Blog Posts by Date: Jan 2019


Helping you get “In-Network” Coverage – Faster and Easier

Achieving “in-network” coverage with payors for new or differentiated diagnostics, technology, or remote patient monitoring devices can provide significant advantages for novel diagnostic and medical device companies. The first step in gaining these advantages is getting payors to cover a new test or device for the applicable patient indications....

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Can Your Revenue Cycle Management (RCM) Solution Keep Up with Your Future Plans?

Shrinking reimbursements and increasingly complex regulations are squeezing the profits of clinical laboratories. As a result, many clinical laboratory leaders are being forced to consider their strategic options, including reorganizing, restructuring, merging and or otherwise consolidating with another laboratory, or selling. This means...

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Data Quality Is a Cornerstone to Effective Revenue Cycle Management

One of the most challenging obstacles to diagnostic providers getting paid on time for their services is a lack of accurate patient data. Many laboratories struggle with the quality of the data that they receive and because they often lack direct access to the patients, it can be an expensive, manual process for lab team members to chase down...

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Leveraging the Transformation of the CIO

The role of the CIO is changing. One of the ways in which this change is evident in the healthcare industry is through the transformation of the technology purchasing process. According to Gartner, CIOs going forward will be more deeply involved in differentiating technology and managing the flow of information in the context of customer...

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A Conduit for Real-Time Lab Data Exchange

For labs looking for a conduit that allows for the pre-scrubbing of claims to ensure the likelihood of acceptance from the patient’s insurance provider, web services are the answer (Generically, a web service is any standardized software system designed to communicate with another system over the web; here, I will be referring to a specific set of...

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Revenue and Finance Leaders: Compliance Requirements Keep Changing. How can you Keep up?

The business of diagnostics and health systems gets more complicated all the time, and the increasing complexity of your company’s compliance obligations can at times seem overwhelming. If you manage revenue operations or work in finance, you know how to support your company’s compliance program, but you may not be aware of all the challenges your...

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Compliance Leaders: How to Keep up with Changing Compliance Requirements

The business of diagnostics and health systems gets more complicated all the time, and the increasing complexity of your compliance obligations can at times seem overwhelming. You know that your compliance obligations start with meeting the requirements of the Federal Sentencing Guidelines for an effective compliance program. You are aware...

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There Is More to Self-Pay Patients Than You Think

In today’s complex healthcare environment, many patients who are classified as self-pay may have insurance coverage that could be billed for services. The causes for this discrepancy range from registration process breakdowns to human data entry errors to incomplete or inaccurate data sent from third parties. Regardless of where in the process the...

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