Experts blame insurance regulators for not ensuring the adequacy of healthcare networks that include hospital-based physicians, such as pathologists and radiologists According to a recent study, clinical laboratories, anatomic pathologists, radiologists, and anesthesiologists top the list of providers who bill patients for the difference between what they charge for their services and a hospital’s contracted reimbursement rates. …

Patient Access Management may be an effective solution! Consumer demand and federal requirements for price transparency affect how clinical laboratories and anatomic pathology groups meet patient expectations while navigating complex payer agreements. Regardless of a clinical laboratory’s payer mix and RCM system, the demand for greater price transparency impacts laboratory medical billing services just as it does other healthcare services. Addressing …