LigoLab RCM Presentation (Video and Transcript)

LigoLab is a leading provider of innovative end-to-end clinical and pathology lab management software, servicing hundreds of U.S. facilities. 

As a comprehensive enterprise-grade laboratory information system software application, the all-in-one LigoLab Medical LIS & Laboratory Billing Informatics Platform™ includes modules for anatomic pathology, clinical laboratory, molecular diagnostics, laboratory revenue cycle management (lab billing), and direct-to-consumer lab testing (TestDirectly and TestDirectly.com), on a single lab organization software platform that supports every role, department, and the entire lifecycle of all cases, enabling laboratories to differentiate themselves in the marketplace, scale their operations, and become more profitable.

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With LigoLab, the laboratory billing process starts at order inception, with verification, eligibility, and scrubbing components that increase clean claim submissions and revenue while decreasing claim denials and compliance risk.

To learn more about LigoLab's LIS system and laboratory billing integration, and what they mean for collections and medical laboratory profit, we invite you to watch this LigoLab laboratory billing solutions presentation (the transcript is also available as you page down).

How the Advantages of Laboratory Information System and Laboratory Billing Solutions Sharing the Same Lab Database Software Shaped LigoLab's Future

Thank you for giving us your time to introduce ourselves and share who we are and how our innovative laboratory workflow management software platform can help save you time, improve pathology and clinical lab workflow efficiencies, reduce payer denials, and gain financial and administrative insight, and how, through all of this, we can help improve compliance and accountability, mitigate risk, and increase your revenue and profit.

Our name, LigoLab, comes from the Latin word “ligo”, which means "to unite," and this concept is at the core of not only what we provide- uniting the functionality of laboratory information systems and laboratory billing solutions into one encounter-based management system but also who we are.

You see, our founders joined forces to create the perfect trifecta for a unique diagnostic lab software product that responds to laboratory needs by intelligently, practically, and seamlessly improving efficiency, reducing denials, and increasing both revenue and profit.

Their expertise includes 20 years in cutting-edge laboratory report software development and laboratory finance and billing operations. The three came together to create comprehensive laboratory information system software to address the challenges they had encountered. They knew there must be a better way to improve the prior siloed, disconnected, and cumbersome LIS system and laboratory billing solutions. So, after many years of hard work, they built an innovative, intuitive, and truly industry-changing medical LIS and lab billing platform. They've never stopped improving it every single day. 

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We're a Growing and Constantly Evolving LIS Company 

To begin with, we are based in Los Angeles, California, and we've been in business for two decades. We have approximately 80 employees who are equally passionate about creating a better mousetrap in the healthcare LIS software provider space. We are proud to say that each one of our team members is best in class in each of their fields, which includes:

• Anatomic pathology, clinical and molecular testing.
• Highly advanced LIS software development.
• Laboratory operations, administration, and management.
• Accounting, medical lab billing, and regulatory compliance.
• Hands-on training, remote and on-site.
• 24/7 customer service with a turnkey solution mindset.
• Customized, prompt LIS software and laboratory billing solutions for clients' needs.

We have an amazing group of people who know their business and whose collective expertise has enabled us to become a leader in the LIS medical and lab RCM software industry. 

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Medical Laboratory Information System Software Minus the Data Silos

What sets LigoLab apart is that it's a fully integrated and transparent informatics platform, providing an interwoven laboratory information system and a dynamic lab revenue cycle management tool all in one, and further powered by extensive automation tools, an intuitive visual user interface, and deep third-party integration. It's a truly end-to-end, patient-centered clinical laboratory management and pathology lab reporting software solution.

We believe the main benefit of an integrated medical LIS and lab billing platform is having everything in one place, with intuitive navigation, two-way lab-to-billing and billing-to-lab workflow interconnection, and built-in custom rule engines. Altogether, this provides an extremely powerful set of diagnostic lab software tools for claim processing, leading to increased clinical lab workflow efficiency, accelerated cash flow, and, most importantly, higher margins and profits.

With LigoLab's intelligent end-to-end laboratory billing solutions, you gain full transparency and control of lab billing workflow with upfront patient demographic and insurance eligibility checks, insurance discovery, real-time clinical lab workflow queues and reports, extensive and clear audit trail functionality, and automated CPT and ICD coding, all to provide proactive mitigation of denials and rejections, which leads to increased revenue and profit. 

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Queue-Based Billing Software for Labs

LigoLab's primary driving force is its real-time queue-facilitated clinical lab workflow design. All relevant information within the lab workflow process, including orders and specimens, patient and payer demographics, coding, lab billing, and remittance processing, is consolidated within our Billing Encounter data entity, and this interwoven lab billing logic is built into the entire LIS system and lab RCM lifecycle.

As we all know, one of the laboratory industry's biggest challenges is reducing insurance denials. It's estimated that 35 percent of claim denials are due to inaccurate or missing data, often entered manually in a very time-consuming manner. So, investigating and verifying patient personal information and active insurance coverage with our third-party integrated RCM tools, and employing extensive LIS system/lab billing software automation and claim processing, is so important. We've made it all just a click away with features such as:

• Patient demographic lookup through Whitepages.
• Address validation through USPS.
• Real-time insurance eligibility checks and pre-authorization.
• Real-time insurance discovery.
• Regulatory institution compliance (including PTP and MUE, NCD/LCD, and NPI registry).
• Payment gateways, financial institution integrations, and clearinghouses.
• Client/patient portals and collection agencies.
• Automated, flexible statement distributions (such as fax, email, and SMS).

