The Power of Integration: Unleashing the Potential of LigoLab's LIS System & Lab RCM Platform

The Power of Integration: Unleashing the Potential of LigoLab's LIS System & Lab RCM Platform

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This summary will highlight the benefits of utilizing an integrated laboratory information system (LIS abbreviation medical) and laboratory revenue cycle management (lab RCM or laboratory billing) platform. However, it should be noted that this overview will not delve into the exhaustive array of features and capabilities embedded within the advanced lab RCM module of the LigoLab platform.

By synthesizing critical laboratory information system functions (LIS system) and laboratory billing (the laboratory billing process) into a single, cohesive, and comprehensive informatics platform, we’ve elevated the industry standards for laboratory information system software. In this post we’ll underscore LigoLab's competitive edge over fragmented, non-integrated LIS systems and laboratory billing systems, emphasizing the value of a streamlined, unified approach to LIS software.

Learn More: Navigating the Future of Pathology: The LigoLab Advantage

The harmonious integration of the LIS system and billing software for labs provides an elevated, seamless user experience, enabling more efficient laboratory workflow management, greater data accuracy, and ultimately, better patient care. With our integrated pathology lab software, we demonstrate LigoLab's commitment to innovation, efficiency, and growth in an ever-evolving healthcare landscape.

Laboratory Billing Solutions - Balancing Upfront Costs with Business Goals

When evaluating simpler and more affordable laboratory billing solutions, it's essential to consider the upfront cost savings and the potential long-term ramifications of that choice. Here are a few critical points to bear in mind:

  • Additional labor costs: Simple laboratory billing solutions don’t include features that automate routine tasks, which means additional manual work for your staff. Over time, these costs can add up, offsetting initial savings.
  • Compliance and accuracy: Human error is inevitable with manual data entry and lab workflow, leading to potential compliance issues and inaccuracies in laboratory billing and coding. Mistakes in this area can lead to denials, delayed payments, and in worst-case scenarios, legal risk due to non-compliance with healthcare regulations.
  • Scalability: Cheaper standalone lab RCM systems don’t scale well as your organization grows (they can’t handle increased volume or complexity). In this scenario the likely next step is investing in a new lab RCM software solution much sooner than expected, making the cheaper option more expensive in the long run.
  • Integration challenges: Simpler lab billing software for labs doesn’t integrate smoothly with your existing LIS system and requires synchronization of master files (clients, providers, tests, pricing, etc.) which could lead to disjointed lab workflow, inefficiencies, and increased errors.
  • Limited support and training: Legacy RCM tools limit customer support and training options. This could lead to staff using the lab billing system ineffectively, leading to lower productivity and potential mistakes.
  • Patient satisfaction: A robust lab RCM solution handles lab billing and insurance claims efficiently and ensures a smooth and transparent RCM process (RCM cycle) for patients and clients. A cheaper, less efficient lab billing software leads to errors and confusion, negatively impacting patient satisfaction. Also, patients increasingly want clear, up-front information about costs, and an inferior laboratory billing process will not provide the necessary tools for price transparency. This could impact patient and customer trust and satisfaction in the long run. 
  • Transparency and a single source of truth: In today's digital health landscape, having a single source of truth is vital for managing and reporting accurate information. A standalone lab RCM solution can’t centralize all your data, leading to fragmented and inconsistent information across various laboratory software systems. This lack of a single source of truth can impede transparency, hamper decision-making, and affect the overall efficiency of your operations. Moreover, transparency is crucial, not just for internal operations, but also for the patients and clients you serve. 

A robust laboratory billing process can consolidate all your financial data, providing a single source of truth. It can help maintain data integrity, promote transparency, facilitate more accurate reporting and analysis, and ultimately, lead to better business decisions and improved patient satisfaction.

Therefore, while the initial cost is a crucial factor, it is just as essential to consider the total cost of ownership, including potential hidden costs and pitfalls. A more comprehensive lab RCM solution will be more expensive initially but offer better value over time by improving efficiency, maximizing automation, increasing profit, ensuring compliance, and enabling growth.

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

Learn More: Cost of Inaction: The Dire Consequences of Neglecting Modernization in Laboratory Operations and Informatics

RCM solution

Laboratory Billing Solutions: Upfront RCM Tools Ensure Order Data Accuracy  

As one might imagine, many advantages come with starting the laboratory revenue cycle management (RCM) process as the lab order is created. Legacy and standalone laboratory billing solutions are flawed because they don’t have the RCM tools to catch upstream mistakes before they cause downstream denials. On the other hand, LigoLab’s advanced LIS software includes a fully integrated and robust lab revenue cycle management module that offers numerous RCM tools that prevent mistakes and speed up the laboratory billing process. 

