Running a laboratory today is more complex than ever. Between evolving payer rules, rising costs, staffing challenges, and the constant pressure to deliver fast, accurate results, billing can quickly become one of the biggest pain points in your operation. Lab billing isn’t just about getting claims out the door. It’s about protecting your revenue, ensuring compliance, and creating a foundation for steady growth.
At PGM Billing, we understand the unique challenges that labs face because we’ve been supporting laboratories for decades. Our clients range from molecular and clinical labs to pathology and toxicology practices, and they all share one thing in common: the need for a lab billing partner that delivers measurable, lasting results. PGM’s exceptional client retention, satisfaction, and growth rate reflect our commitment to helping laboratories succeed — and an increasing number of labs are switching to PGM for that very reason.
What Lab Billing Really Involves
Lab billing covers every step from test order entry to final payment. It includes charge capture, coding, claim submission, payment posting, and denial management. Every detail matters. An incorrect modifier or missing piece of documentation can delay payments for weeks or even months. Over time, those small errors add up to substantial revenue loss, increased expenses, and wasted staff time.
For many labs, billing can feel like a black box — money goes in, claims go out, and the results aren’t always clear. That’s why visibility is so important. PGM provides transparent reporting tools that let our lab partners see exactly where claims stand at any given time. You’ll know what’s been paid, what’s pending, and where denials are happening, giving you the data you need to make informed decisions. Our team of certified laboratory billing specialists helps labs navigate these challenges with accuracy and efficiency. We stay on top of payer requirements and regulatory updates so you don’t have to.
Common Challenges Labs Face in Billing
Even the most advanced labs encounter billing roadblocks that impact revenue and workflow. Among the most common issues:
- Complex payer rules and medical necessity policies that vary by test type and region
- Delays caused by manual or outdated billing processes
- Frequent coding updates and compliance demands from both public and private payers
- Rising denial rates due to documentation gaps or incomplete requisitions
- Difficulty maintaining visibility into performance metrics and cash flow
We’ve seen how these challenges not only slow down payments but also distract teams from what matters most — patient care and scientific precision. And for smaller or rapidly growing labs, even minor inefficiencies in billing can have a major impact on financial health. When staff are stretched thin and claims management isn’t optimized, it can result in delayed reimbursements, rejections, and unnecessary write-offs.
That’s why so many labs turn to professional billing support — not necessarily because they can’t do it themselves, but because they recognize that expert focus and proven systems make a measurable difference.
How Partnering with PGM Improves Lab Billing Outcomes
When labs partner with PGM Billing, they gain a dedicated team that treats their revenue like its own. Our end-to-end lab revenue cycle management services are built to deliver results that last.
With PGM, you can expect:
- Higher collections through advanced claim scrubbing and denial prevention
- Faster reimbursements thanks to automated claim tracking and follow-up
- Greater accuracy with certified coders who specialize in laboratory claims
- Ongoing compliance supported by deep payer knowledge and continuous monitoring
- Actionable insights through real-time reporting and performance dashboards
Our technology integrates seamlessly with your existing laboratory information systems, creating smooth data flow between your LIS and billing operations. This not only reduces manual entry but also eliminates common errors that cause delays. Many of our clients see meaningful increases in revenue and claim turnaround within just a few months, sometimes even faster.
We understand that every lab is different. Molecular labs deal with complex testing codes and evolving payer guidelines. Pathology labs manage high test volumes and intricate documentation requirements. Toxicology labs face intense scrutiny and detailed reporting needs. Clinical labs balance physician relationships and varied payer mixes. PGM seamlessly adapts to each laboratory’s workflow to provide the tailored billing solutions that drive efficiency, compliance, and bottom-line growth.
Real Results From Labs That Switched to PGM
Unfortunately, many laboratories that come to us have already experienced the frustration of inconsistent cash flow or poor visibility from previous billing partners. One molecular lab that recently transitioned to PGM saw its average days in A/R drop by nearly 30% within 6 months. Another midsize pathology lab reduced its denial rate by half after we implemented targeted claim edits and staff training. Toxicology clients have also benefited from our expertise in payer policy management, helping them stay compliant while expanding test menus.
