Revenue Cycle Management

Protect Your Lab from Payment Denial

With labs and imaging centers continuously competing for decreasing reimbursement, it’s time to take operations to the next level. Discover a first-of-its kind order process that reduces errors, increases billable revenue and protects against audits. All at a fraction of the time and cost it takes to manually process an order.

The perfect payment starts with the perfect order. 4medica’s patented orders management platform uses a highly sophisticated rules-based engine to validate patient demographics with patient matching in real time, assists with insurance eligibility, and handles pre-authorizations as part of the upfront ordering process to streamline workflow.

Pre-Authorizations

Providers are looking for any help they can get to fulfill insurer requirements for prior authorizations. If your lab can process authorization requests for diagnostic tests, it will become the preferred lab in your community. With 4medica, every order is translated into an electronic order and fully scrubbed upfront for medical necessity, patient identity, insurance eligibility and pre-authorization.

Billing and Collections

Collect more at the point of service—and bring millions back to your bottom line. 4medica helps labs reduce denials and improve their overall payer reimbursements by offering unique integrated collections management modules to help labs collect patient co-pays, deductibles and out-of-pocket requirements at the time of service.

Denials Management

Claim denials cause sizeable revenue leakage. Besides software, we offer onsite analysis to review top denials by payer and help you determine the root or hidden cause. Armed with this revenue cycle intelligence, you can inform practices or connected providers about details such as pre-authorization requirements. This strategic consulting service helps you better manage why denials occurred in the first place and how to prevent them in the future. Our team of experts also works denials to net higher reimbursement if probable cause was assigned inappropriately.

Revenue Cycle Advisory Services

Payer rules and legislation change constantly and it’s hard for labs and imaging centers to keep up. Our team of consultants identifies opportunities and develops strategies based on deep experience and best practices in revenue cycle enhancement. We provide comprehensive performance assessments that leverage technology to identify and close gaps and produce sustainable results.

Protect Your Lab from Payment Denial


With labs and imaging centers continuously competing for decreasing reimbursement, it’s time to take operations to the next level. Discover a first-of-its kind order process that reduces errors, increases billable revenue and protects against audits. All at a fraction of the time and cost it takes to manually process an order.

The perfect payment starts with the perfect order. 4medica’s patented orders management platform uses a highly sophisticated rules-based engine to validate patient demographics with patient matching in real time, assists with insurance eligibility, and handles pre-authorizations as part of the upfront ordering process to streamline workflow.

Pre-Authorizations

Providers are looking for any help they can get to fulfill insurer requirements for prior authorizations. If your lab can process authorization requests for diagnostic tests, it will become the preferred lab in your community. With 4medica, every order is translated into an
electronic order and fully scrubbed upfront for medical necessity, patient identity, insurance eligibility and pre-authorization.

Billing and Collections

Collect more at the point of service—and bring millions back to your bottom line. 4medica helps labs reduce denials and improve their overall payer reimbursements by offering unique integrated collections management modules to help labs collect patient co-pays, deductibles and out-of-pocket requirements
at the time of service.

Denials Management

Claim denials cause sizeable revenue leakage. Besides software, we offer onsite analysis to review top denials by payer and help you determine the root or hidden cause. Armed with this revenue cycle intelligence, you can inform practices or connected providers about details such as pre-authorization requirements. This strategic consulting service helps you better manage why denials occurred in the first place and how to prevent them in the future. Our team of experts also works denials to net higher reimbursement if probable cause was assigned inappropriately.

Revenue Cycle Advisory Services

Providers are looking for any help they can get to fulfill insurer requirements for prior authorizations. If your lab can process authorization requests for diagnostic tests, it will become the preferred lab in your community. With 4medica, every order is translated into an
electronic order and fully scrubbed upfront for medical necessity, patient identity, insurance eligibility and pre-authorization.

Perfecting Your Lab Profitability and Ordering Process


Download our white paper “Perfecting Your Lab Profitability and Ordering Process” to gain operational insight and advice from some of the nation’s leading experts. Learn why more efficiency throughout the entire order management process will drive revenue.