  • Insurance eligibility verification: This crucial laboratory billing process can be initiated automatically or manually at the start of test processing and continued seamlessly throughout the lab billing workflow. With the Insurance Eligibility Checking tool from LigoLab, integrated directly into the order entry lab workflow, you significantly enhance the rate of clean claims and reduce the likelihood of denials at later stages. In response to these eligibility verification outcomes, tests can be appropriately redirected to reference laboratories, ensuring optimized and efficient laboratory workflow management.
  • Insurance discovery: The Insurance Discovery tool from LigoLab offers flexibility and can be implemented at any point within the laboratory workflow. The LIS system can be configured to trigger the tool automatically in instances where eligibility verification fails or when insurance details are missing. The responses garnered from the Insurance Discovery tool can, in turn, dictate alterations to lab workflow, ensuring an adaptable, responsive, and efficient laboratory billing process.
  • Advanced beneficiary notice (ABN): The generation of an ABN involves a sequence of steps; the unbundling of the test panel, the CPT code assigned to the test, the application of a specific pricing policy for tests, and finally, the presentation of the ABN document to the patient for their signature. LigoLab’s integrated lab RCM module efficiently facilitates the second and third steps in this laboratory billing process.
  • Preauthorization: Based on set rules and validations configured within the laboratory information system (pathology software), tests requiring preauthorization are held until the necessary preauthorization number is provided. Both the preauthorization number and the corresponding CPT codes are then communicated to the lab RCM module.
  • Test addition and deletion: The laboratory billing process of adding or deleting tests can be performed at any point in the laboratory workflow, even after charges have been submitted to the payer. This addition or deletion of tests may instigate a coding review, leading to subsequent client invoice or claim modifications.
  • Payer sequence synchronization: The payer sequence indicator is fully synchronized within LigoLab’s lab RCM module. Any changes in the payer sequence that aren't synchronized could potentially trigger laboratory billing errors.

Laboratory Billing Solutions: Integrated Master Files Management

In an integrated laboratory workflow, Master Files are critical. They encompass the various setup parameters (including different data fields and flags) integral to the LIS system's functionalities. With standalone LIS systems or laboratory billing systems, Master Files must be manually synchronized to ensure seamless laboratory workflow. However, unsynchronized data modifications can trigger unpredictable lab workflow outcomes, causing inefficiencies and potential errors.

In contrast, with LigoLab's integrated LIS system and laboratory billing platform, manual synchronization for lab RCM becomes obsolete. The shared Master Files data eliminates the need for duplicate effort and reduces the risk of discrepancies, ensuring a consistent, reliable laboratory workflow.

Typical synchronization requirements in standalone LIS system software and laboratory revenue cycle management systems often include:

  • The master payer list (that has all insurance carriers).
  • The client/client group list (lists all clients and groups for accurate billing and reporting).
  • The ordering/rendering provider list (houses details about providers who order or render services).
  • The rendering facility list (captures data about where services are performed).
  • The place of service list (contains information about where patients receive services).
  • The CPT/custom CPT list (maintains records of all procedure codes).
  • The modifiers/custom modifiers list (provides an overview of all modifiers used for coding).
  • The system security user profiles/credentials list (contains access and security details for users.

In LigoLab’s pathology reporting software, these lists are harmoniously integrated, reducing administrative overhead and increasing laboratory workflow efficiency.

Learn More: The LigoLab Difference: Demonstrating the Power of Lab RCM Automation in the Clinical Laboratory

Pathology reporting software

Laboratory Billing Solutions: Patient Demographics Verification  

By utilizing lab RCM tools verification of patient demographics may be conducted at the earliest stages of test processing, which makes it possible to bypass demographics review in the standalone lab RCM workflow. This results in extensive automation of the laboratory billing process (including insurance, client, and self-pay billing).

Laboratory Billing Solutions: Seamless Automation of Coding

Leveraging laboratory information system functions with an integrated informatics platform provides an unparalleled advantage in lab workflow visibility. Such comprehensive oversight eliminates data silos and facilitates real-time tracking of each procedure within your laboratory operations (and finances). 

