People Process: Meeting Every Needs Of Medical Billings

By Terry Mac


Laboratory billing in the medical processing industry is one of the most complicated areas. The reason is that every year, laboratory billing gets a lot more complicated due to the ongoing changes from the field including payer practices, anticipated challenges connected with Accountable Care Organizations (ACO) together with escalating compliance specifications. Along with the constant aging population and improved diagnostic testing, laboratory billing faces escalating billing volumes as well and thus, the load of billing information every once in awhile. The way labs handle this usually is by hiring billing representatives but in the end raises fees together with the transforming landscape from the prior solutions. Furthermore, while not all representatives could be good, there will still be inaccuracies seen from the billing practices resulting in less improvement on billing and receivable performance and highly impacting the so-called people process.

Ideal automation is the key in improving this not just through Laboratory Information Management Systems (LIMS) only but also by using adaptive case management solutions integrated with LIMS and billing systems to finally minimize expenses, enhance medical billing accuracy with the retained automation, enhance cash collections and ensure compliance all throughout. Because of adaptive case management, this completes and maximizes the people process that is associated with unpredictable, repeatable back-office work managed in medical billing.

Another great solution is through integration with SharePoint. While SharePoint helps in business management and gives customers and partners the flexible and scalable framework in putting together production case management solutions, this can also happen in establishing the techniques in medical laboratories. The incorporated capture and storage feature in particular helps to leverage the SharePoint foundation at no extra charge while still giving documents their functional capabilities. Because of this, this delivers cost-effective and lean framework for the best return of investment yet the lowest TCO for any workflow or business process management solution.

One example of a workflow that integrates with SharePoint for people process solutions together with LIMS is e5 Workflow. According to studies, this is one of those that have been utilized by the Regional Medical Laboratory, a pathology laboratory in the Oklahoma City United States. It's been said that with SharePoint medical billing solutions and adaptive case management, productivity improvement has increased by 50% in addition to SLA compliance improvement of 66%.

With e5, each laboratory can be able to scan the requisition where each has a barcode for improved security purposes together with its contents prioritizing the requisition of its appropriate representatives' work queue. The staff accesses the digital requisition for viewing and keying in billing information into the laboratory's billing system. In the end, requisitions will be saved in an electronic document storage system for guaranteed access.




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