LigoLab’s Enterprise Tier: Advanced Flexibility, Control, and Scalability for Wide-Ranging and Complex Regional and National Laboratories
November 27, 2023
In this fourth blog post dedicated to explaining LigoLab’s new tiered pricing model for its laboratory information system software, we focus on the Enterprise Tier. But first, in case you’ve missed the previous blog posts, links to all three of them are included here:
- Essential Tier: A reliable laboratory information system solution designed to meet the basic needs of small laboratories that specialize in pathology, molecular, and reference lab testing.
- Professional Tier: Includes modules and features from the Essential Tier plus more sophisticated LIS solutions for lab workflow, interoperability, and operational informatics.
- Advanced Tier: A formidable LIS solution that leaves other LIS systems in its wake by offering top-level efficiency, customization, automation, and operational intelligence.
As documented in our three previous posts about this new tiered pricing model, a one-size-fits-all mentality continues to dominate the laboratory industry. Unfortunately, most laboratory information system vendors aren’t interested in learning about a medical lab’s unique requirements and customizing the LIS software to optimize their operations. They’re interested in selling the laboratory software system to the customer and after that, would prefer not to hear from the customer again because they see this sort of interaction as a burden and an extra cost.
This is where LigoLab sets itself apart from other laboratory information system companies. Instead of selling the customer an inflexible and legacy LIS system with hidden or add-on costs for such things as adding seats or modules, we establish long-term laboratory partnerships with our customers by aligning with them on both their budget and growth goals.
We believe the independent clinical and pathology laboratories we serve deserve better and more adaptable LIS software solutions. That’s why we’ve created our four-tiered pricing model, with each platform tier representing a perfect fit for their distinct requirements, workflows, and stages of business development.
An All-Powerful Laboratory Information System Platform Designed for the Scope and Scale of Regional and National Laboratories
Now let’s take a look at LigoLab’s Enterprise Tier and explore why this LIS solution is the ideal fit for regional and national clinical laboratories requiring total integration across multiple departments or sites, highly customizable workflows, and broad scalability.
Auto Case Assignment
The Auto Case Assignment module adds comprehensive and sophisticated functionality to LigoLab Informatics Platform. This module automates the distribution of cases to pathologists in a fair, balanced, and efficient manner, and it takes into account several other critical factors such as:
- Pathologists' Licensure: The module ensures that cases are assigned only to pathologists who hold the appropriate license to handle those specific cases. It verifies the legal requirements for case handling and eliminates non-compliance risk.
- Specialization: It respects the pathologist's specialty and experience, ensuring he or she receives cases related to their specific area of expertise. This leads to more accurate and efficient diagnostics.
- Customer Preference: The module can be configured to understand and prioritize clients' preferences for pathologists when assigning cases, enhancing client satisfaction and trust. This added layer of customization ensures that each case is handled by the most qualified pathologist as well as the pathologist preferred by the customer. This emphasis on client-pathologist relationships adds a personal touch to the laboratory's services and enhances customer satisfaction.
- Case Weight: The module considers the complexity of the case (case weight) to distribute the workload evenly and maintain a balanced workload among all pathologists.
- Case Loads: The module keeps track of how many cases each pathologist has handled to avoid undue stress and ensure each pathologist maintains a manageable workload.
The Auto Case Assignment module can also integrate with scheduling systems like QGenda. This integration allows the LIS platform to consider the pathologists' availability, schedule, and facility while assigning cases, leading to a more efficient and effective allocation of resources.
The Data Warehouse module exists as a central repository for all laboratory data across multiple laboratory systems. It’s designed to ingest, normalize, and store data from various sources, allowing for a comprehensive and centralized view of all the information flowing through the laboratory.
The module also facilitates comprehensive reporting and analytics by integrating data from various sources. This integration results in a holistic overview of all operations, providing insight that can’t be obtained when data sets are isolated.