For coding this integrated approach transforms the traditionally manual and error-prone laboratory billing process into an automated, streamlined, and efficient task. Every procedure is captured and coded accurately, ensuring no revenue leaks due to uncoded or under-coded procedures. This in turn not only maximizes your revenue but also increases your operational efficiency, giving you more time to focus on your core laboratory services.

The integrated platform creates a transparent and seamless environment, ensuring every step is accounted for, every procedure is accurately coded, and every potential revenue opportunity is captured. This is the power and promise of a unified, integrated LIS system software with a robust laboratory billing solution.

The power of the unified LigoLab platform is in its ability to seamlessly utilize lab revenue cycle management (lab RCM) tools, thereby facilitating precise pre-coding in the laboratory information system (LIS pathology) module. This ensures accurate data transfer from the LIS system to the lab billing encounter data entity (embedded within the lab RCM module). 

Under certain scenarios, the coding processes are initiated before data is shared with the lab RCM module. This coding can occur on various levels:

  • The test level (for example, flow cytometry in the LIS system).
  • The specimen/site level (such as immunochemistry in the LIS system).
  • Th Encounter level (within the lab RCM module). 

Tests and procedures processing: Leveraging the platform's integrated feature ensures that all laboratory tests and procedures are accounted for and billed accurately, eliminating the risk of missing a single case.

Test result monitoring: Any abnormal test results will trigger designated rules and automated processes related to the respective coding processes, ensuring that each unique scenario is handled appropriately and efficiently.

The integrated platform also offers the convenience of easy access to post-coding reviews for pathologists or administrative personnel. This enables further scrutiny and ensures the accuracy of codes before they are finalized, enhancing revenue integrity and mitigating compliance risks.

Learn More: LigoLab’s Platform Benefits for Pathologists

LIS system

Laboratory Billing Solutions: Simplified Data Access and Sharing 

An integrated laboratory information system software (pathology reporting software) with RCM tools enhances the ease of data access and sharing. It readily provides access to critical information such as specimen data, reports (including amendments), images, scanned documents, and the sources of CPT code assignments (test/panel).

Laboratory Billing Solutions: Streamlined Access for Pathologists and Executives

The LigoLab platform goes even further to create consolidated reports and dashboards, drawing upon the integrated laboratory information system (LIS medical software) and laboratory revenue cycle management (lab RCM) data. With this, all department managers, pathologists, and executives can easily review and analyze critical information to gain insight into their operations. Furthermore, the convenience of unified single-system credentials facilitates secure remote access from any device, adding another level of flexibility to your operations.

Learn More: Understanding the Importance of Real-Time Analytics in the Modern Clinical Laboratory

Comprehensive Laboratory Information System/Pathology Management Software 

Since 2006, LigoLab has specialized in developing and licensing laboratory information system software, providing comprehensive and agile medical laboratory solutions for anatomic (anatomic pathology LIS), clinical (medical LIS), and molecular laboratories (molecular LIS). 

Learn More: The Genesis of LigoLab:  What Started as a Shared Vision Between Friends Has Become the Definitive Information System Choice for Modern Laboratories

The LigoLab LIS & RCM Informatics Platform drives efficiency, productivity, market differentiation, and growth in hundreds of laboratory facilities nationwide.

LigoLab’s laboratory information system (LIS software) module first debuted in 2006 and the flagship anatomic pathology solution was released in March 2007. The lab RCM module of the platform was launched in 2019. TestDirectly, LigoLab’s direct-to-consumer lab testing software solution marked a major milestone for the LIS company and its vision of delivering a complete platform with infinite configurability when it debuted in the spring of 2020. 

This fully integrated multi-specialty pathology lab software platform optimizes efficiency and performance to drive all the features and modules lab organizations need to succeed, all without the need to interface multiple third-party modules or systems, middleware, or manual workarounds. 

Fueled by automation, laboratory productivity goes way up, turnaround times become much faster, and human error resulting in lost or mislabeled samples is drastically reduced with this unique-to-the-market all-in-one pathology software solution.

Ready to See It for Yourself?

Learn how LigoLab can help you achieve your clinical laboratory management goals. Click on this LINK to connect with our laboratory information system experts and schedule a personalized laboratory workflow management software demonstration

Suren Avunjian
As a Co-Founder and CEO, Suren Avunjian oversees all business growth and operations while leading a team of best-in-class personnel at LigoLab Information Systems, a LIS software company specializing in advanced laboratory information systems for medical laboratories nationwide.

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