Wednesday, August 1, 2012

How People Process is Utilized in Medical Laboratory Billing

Laboratory billing within the medical processing market is among the most intricate areas. The reason is that every year, laboratory billing gets increasingly more sophisticated because of the ongoing changes from the field including payer practices, expected challenges associated with Accountable Care Organizations (ACO) as well as escalating compliance specifications. Together with the constant aging population and improved diagnostic testing, laboratory billing faces escalating billing volumes as well and so, the load of billing information from time to time. The way labs manage this usually is simply by getting billing representatives but in the end raises fees along with the adjusting landscape from the previous solutions. Moreover, while not all representatives could be good, there will still be inaccuracies seen from the billing practices resulting in less improvement on billing and receivable performance and highly impacting the so-called people process.

Ideal automation is the vital thing in improving this not only through Laboratory Information Management Systems (LIMS) solely but also with the aid of adaptive case management solutions integrated with LIMS and billing systems to finally minimize expenses, boost medical billing accuracy with the maintained automation, improve cash collections and ensure consent all throughout. Because of adaptive case management, this completes and optimizes the people process that is associated with unpredictable, repeatable back-office work controlled in medical billing.

Another good solution is through integration with SharePoint. While SharePoint assists in business management and gives customers and partners the flexible and scalable framework in assembling production case management solutions, this can also take place in establishing the functions in medical laboratories. The incorporated capture and storage feature in particular enables to leverage the SharePoint foundation at no extra charge while still giving documents their practical capabilities. Because of this, this delivers cost-effective and lean framework for the best return of investment yet the lowest TCO for any workflow or business process management solution.

 An example of a workflow that combines with SharePoint for people process solutions as well as LIMS is e5 Workflow. According to studies, this is among those that have been utilized by the Regional Medical Laboratory, a pathology laboratory in the Oklahoma City United States. It’s been said that with SharePoint medical billing solutions and adaptive case management, productivity improvement has increased by 50% along with SLA compliance improvement of 66%.

With e5, each laboratory can be able to scan the requisition where each has a barcode for improved security purposes as well as its contents prioritizing the requisition of its ideal representatives’ work queue. The staff accesses the digital requisition for viewing and keying in billing information into the laboratory’s billing system. Ultimately, requisitions will be kept in an electronic document storage system for secured access.


While Laboratory Information Management Systems (LIMS) automate medical billing systems, these systems by themselves don’t improve the people process. Improve yours today with e5 Workflow.

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