Estimates.
Frequently asked questions
How does TravaLabs lower days in A/R for clinical laboratories?
By scrubbing claims electronically against 1,200+ payer-specific LCD and clearinghouse rules prior to 837P/837I transmission, we eliminate 94% of front-end rejections, dropping typical lab A/R cycles from 58 days down to 22 days.
Does TravaLabs support MolDX Z-Codes for genetic testing?
Yes. TravaLabs automatically cross-references genetic and molecular panel CPT codes with Palmetto GBA DEX Z-Code identifiers to prevent instant claim rejections.