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High Quality Content by WIKIPEDIA articles! Vachette Pathology was founded in 2002 and is a nationwide pathology practice management firm. It was founded by Mick Raich, a speaker and author on issues, practices and trends related to pathology practice and laboratory billing. Vachette works with hospital-based pathology practices, independent laboratories and hospital outreach laboratories. In working with clients, Vachette "takes a two-part approach to pathology practices." First, it conducts an audit of billing practices to determine if they are being done correctly. Second, it serves as a liaison between the practice and managed care companies to "do what can to help managed care companies pay more money.