The Data Warehouse module is built on a discrete data model, meaning that every single data piece is stored individually. This approach allows for high flexibility and granularity in reporting and data analysis. Users can drill down into the specifics of each data point to gain detailed insights and in-depth analysis.
The module also offers a comprehensive data source for all operational, administrative, financial, and clinical needs. Users can store historical data from previous laboratory software systems, facilitating trend analysis and strategic planning that helps track a laboratory's performance over time and helps lab operators make informed future decisions.
The Automation Engine module is a sophisticated tool that elevates the LIS platform's automation capabilities to an even higher level. It extends the functionality of the Rule Engine by allowing laboratory operators to create complex decision support trees by chaining together existing rules. This feature is designed to streamline complex processes by reducing manual intervention.
The Automation Engine enables users to link multiple rules together in a sequence or hierarchy. This capability allows the module to consider a series of conditions and perform a sequence of actions, automating a multi-step decision-making process.
For instance, a laboratory could create a decision support tree that automatically assigns specific tests based on initial results, patient demographics, or other criteria. It could also establish an automated workflow that handles billing processes based on payer rules and patient data, from claim submission to remittance processing.
The flexibility of the Automation Engine means that it can be customized to automate virtually any process, be it related to workflow management, quality control, lab billing, or another area of laboratory operations.
By reducing the need for manual intervention, the Automation Engine minimizes the potential for human error and ensures that key decisions are made consistently and accurately during processing. Doing so enhances efficiency, reduces turnaround times, and improves patient care.
Patient Reporting Portal
The Patient Reporting Portal is designed to help laboratories comply with the legal rights of patients to access their healthcare information, including laboratory test reports. Per the Health Insurance Portability and Accountability Act (HIPAA) and the Clinical Laboratory Improvement Amendments (CLIA), patients have the right to access their health information directly from labs.
The Patient Reporting Portal provides a secure, user-friendly platform for patients to access lab report test results. After authentication to ensure patient privacy and data security, patients can log into the portal to view, download, or print lab reports that are presented in an easy-to-understand format with the critical information highlighted for clarity.
This portal not only enhances the patient experience by providing direct access to lab results but also reduces the lab’s administrative burden. By automating the delivery of reports to patients, the portal reduces the time and resources that would otherwise be required to respond to individual patient requests.
The Patient Reporting Portal is built with scalability in mind. The portal is designed to handle a large volume of simultaneous requests, ensuring that all patients can access their reports quickly and smoothly.
By implementing the portal, labs can enhance patient satisfaction, streamline administrative processes, and ensure compliance with laws regarding patient access to personal health information.
In addition to the Patient Reporting Portal, LigoLab has also developed a comprehensive patient engagement platform called TestDirectly. This platform, which requires a separate license, offers services beyond simple lab reports and test result retrieval. TestDirectly empowers patients to interact with laboratories directly, further enhancing the laboratory-patient relationship and promoting active engagement in their healthcare journey.
With TestDirectly, patients can conveniently place direct-to-consumer orders with the laboratory. This includes ordering test kits, scheduling specimen draws at their preferred location and time, and receiving their reports digitally. The TestDirectly platform provides all this, ensuring that patients enjoy a seamless, intuitive experience minus the common barriers to testing and follow-up.
TestDirectly allows laboratories to tap into the growing consumer-driven healthcare market, a market where patients seek more control and accessibility over their healthcare management. By providing direct services to consumers, laboratories can diversify their revenue streams, enhance patient satisfaction, and increase their market reach.
Eligibility Checking & Insurance Discovery
LigoLab’s LIS solution includes Eligibility Checking and Insurance Discovery features, and both can be used in real-time and for batch-processing scenarios.
The Eligibility Checking feature allows laboratories to verify a patient's insurance coverage in real-time or batch before any service is rendered. This helps prevent billing rejections and denials due to lack of coverage, expired policies, or incorrect policy details. By obtaining this information upfront, labs can avoid unnecessary costs, improve collections, and enhance their laboratory revenue cycle management (RCM) performance.
