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LigoLab Gives Forward-Thinking Laboratories the Tools to Navigate Challenging Times

LigoLab Gives Forward-Thinking Laboratories the Tools to Navigate Challenging Times

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Thanks to ongoing negative trends such as high denial rates, significant cuts to reimbursement, the constant search for qualified personnel, and increasing patient responsibility for payment, accurate and transparent laboratory billing solutions have become priorities for clinical laboratories and pathology groups nationwide.

In particular, these issues threaten laboratories using legacy and standalone laboratory information systems (LIS software) and lab revenue cycle management (lab RCM) processes, making it clear that unless they deploy modern integrated laboratory billing solutions soon, these labs are unlikely to survive the turbulence. 

But all is not lost. LigoLab provides advanced pathology lab software that gives forward-thinking organizations the medical LIS and lab RCM tools they need to operate efficiently and effectively, despite the challenges.  

Learn More: Six Reasons Why You Should Choose an Integrated Laboratory Billing Solution for Your Medical Lab

Unified Lab Operations at a Glance: How LigoLab’s All-in-One LIS Software Platform Delivers End-to-End Clinical and Financial Workflow Transparency

LigoLab is one of the few LIS laboratory information system vendors to offer an all-in-one medical LIS and lab billing platform that supports and streamlines the complete life cycle of all laboratory technical and financial operations. 

Transparency is evident in the “Encounter,” a consolidated data entity that rests within LigoLab’s powerful laboratory revenue cycle management module. The Encounter provides a complete picture in real-time, consolidating everything from patient demographics and specimen data to payer information, pathologist diagnosis, and CPT codes - all via an audit trail that tracks and monitors all laboratory information system and lab billing activity. 

All patient and specimen data is tracked throughout and fed into one comprehensive view on one screen, optimizing clinical lab workflow and streamlining the transition from testing and reporting to the distribution of lab billing statements and payment. 

Streamlined Order Entry with Real-Time Data Validation and Eligibility Checks

LigoLab ensures accurate and secure data consolidation from the very first step - order entry. With built-in White Pages demographic lookups and USPS address validation just a click away, user input is both fast and precise.

The platform also enables quick insurance eligibility checks, preauthorizations, and insurance discovery, minimizing delays and reducing rework.

Adding new providers is equally seamless, thanks to a real-time interface with the CMS National Provider Identifier (NPI) Registry, ensuring up-to-date and accurate provider data every time.

On-Demand Webinar: Unifying Technical and Financial Operations to Minimize Denials and Prevent Revenue Leakage

Maximize Efficiency and Cash Flow with LigoLab’s Unified Medical LIS & Lab Billing Platform

Labs utilizing LigoLab’s integrated medical LIS and laboratory billing solutions gain unprecedented efficiency, faster cash flow, and improved margins driven by higher productivity.

With intelligent automation replacing time-consuming manual claim scrubbing and processing, teams can focus on what truly matters—resolving denials and securing every dollar owed.

LigoLab empowers medical laboratories to project incoming payments with greater accuracy, transforming laboratory revenue cycle management into a strategic advantage.

White Paper: Maximizing Your Lab’s Profitability: The Case for In-House Lab Billing

Case Study: How Avero Diagnostics Transformed Operations and Lab Billing with LigoLab’s All-in-One Informatics Platform

When Tina Quevedo returned to Avero Diagnostics in late 2022, she was met with a critical challenge: fix a broken laboratory billing process that was paralyzed by a legacy lab RCM system. 

The lab, which operates multiple facilities across Washington and Texas, was using separate systems for laboratory operations and lab billing—and the arrangement was causing inefficiencies, silos, and, most importantly, over 47,000 stuck claims worth millions of dollars.

With over 30 years of laboratory billing experience and a deep understanding of RCM software, Quevedo quickly diagnosed the problem: the old laboratory billing system lacked automation, transparency, and functionality. Claims couldn’t be processed, critical data fields were missing, and front-end rejections were piling up. Even hiring 44 new billing staff didn’t solve the issue.

Quevedo recommended a bold solution—to completely migrate to LigoLab’s fully integrated medical LIS & lab RCM platform. Leadership agreed, and the transition began in February 2023. By April, most lab billing functions had moved to LigoLab, and by August, the transition was complete.

The results were immediate and dramatic. LigoLab’s unified system and advanced laboratory billing solutions enabled Quevedo’s team to recover all 47,000 previously stuck claims, totaling over $4.75 million in payments within six weeks. With medical LIS and lab RCM modules sharing the same database, Avero eliminated data silos and achieved real-time visibility across all workflows—from order entry to final payment.

Key advantages included:

  • Faster Claim Processing: 98.1% of claims were paid on first submission, and 99% passed claim scrubbing with no rework required.
  • Real-Time Rejection Management: Rejections were instantly flagged and addressed without delay, cutting down turnaround time from days to hours.
  • Improved Efficiency: Eligibility checks and automated rule mapping reduced manual labor, allowing the lab RCM team to focus on denial resolution.
  • One Source of Truth: Staff could access all documentation, attachments, and service details within a single interface, eliminating guesswork.
  • End-to-End Integration: Medical LIS and laboratory billing workflows were fully synchronized, supporting accurate coding, client invoicing, and split-billing with ease.

Avero also gained the flexibility to automate laboratory billing scenarios across its multi-location network. Flagging and rule-based automation simplified complex payer requirements, while synchronized connections with the clearinghouse enabled same-day submission and confirmation.

System usability was another standout feature, and so was LigoLab’s customer support, which consistently delivered timely solutions and workarounds.

In short, the move to LigoLab’s all-in-one LIS software platform didn’t just improve laboratory billing—it elevated lab operations, client satisfaction, and financial performance. Turnaround times for reports dropped from four to six days to near real-time delivery, earning praise from hospital clients.

Editor’s Note: The above is an abbreviated version of a LigoLab case study with Avero Diagnostics. Click below to access the case study in full form. 

Case Study: Documenting the Avero Diagnostics Move From a Legacy Lab RCM System to LigoLab’s All-in-One Lab Informatics Platform

The Best LIS Software also Supports Advanced Laboratory Billing Solutions

LigoLab is a thriving business based in Los Angeles that specializes in developing the best LIS software for pathology groups and clinical laboratories.  To learn more about its all-in-one medical laboratory information system, we invite you to explore the anatomic pathology software section of this website and learn what pathologists like most about the integrated informatics platform. 

Learn More: LIS System Benefits that All Pathologists Appreciate 

LigoLab ranks among the best laboratory information system companies thanks to its intuitive and flexible LIS system and unique pricing model. 

Learn More: LigoLab Informatics Platform: Uniquely Designed to Deliver Maximum Value

For more information or to request a LIS system or lab RCM demonstration, contact a LigoLab product specialist today.

CONTACT A LIGOLAB PRODUCT SPECIALIST! 

Michael Kalinowski
Author
Michael Handles Marketing and Communications for LigoLab

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