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Laboratories rarely lose revenue all at once. There is no single system outage, no dramatic billing failure, no clear moment when collections suddenly collapse. Instead, revenue erosion tends to be incremental—small discrepancies that repeat quietly across thousands of claims until their cumulative impact becomes material.

Laboratory revenue problems rarely announce themselves clearly. Margins tighten. Denials creep upward. Reimbursement feels inconsistent, even when testing volume is strong and billing teams appear to be doing everything right. In many organizations, these symptoms are treated as operational challenges—payor behavior, staffing gaps, workflow inefficiencies—rather than signals of a deeper structural issue.