One big task that takes time and resources in medical offices is managing communications about lab testing—phone calls from patients asking for test results, staff follow-ups, appointment reminders, and rescheduling.
Recent studies and real-world experience show that pre-visit lab testing can greatly reduce these communication tasks by getting test results before the patient’s appointment.
As a result, practices have smoother workflows, fewer phone calls, less follow-up work, and better use of staff and doctor time.
This article explains how pre-visit lab testing works, how it affects communication in medical practices in the United States, and how using AI and workflow automation can improve these benefits for medical groups.
Pre-visit lab testing is when doctors order needed lab tests for patients before their scheduled visits.
Instead of ordering labs during or after the appointment, patients do the tests first, and doctors get the results before seeing the patients.
Having the test results ready during the visit lets doctors review, talk about, and make decisions right away instead of waiting until later by phone or mail.
This method can also work for other tests like X-rays or other scans, making sure patients finish all needed tests in time to help doctors make decisions.
Studies and real experiences show that pre-visit lab testing improves communication and how offices run.
Dr. Ben Crocker, a primary care doctor from Boston, started pre-visit lab testing in 2012 with good results.
He found that phone calls to his office dropped by 89 percent after he began using it.
This happened mainly because patients did not have to call back after visits to ask about their lab results.
Also, Crocker’s practice sent 85 percent fewer letters to patients that used to be needed to share lab results or follow-up steps.
Sending fewer letters saves staff time and reduces costs.
Since test results were talked about during visits, fewer patients needed to come back for extra visits—these dropped by 61 percent in Crocker’s practice.
This means fewer calls to make new appointments, less staff follow-up, and fewer return visits because lab problems got handled quickly.
Money-wise, this saved about $25 per patient visit in doctor and staff time, which is important for small and medium-sized practices with tight budgets.
Pre-visit lab testing works well with advanced scheduling, where some practices book appointments months or even a year ahead.
Planning so far ahead helps offices know what work to expect and staff properly.
Sometimes patients need to change these appointments, but the saved staff time spent managing schedules is worth this minor issue.
Automatic reminder systems are part of good pre-visit planning.
These send alerts to patients about upcoming lab tests and appointments, so patients are less likely to miss them.
If a patient does miss a lab test, the staff can quickly call to reschedule or encourage patients to finish tests before their visit.
This helps stop patients from forgetting important tests and supports better care.
Care teams play an important role in pre-visit lab testing and communication.
Research from the American Academy of Family Physicians shows that doctors who work with teams of medical assistants, nurses, coordinators, and pharmacists can give non-clinical tasks to others.
These tasks include reminding patients, following up on tests, and helping patients understand tests and appointments.
Support staff can do agenda setting, collect patient histories, check medication lists, teach patients how to prepare for labs, and put information into electronic health records (EHR).
This helps work go smoothly and reduces interruptions for doctors.
Registered Nurse (RN) care coordinators work with doctors to help high-risk patients and cut down on unnecessary repeat hospital visits.
They remind patients about follow-up lab work and appointments, which also lowers the number of phone calls to the office.
Good communication is also important after hospital stays.
Quick follow-up visits after going home from the hospital lower readmission rates and stop problems.
Studies in New York with Capitol District Physicians’ Health Plan found that when primary care doctors saw patients within seven days of hospital discharge, 30-day readmissions dropped from 14 percent to 6 percent.
This needs good communication between hospital doctors and outpatient doctors.
Discharge summaries often miss important details or come late, making it hard for outpatient teams to prepare for follow-ups.
Electronic health records that send clear discharge instructions—like why the patient was hospitalized, what follow-up is needed, and pending tests—help primary care doctors plan better care.
Pre-visit reminders before follow-up visits, checking medications, and teaching patients clearly during visits lower phone calls and confusion.
This helps reduce readmission risks and extra communication.
Artificial intelligence (AI) and workflow automation help improve pre-visit lab testing and cut down related phone calls and follow-up tasks.
AI tools can look at patient schedules, find gaps in care, and automatically order needed lab tests or procedures before appointments.
Reminder systems that are automatic send notices to patients about lab tests by text, phone calls, or patient portal messages, cutting down no-shows.
If a patient misses an appointment or test, AI systems quickly alert staff to follow up.
AI can also sort patient portal messages by answering common questions and sending harder problems to the right clinical staff or doctors.
This lowers the number of calls and messages doctors have to handle, letting them focus on patient care.
AI tools also remind staff about visit preparation through brief meetings or checklists.
This helps make sure lab results are ready, care gaps are fixed, and any abnormal results are flagged early so doctors can focus on care during the visit.
Using AI in lab testing also helps sync prescription refills and keep track of chronic disease patients.
This reduces follow-up calls about medicines and labs.
Pharmacists who work with care teams and use AI tools can help manage medicines better, lowering extra work.
For IT managers and administrators in medical offices, using AI tools linked to lab testing and appointment software saves staff time, cuts unnecessary phone calls, and helps keep patients involved.
Most primary care offices in the United States have more and more administrative work.
About 78 percent of primary care practices are small, with five or fewer doctors, supported mainly by medical assistants and front desk staff.
They do not have the large teams found in bigger organizations, so efficient workflows are important to keep quality care without burning out staff or costing too much.
Pre-visit lab testing cuts down phone calls that clog front desks and doctor offices, lowers extra letters and communications, and reduces costly repeat visits.
Practices that use this method save significant time, so doctors can spend more time taking care of patients instead of doing admin follow-up.
By combining pre-visit lab testing with care teams and AI-driven automation, medical offices can improve patient satisfaction, lower no-shows, and make communication workflows better.
Pre-visit lab testing involves ordering necessary lab tests for patients to complete before their appointments. This allows physicians to discuss results during the visit, improving efficiency and reducing follow-up communication tasks.
Practices implementing pre-visit lab testing experienced 89% fewer phone calls, as patients do not need to call for lab results after their visit.
Instituting pre-visit lab testing saved practices about $25 per visit in physician and staff time, leading to overall efficiency.
No, it actually requires less staff time. The streamlined process reduces the need for multiple communications between staff and patients.
Many practices find that scheduling appointments a year or more ahead saves staff time, despite some patients needing to reschedule.
Automated reminders set up with scheduling systems help decrease no-shows by notifying patients about their lab tests and appointments.
Staff can follow up with the patient via phone to encourage them to complete the missed test and remind them about their upcoming appointment.
Yes, this system can also be used for other diagnostic tests like X-rays, ensuring patients complete necessary tests before their appointments.
Practice teams handle abnormal results with established protocols and may review these with physicians before the appointment for better clinical evaluation.
Healthcare providers can access a free online module in the AMA’s STEPS Forward collection for guidance and resources on implementing pre-visit lab testing.