The Insurance Discovery feature helps labs identify and verify active insurance coverage for self-pay or uninsured patients. This feature enables labs to discover previously unidentified insurance coverage and maximize their potential reimbursement by utilizing sophisticated data-matching algorithms that pour over a wide array of databases.
These features are integrated seamlessly within the LigoLab platform and offer an efficient, automated way to improve billing accuracy and financial performance. Being able to perform these checks in real-time or batch also gives labs the flexibility to choose the method that best suits their workflow and operational requirements.
These features are valuable tools that help improve the financial health of any laboratory, as is LigoLab’s RCM module that offers more integrations (like upfront address and patient demographic data validations), plus other important elements like workflow queues, extensive audit trail functionality, automation, and flexible statement distribution. All this creates an efficient, reliable, and scalable lab billing workflow marked by major decreases in denials and major increases in first-pass claim payments, plus much less reliance on manual labor for administrative tasks.
Like the TestDirectly direct-to-consumer patient engagement platform mentioned earlier, the RCM module requires a separate software license and when the RCM module is combined with LigoLab’s LIS module, lab operators can effectively stop revenue leakage thanks to end-to-end data integrity. This results from both modules instantaneously sharing the same united database and software infrastructure. In this scenario, all relevant information for a case is consolidated within a single data entity called the Billing Encounter. This consolidation includes order and specimen information, patient and payer demographics, coding, billing, and remittance processing data. Simply stated, the Billing Encounter serves as the driving force behind the logic that supports the entire LIS & RCM lifecycle within LigoLab Informatics Platform.
Compare this with the data silos and fragmented information that typically comes from separate software systems for LIS and RCM, and you can quickly see what a difference-maker it is to have fully integrated LIS & RCM modules working together as part of one comprehensive and agile laboratory information system platform.
The Interface Engine module is powerful and versatile. By establishing seamless interoperability with many external systems, the module serves as a crucial bridge, facilitating bi-directional data flow between the LigoLab platform and Electronic Health Records (EHRs), government agencies, billing companies, and laboratory analyzers.
The Interface Engine can send and receive data in various standard healthcare formats, including HL7, CCD, CDA, FHIR, XML, JSON, ASTM, and many others. It can efficiently handle multiple simultaneous interfaces, allowing for a more comprehensive and integrated workflow across different systems, thereby eliminating manual data entry and reducing errors, improving efficiency and accuracy.
In addition to standard interface communication, the Interface Engine also supports advanced features such as automated message validation, error handling, and the ability to transform and route messages based on specific criteria.
Moreover, LigoLab has extensive experience working with EHR vendors and other health IT providers, ensuring the interface setup process is smooth and efficient, and that downtime and disruption are minimized. The result of this is a fully integrated, interoperable environment that supports improved data exchange, optimizes laboratory operations, and enhances the lab’s overall quality of care.
Another distinctive advantage that comes with LigoLab's Interface Engine is its ability to empower laboratory teams to create their interfaces. With an intuitive interface and user-friendly tools, teams can design and implement data integration workflows tailored to their specific needs. This do-it-yourself capability promotes greater control over the data exchange process, allows for rapid adjustment as requirements evolve, and accelerates the deployment of new interfaces.
This approach also dramatically reduces the reliance on external IT support or specialized interface developers, two more big plusses. Instead, the lab team can swiftly respond to changes, ensuring seamless continuation of data flow. By promoting a culture of self-sufficiency, the Interface Engine module allows labs to become active participants in their data management, leading to more efficient and productive operations.
The Auto Coding module is a commanding feature designed to streamline and automate the CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding process. This innovative module increases efficiency, accuracy, and compliance.
For medical billing and coding operations.
With LigoLab’s Auto Coding, the appropriate CPT and ICD codes are intelligently assigned based on the specific procedures and diagnoses identified during laboratory testing and analysis. This advanced feature allows for the automatic assignment of codes, eliminating the need for manual input and significantly reducing the chance of coding errors.