What these labs all share is a renewed sense of confidence and control, on top of stronger revenue and cash flow. They know their billing partner is proactive, transparent, and invested in their long-term success. At PGM, we measure our success by our clients’ revenue cycle growth, and we’re proud that so many of our laboratory partners report record-high satisfaction and retention rates year after year.
Why More Labs Are Switching to PGM Billing
Over the years, PGM has become one of the most trusted names in lab billing (that’s part of the reason you’ve found us!). Our technology-driven approach, combined with personalized support, has made us the partner of choice for laboratories nationwide.
Labs that transition their billing to PGM consistently highlight the same benefits:
- Improved cash flow and fewer denials
- A responsive, knowledgeable support team that feels like an extension of their staff
- Simplified reporting and transparency at every step
- Confidence that billing is managed by experts who truly understand your laboratory’s operations, testing workflows, and the coding and billing rules that govern them inside and out
We don’t believe in a one-size-fits-all approach. Our focus is on building relationships and delivering consistent, measurable results. That’s why we can proudly say our partnerships typically last for many years — often the entire lifetime of the lab. Our clients value that we’re proactive, accessible, and deeply knowledgeable about laboratory billing. Whether it’s navigating a payer audit, implementing new test panels, or scaling to manage growth, PGM is there every step of the way with the expertise and support that labs rely on.
Preparing for the Future of Lab Billing
The laboratory industry is evolving fast. Automation, AI, and data integration are reshaping the billing landscape. From predictive denial management to seamless integration with laboratory information systems, new technologies are creating exciting opportunities for efficiency and growth.
PGM is helping labs stay ahead of these changes by investing in advanced analytics, interoperability, and compliance tools. We’re building smarter systems that flag potential issues before they happen, and we continuously update our processes to align with the latest payer and regulatory changes.
Beyond automation and analytics, reimbursement trends are shaping how laboratories plan for the future. Payers are increasingly focusing on medical necessity, prior authorization, and detailed data reporting. Labs that rely on outdated billing workflows are finding it harder to meet these evolving standards. PGM stays ahead of these shifts through active collaboration with payer representatives and continuous monitoring of policy changes that affect lab reimbursements.
We also help labs use their own billing data strategically. With detailed financial reporting and performance analytics, our clients can identify high-value test categories, track payer trends, and make informed decisions about service expansion. As value-based care models continue to grow, having access to accurate, timely billing insights will be critical to maintaining financial strength.
The goal is simple: make billing one less thing you have to worry about.
As laboratories continue to face pressure from shrinking reimbursements and growing operational demands, having a trusted partner becomes more important than ever. PGM’s experience and adaptability ensure your lab won’t just keep up with industry changes. It will lead.
Getting Started With PGM Billing
Taking on an outsourced billing partner or switching billing partners can feel like a big decision, but it doesn’t have to be complicated. Our onboarding process is designed to be smooth, transparent, and fully supported from day one. We start with a comprehensive assessment of your current workflow to identify gaps and opportunities, then build a plan tailored to your lab’s specific needs.
Whether you operate a single-site clinical lab or manage a multi-location molecular or toxicology operation, we make the transition easy and risk-free. The result is immediate visibility, cleaner claims, and faster collections, all backed by decades of proven laboratory billing expertise.
The Bottom Line on PGM’s Lab Billing Service
Lab billing doesn’t have to be a source of frustration or financial strain. With the right partner, it becomes a powerful driver of stability and growth. We believe PGM Billing has an unmatched track record of helping laboratories of all specialties — molecular, clinical, pathology, and toxicology — improve their collections, reduce denials, and achieve sustainable success.
Our clients’ results tell the story best: higher first-pass acceptance rates, stronger cash flow, and fewer headaches. If you’re ready to see what a true laboratory billing partner can do, contact PGM Billing today and discover why more labs are partnering with us.