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Lab bill format for HighTech

I've had the pleasures of so many laboratories upgrade the automation the medics premiere either as an in-house laboratory system when the laboratories are in servers or on our remotely hosted servers in neediest cloud the number of laboratories also have opted to work with medics RCM when a comprehensive outsourced revenue cycle management was preferred yes we actually offer three deployment types medics premiere on your server or on our cloud and medics RCN so let's take a look at how medics premiere for laboratories works what you're looking at is our autopost screen which is fed from the lis system we've worked with almost every lis system in the market we take patient demographic information insurance information procedure information diagnosis information pest information we move it in their auto post area and this is really where the billing process starts if you're doing your own billing this is where you would start the billing process if we're working as your RCM company this is where we would start the process this works great for clinical pathology genetics esoteric any combinations of laboratories we can capture decodes panel codes test codes and we'll convert it to the appropriate billing code so the important thing is getting the information over into our system and then the system and our ocm team handles it from there okay so from here you also knows we're missing some information we're missing a test code we're missing a diagnosis code we're missing some demographic information right and that's important because you know in the lis system not always all the information gets into the system so we're scrubbing it checking it making sure everything's there before any claims are sent we also have a full scrubbing system so I can scrub all my claims select a few right and do scrubbing and what the system will do it'll look at the rules engines we have in place and it will scrub the codes to make sure codes match diagnosis codes the insurance form is formatted correctly if it needs to modify the modifiers there and it will let you know if we're doing your billing we could then add the modifiers or if it's some other digital information will message you to let you know it's missing if you're doing the billing then obviously you know you need to fix something before you send the claim out all right we're also giving you the ability to check eligibility electronically right from here right so you can check eligibility in a batch mode for everyone at one time or you can check individual patients here's an eligibility report it's showing me this patients insurance is active it's showing me the copay for this type of test is $30 it gives me Cohen for me coinsurance information deductible information right it's also showing me there's something wrong with the address I know that because the address is highlighted in red okay I can fix that by clicking update demographics copying over the correct address information to the system saving it and now we won't have a deny claim based on inconsistent address information all the things we talked about scrubbing the claims checking for missing the information checking eligibility we're scrubbing the claims right we're making sure these claims are going out clean so that we are getting approved and paid and this holds true for in-network patients and out-of-network patients so we have a lot of experience with both and we know how to get you paid at the patients and in your working in network or out and now so as I mentioned we never need to leave the application in order to perform any functions billing submitting claims as a single click right from this right from the application downloading gob is electronically single click right from the application all right and the way it works is you would get a report back right in a queue the denial manager's report you can run and it shows you your data in a very nice queue okay and you can sort the denied claims anyway one I can view them by location I can view them by payer right I can view them by our class responsible party however I want it also gives me a total of my deny claims here a pie-chart AG my denying claims and then I have full drill down capability so I can sort my columns by clicking on the header I can drill down into a specific payer if I'd like right show me all my denied claims from Cigna I can drill down into a specific claim if I like it gives you the reason the claim was denied transaction information provider information payer information I can then look at the specific claim highlights them in red I can fix it I can rebuild it right from this screen right so I'm never leaving the application I'm finding a denied claim I'm fixing and I'm rebuilding it all from one place and the sales portal is so important for laboratories because most laboratories do have salespeople and it's important to them and important to you to know their Commission structure right so the idea is you can run the sales portal any way you want you can run it for an individual salesperson you can run it for a sales group for example or you can run it laboratory wide for all of your salespeople and that basically happens at the filter level you know all you know for whatever date range whatever providers and when I run it it's going to show me here basically my commission rates right we're pages it's gonna show me all my productivity commission at a very granular level as I go you know page by page you can see that that's really digging deep into it however most salespeople just care about this right what's my total Commission so we can view it either way in detail in totals right we also have that pivot table tool here seen great pivot tables and obviously like every other report in the system you can definitely exported to excel at any time so you know really great tool just one of the one of the ways you can extract data from phonetics premier for laboratories there's so much more to see and talk about give us a call or email and we'll be happy to schedule a personalized overview of medics premiere or medics RCM for your laboratory looking forward to being in touch