| Chairing a Pathology Department at
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| | the disk crashes and software
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| Centrastate Hospital in New Jersey and
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| | maintenance. No more office staff moods
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| simultaneously running two laboratories
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| | and conflicts to resolve or benefits to
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| in two remote states (Oklahoma and New
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| | pay. I now pay only for performance,
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| Jersey) require Dr. Michael McGinnis to
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| | which makes perfect business sense," says
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| match his medical expertise with savvy
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| | Dr. McGinnis. "Finally, I can replace my
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| business sense."A pathologist must track
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| | administrative assistants with medical
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| workflow of the entire laboratory from
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| | specialists that can take over some of my
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| receiving a sample and requisition form,
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| | workload and add revenue."
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| to accessioning, to patient demographics,
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| | Mission-Critical System Features The
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| to history, to gross, dictation, proof,
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| | following seven features are critical for
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| distribution, and billing," says Dr.
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| | accomplishing the benefits listed above:
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| McGinnis. "I need to know precisely what
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| | Comprehensive integrated functionality
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| unfinished work is left at each stage in
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| | covering entire laboratory workflow
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| every lab. I need to track every step
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| | Internet-based access to data entry and
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| and know exactly who has done what
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| | reporting
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| regardless of their location. And I need
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| | An interface between hospital internal
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| this information in real time. For
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| | system and external billing service
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| instance, I need the list of signed off
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| | Arbitrary aggregation and comprehensive
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| reports arranged by requesting doctor,
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| | analysis of all laboratory and billing
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| date, patient, or payer, in real time."
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| | data
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| Information Systems Challenges in a
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| | Full and transparent access to each and
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| Pathology Laboratory Pathology billing
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| | every claim, from accession number to
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| is especially complicated because it
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| | coding to payment
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| requires:
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| | 24x7 status reports about received
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| Data flowing between
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| | payments, submitted claims, rejections,
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| Hospital system,
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| | follow-ups, and delays
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| Multiple requesting doctors,
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| | HIPAA compliance. Role-based access
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| Internal laboratory system,
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| | control to clinical and billing data
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| External billing service, and
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| | Yuval Lirov, PhD, author of "Mission
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| Multiple insurance companies
| |
| | Critical Systems Management" (Prentice
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| A system of checks and balances to
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| | Hall) , inventor of multiple patents in
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| Prevent losing a case
| |
| | artificial intelligence and computer
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| Ensure full and timely payment
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| | security, and CEO of Billing
|
|
| |
| | Technologies. Vericle(R) delivers
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| Continuous Measurement Billing quality
| |
| | comprehensive practice workflow engine
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| is best understood by observing the
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| | that integrates patient scheduling,
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| distribution of Accounts Receivable. A
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| | electronic medical records (EMR),
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| well-performing service will have half of
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| | billing, transcription, and compliance
|
| the claims paid within 15 days, with over
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| | management. By consolidating technology
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| 90% of all claims being paid within 45
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| | for hundreds of separate billing
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| days. The narrower "bell-curve" of
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| | services, Vericle(R) tracks payer
|
| Accounts Receivable means better cash
| |
| | performance from a single point of
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| flow predictability while its lower
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| | control, shares compliance rules
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| "tail" means added revenue.
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| | globally, and creates massive economies
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| Software-as-a-Service (SaaS) "Gone are
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| | of scale.
|
