Take Control of Your Revenue Cycle

TELCOR RCM is built specifically for laboratory and pathology billing by combining automated payer rules, lab-specific workflows, and real-time claim visibility to reduce errors and accelerate reimbursement.

The software applies payer-specific edits, coverage rules, and validation checks before claims are submitted, preventing common errors and catching issues upstream rather than after denial.

Yes. TELCOR RCM is designed for seamless integration with a wide range of LIS, EHR, and clearinghouse systems, ensuring complete, accurate data flow from order to claim submission.

TELCOR RCM offers comprehensive dashboards, drill-down reporting, and trend analysis tools that give teams instant visibility into reimbursement performance, aging, denials, and workflow bottlenecks.

Very! Highly customizable user profiles can tailor workqueues, routing logic, automation rules, and worklists to match their lab’s billing processes, staffing model, and payer mix.

Yes, TELCOR is deeply committed to evolving with the healthcare industry. We focus on development, security, and compliance of our industry-leading solution for revenue cycle management. With 99.999% uptime, our customers enjoy the peace of mind needed when making a critical choice.

Security
TELCOR RCM is Statement on Standard for Attestation Engagements No. 16 (SSAE 16) Service Organization (SOC) 2 Type 2 certified demonstrating our dedication to delivering a secure cloud solution. 

Compliance
Our secure software solution is fully compliant with HIPAA, NPI, ICD-10, and 5010 requirements. The RCM solution can also be deployed with full data encryption to meet HITECH requirements.

Private Cloud Solution
TELCOR utilizes two full-service data centers to provide the best and fully-redundant service to its customers. These data centers allow us to provide our customers with remote, virtual access to our secure software through our Software as a Service (SaaS) option.

Our patient-centric design simplifies patient account management and minimizes billing work on repeat patients. TELCOR RCM includes many rules and pricing options to define how patient transactions are processed to ensure billing is clean and compliant. Self-pay patients are billed at a fee schedule, service date maximum amount, or you can offer client-based pricing in acknowledgment of their uninsured status. Patients who have multiple services per month will receive one billing statement, avoiding confusion.

The TELCOR RCM billing software solution provides integration of many functions commonly being performed using multiple applications. This single solution for revenue cycle management reduces labor, improves collections, and provides comprehensive, accurate revenue cycle analytics.

Common functions traditionally managed outside of billing software and integrated into TELCOR RCM:

• Client billing is integrated with your patient billing, making a change of responsibility seamless and easy. All transaction rules for payer-compliant claim submission, as well as claim monitoring, are performed in TELCOR RCM allowing improved remittance processing.

• Remittance and cash posting are within TELCOR RCM; payments from your client and patient portals are automatically updated into TELCOR RCM.

• AR management and revenue cycle analytics managed within TELCOR RCM make them real-time, accurate, and relevant to today’s revenue cycle decision-making.

• Multi-entity deployment allows multiple companies within one instance of TELCOR RCM allowing company-specific or organization-wide revenue cycle analytics.

TELCOR RCM automates cash application from the moment a remittance is received through final reconciliation. It supports an unlimited number of 5010 835 electronic remittance files, which are processed automatically and presented in both summary and detailed views for verification. All payments are posted at the service line level to ensure precise adjudication and accurate reporting.

Configurable workflow rules move claims to the appropriate next step after posting, reducing manual intervention and keeping accounts progressing. Payer adjustments, interest, and refunds are incorporated directly into the remittance process to eliminate duplicate work and improve accuracy.

Lockbox integrations automatically post bank deposited client and patient payments, while secure payments made through iLabBill Client and iLabBill Account web portals are applied directly into TELCOR RCM. Credit card payments can be processed within the portals or inside the application, and pre service payments can be entered in advance and automatically adjudicated when transactions post.

The result is faster cash application, reduced labor, improved collections, and real time visibility into cash flow and accounts receivable performance.

For patient billing, the application is designed to reduce confusion and increase payment rates. Patients receive consolidated statements when they have multiple services in a month, making balances easier to understand. Statements are clear, customizable, and can include targeted messaging based on aging or account criteria. Delivery options include print, email, or outsourced mailing services. An online patient portal and in application credit card authorization make it easy to pay, while early pay discounts and structured installment plans with dedicated workqueues help accelerate collections without overwhelming staff.

For payer billing, TELCOR RCM drives clean claims from the start. A robust rules engine supports medical necessity checking, bundled CPT pricing, MUE rule application, and split billing for professional and technical components. Automated eligibility checking and compliant claim submission reduce denials on the front end. The system processes claim status responses so teams can correct and resubmit issues before remittance, reducing days sales outstanding. When denials do occur, dedicated workqueues support efficient appeals, corrections, categorization, assignment, and batch resubmission.

For client billing, TELCOR RCM offers flexible pricing and contract management tools to support complex arrangements. Unlimited fee schedules, discounting, capitation, incremental pricing, and automatic travel and transportation pricing are all supported. Invoice delivery is automated and customizable by client, including frequency, format, sorting, and messaging. Clients can receive daily or weekly invoices or charge notifications. An online client portal enables invoice review, price schedule analysis, and secure credit card or ACH payments, making it easier for clients to pay quickly.

Our proprietary Decision Support infrastructure displays business analytics in a pivot grid making it easy to select, drill-down, view, and share performance indicators. All management reporting including AR reports, productivity metrics, profitability, and financial reporting can be scheduled for automatic distribution to your email in a PDF, Excel, or CSV file at whatever frequency meets your management needs.

Nobody knows the challenges of laboratory billing better than those performing daily operations. TELCOR listens to its customers and prides itself on providing a user driven product. Since the inception of the TELCOR Revenue Cycle Management (RCM) solution, there have been nearly 15,272 enhancement requests with 92% completed or added to the product roadmap.

The Enhancement Process

Many software solutions claim to be user driven or have a robust enhancement process. In reality, many organizations receive enhancement requests, but the status of the submission is not communicated. If your laboratory has a complex billing process or is in a niche market where the standard billing rules may not apply, it is important to understand the details of how the TELCOR enhancement process works.

• Submission: User suggested enhancements are submitted via the RCM application. Users can easily submit a request by opening a case, specifying the topic or process, and providing a detailed description of the use case and solution.
• Review: Following the case submission, the TELCOR RCM Service team reviews the case to fully understand what the user is looking to improve. Once the request is fully understood, it is reviewed by the TELCOR Product Management team for technical review to ensure feasibility.
• Approved: the enhancement is added to a monthly survey sent to the TELCOR User Group. Users vote on the enhancements noting whether they would use the enhancement, and if yes, is it highly beneficial or somewhat beneficial. This allows the results to be compiled and prioritized based on scope of use, level of impact, and other variables.
• Not approved: TELCOR communicates the decision with the customer. If an enhancement is very niche and specific to a single organization, the lab can ask for a development work order quote to decide if they want the enhancement developed specifically for their needs.
• Developing New Versions: User requested enhancements are approximately 50% of updates included in a new version. The remaining updates have been developed by TELCOR billing experts who understand upcoming industry changes, payer requirements, technology advancements and performance enhancements. This ensuring TELCOR is always on the forefront of revenue cycle technology. Once the new version is developed, it goes through a quality assurance process to validate the new version. RCS, the TELCOR billing service, is the first group to implement the new version for final validation over a period of 30 days. Once validation is complete, TELCOR customers can upgrade their application.