The module is built to adhere to the latest coding standards and guidelines, ensuring both compliance with healthcare regulations and the capture of all the revenue that the lab is entitled to.
The Auto Coding module is powered by traditional rule-based algorithms and incorporates innovative Machine Learning (ML) and Natural Language Processing (NLP) technologies to enhance its capabilities.
These ML and NLP techniques allow the module to analyze unstructured data such as qualitative results, enabling it to understand context, identify critical elements, and automatically assign the appropriate CPT and ICD codes. Additionally, as the LIS software continuously learns from the data it processes, it becomes more precise and efficient over time, enhancing its ability to accurately auto-assign codes.
With the integration of ML and NLP, the Auto Coding module can handle a broader range of data and more complex coding scenarios, thereby reducing the risk of coding errors and missed billing opportunities. It also significantly improves the speed and efficiency of the overall coding process.
This advanced application of technology makes the Auto Coding module a robust and flexible tool, able to adapt to evolving laboratory needs. With it, labs can automate a critical workflow component to maximize productivity, minimize errors, and optimize revenue capture.
Single Sign On (SSO)
LigoLab's Single Sign-On (SSO) solution provides a streamlined and secure user experience by allowing users to authenticate using just one login credential. This significantly simplifies the login process while still maintaining a high level of security.
The SSO solution integrates seamlessly with an organization's local LDAP services, providing a central point of authentication that makes it easier for IT administrators to manage and monitor user accounts. This reduces the risk of unauthorized access and improves an organization's overall security posture.
In addition to local LDAP integration, LigoLab's SSO solution also supports social logins. Users can authenticate using their existing credentials from popular social media platforms such as Google, Facebook, and LinkedIn. This allows users to choose the login method best that suits their needs and preferences.
By reducing the number of passwords users need to remember and manage, the SSO solution minimizes the risk of password-related security breaches and enhances the overall user experience. Integrating social logins and local LDAP services also allows organizations to implement a secure and user-friendly authentication solution that aligns with their specific operational requirements and user preferences.
Dedicated Client Manager
For Enterprise Tier customers, LigoLab offers the advantage of a Dedicated Client Manager, an individual who serves as the single point of contact for a lab, ensuring a smooth, seamless, and personalized experience. The Dedicated Client Manager is responsible for understanding the customer's unique needs, objectives, and workflows and is instrumental in implementing, adjusting, and optimizing the use of LigoLab's features and enhancements.
A part of this exceptional service is providing access to the Continuous Improvement department, a specialized team that conducts regular reviews of a client's workflows. This department’s goal is to identify areas of improvement, suggest best practices, and ensure customers are leveraging the full potential of the LigoLab platform.
The Continuous Improvement department also helps to implement the latest LigoLab features, keeping customers at the forefront of all technological advances. This ongoing and proactive engagement means that LigoLab doesn't just deliver a product but instead, a partnership committed to the continual enhancement of a customer’s laboratory operations.
This combination of a Dedicated Client Manager and access to a Continuous Improvement team means that Enterprise Tier customers don't just get a LIS software solution – they get a strategic partnership that drives efficiency, improves performance, and ensures they remain at the cutting edge of laboratory management technology.
LigoLab: Changing the Way Laboratory Information System Companies Do Business
At LigoLab, when we say we know and want what’s best for our laboratory partners, we mean it. That’s why we’ve developed a comprehensive and agile lab information system with advanced software technology, and then added a tiered pricing model that allows labs to graduate to new levels of functionality, complexity, and scalability as they mature.
LigoLab does what homegrown and legacy LIS systems can’t. Our LIS platform evolves as a laboratory grows and becomes more complex, providing more features and support as needed while guiding our lab partners on their journey from start-up to enterprise organizations.
Ready to experience LigoLab’s highest level of modules, features, and services?
Contact us today to learn more about the Enterprise Tier.