Category Archives: Laboratories

Simplify and Automate with ECM
by Julanne Williams
Major hospitals and laboratories are seeing the benefits 
Join the other major hospitals and laboratories and take your healthcare to the next level by looking to your other line of business applications to interface with an enterprise content management (ECM) software. It typically is going to be a Health Level 7 (HL7)  file. By doing so, all the information (requisitions, EOB’s, claims) that are coming to you can be automatically indexed and used by a quality ECM software to perform rules-based routing of documents for workflow.
With a rules and roles based system like RICAR, you determine the rules – workflow action and trigger time. The benefit of moving to a RICAR workflow system is: 

  • Reduction in Errors (no more manual data entry) ensures record completeness.
  • Increased Efficiency – requisitions, EOBs move seamlessly.
  • Expedites Billing Process – claims can be processed quicker.
  • No more Lost Requisitions – lost paper requisitions can be regenerated from electronic orders.
  • Revenue Increases – No more lost requisitions that are written off to bad debt.
  • Automate RCM
To learn more about how your healthcare system or laboratory can benefit from ECM visit  website or watch a demo.
Path to a Better Patient Experience
by Julanne Williams

Are you struggling with managing your claims?
Do you find that your staff is spending an exorbitant amount of time handling patient correspondence and explanation of benefits (EOB’s)? Are your patients experiencing long hold times as they call to inquire about outstanding bills?

Move your data closer to the end-user — your patient. As you do, watch it become a much more simplified practice, as you move away from batch processing.

Read More…

Is Your Patient Payment Information at Risk?
by Julanne Williams

If you are accepting credit cards for payment then the next question is, “Are you PCI Compliant?” PCI (Payment Card Industry) DSS (Data Security Standard), is a set of information security requirements enforced by major credit cards: American Express, Visa, MasterCard, Discover. By following these standards your company reduces the risk of credit card exposure.

The PCI Security Standard Council encourages all businesses that store payment account data to follow PCI DSS to lower financial risks. However, it is your responsibility to make sure that you are doing all that you can to ensure your customers’ payment card data is safe and that you’ve done everything to protect against breach.

In the past, companies could maintain customer/patient credit card payment information on digital or source documents.  Rules have changed however, regarding the storing of the source document, i.e., having all 12-16 digits of credit card revealed. Businesses are now required to reveal only the first six and last 4-digits of a customer’s credit card number on file. It is now the organization’s responsibility to update those files and redact the credit card number, or at a minimum – leave only the last four digits.

Read More…

I’ll Give You $200 if You Can Find That Document
by Julanne Williams

Remember the game show Name that Tune? The host would say “I’ll give you $100 if you can name that tune in less than 30-seconds.” Well, this is kind of like that. Only, instead of a game show host it’s the laboratory billing director saying, “I’ll give you $100 if you can find that document in less than 48-hours.”

If you live in the wonderful world of laboratories this may sound familiar to you because it’s a true story. Frequently, you can expect the insurance auditors to come knocking on your door. It’s a bit like the IRS showing up – we’re sure they’re nice people but we don’t really want to see them at our place of business. It doesn’t typically spell out F.U.N.  So the insurance auditors showed up this one cool Fall day, for their bi-annual visit, with 50 “random” claims in their hands and asked the billing director at Universal Standard Medical Laboratories to provide the corresponding requisition and test results for these claims. 45 of the 50 requisitions and test results are matched – without any issue. The remaining five – well here is where the real story begins…

Read More…