The unique properties of our real-time, queue-based clinical lab workflow design include user-defined queue filter templates, ease of navigation, intelligent filters, and the ability to enable strategic work distribution with full audit-trail visibility.

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The Billing Encounter: A Consolidated Source of Truth

The workflow-relevant data is compartmentalized within the Billing Encounter, which serves as the source of everything that follows, much like an interconnected relay race of data that proceeds seamlessly throughout the laboratory operations lifecycle. This provides:

• Synchronization of demographics and payment information.
• Consolidation of multiple sessions.
• Direct access to relevant patient data.
• Accurate representation of performed procedures.
• Consolidation of related claims and EOBs.
• Automatic generation of statements and claims.

This slide expands on the interconnectivity of the Billing Encounter. Here we show multiple fields, including the lab order. This is where you see client information, patient demographics, payer information, tests, specimen info, panels, and even external data and lab test results, which is where you see CPT codes, pathology, diagnosis and reports, and then imaging, so you can check requisition scans, send out reports, or see payer insurance information. And then settings, which is where the powerful rules and automation live, along with CPT codes, NCCI, MUE, custom edits, TC/PC splitting, and pricing policies, to name a few. Finally, we have consolidated all associated claims and invoices here, just a simple click away.

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Laboratory Billing with Multiple Distribution Options, All Packed into One Comprehensive LIS Software Solution

Our distribution engine supports numerous vehicles for statement and report delivery, such as auto-manual fax, secure email notification, EHR interoperability, IVR, and printing to a remote server. There are many distribution options, all of which are extremely intuitive.

The payment resolution module within the LigoLab application is a well-oiled machine. Transaction processing is intuitive and optimized. Payment tools are transparent, and users can easily extract any data. Payment history is designed to be easy, comprehensive, and reliable for accounting insights, and our payment search engine is very robust and fast.

With LigoLab, you can access accurate statistical analysis of all financial data and easily monitor industry trends, performance indicators, and benchmarks. With this detailed statistical reporting, users can:

• Balance AR down to a cent.
• Extract a point-in-time posting summary.
• Create dynamic customized reports with even the most elaborate format.
• Build dashboards for all types of financial and medical analysis.
• Track all lab workflow data.

All of this information can be extracted from the laboratory workflow management system in Excel or as a customized PDF.

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Customized Laboratory Workflow Management Reporting Software

Our reporting template engine is quite powerful and can achieve the highest level of customization with documents or reports of any kind. Users can design their own client invoices, appeal inquiries, collection letters, and much more, all with the touch of a button. We have many additional features, including:

• Streamlined appeal and denial management.
• Auxiliary data event alert functions.
• Batch claims submission.
• Claim submission acknowledgment reports.
• Comprehensive payer group and individual settings.
• Flexible patient billing policies including payment plans.
• Automatic multi-channel bill distribution and scheduling.
• Regulatory policy compliance.

Case Study: Leveraging LIS System & Lab RCM Integration to Improve the Laboratory Billing Process‍

Laboratory Information System Vendors with Aligned Laboratory Billing Solutions 

In summary, we are true partners who align with your organization to meet the challenges of a rapidly changing environment. Our integrated LIS system and lab billing modules provide visibility and deep insights into your financial, administrative, and technical operations, all to increase productivity, mitigate risk, and improve compliance, enabling you to scale your business effectively and efficiently while increasing both revenue and profit.

Ready to See LigoLab's Medical LIS & Lab Billing Platform in Action?

We've helped many clinical labs and pathology groups increase revenue, reduce denials, and gain full visibility into their financial and operational performance. We look forward to the opportunity to partner with you and help your lab achieve its growth objectives.

Act Now: Contact a LigoLab Product Specialist to Learn More!

Frequently Asked Questions About LigoLab's All-in-One Laboratory Information System Software Platform

What modules are included in the all-in-one LigoLab Medical LIS & Lab Billing Informatics Platform?

The platform includes modules for anatomic pathology, clinical laboratory, molecular diagnostics, laboratory revenue cycle management (lab billing), and direct-to-consumer lab testing (TestDirectly), all integrated into a single lab database software system.

Where does the LigoLab laboratory billing process begin?

The laboratory billing process starts at order inception with verification, eligibility, and scrubbing components designed to increase clean claim submissions and decrease claim denials and compliance risk.

What percentage of claim denials are caused by inaccurate or missing data?

It's estimated that 35 percent of claim denials are due to inaccurate or missing data, often the result of time-consuming manual data entry, which is why LigoLab automates upfront verification and eligibility checks.

What is the Billing Encounter in LigoLab's platform?

The Billing Encounter is a consolidated data entity that houses all workflow-relevant information, including order and specimen data, patient and payer demographics, coding, billing, and remittance processing, serving as the source of truth throughout the lab's operational lifecycle.

What compliance and regulatory checks does LigoLab support?

LigoLab supports regulatory institution compliance, including PTP and MUE, NCD/LCD, and NPI registry checks, as well as NCCI edits and custom rule-based edits to catch coding issues before claims are submitted.

How does LigoLab distribute statements and reports?

Distribution options include automated or manual fax, secure email notification, EHR interoperability, IVR, and printing to a remote server, giving labs flexibility in how they reach patients and payers.

Can LigoLab's reporting be customized?

Yes. LigoLab's reporting template engine enables users to design their own client invoices, appeal inquiries, collection letters, and other documents, as well as dynamic reports that users can export to Excel or customized PDF formats.