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