LigoLab RCM Presentation (Video and Transcript)

LigoLab is a leading provider of innovative end-to-end pathology management software for medical laboratories, servicing nearly 300 facilities nationwide. As a comprehensive enterprise-grade pathology reporting software solution, the LigoLab LIS & RCM Laboratory Informatics Platform™ includes modules for anatomic pathology (LIS pathology), clinical laboratory (LIS medical), molecular diagnostics (LIS healthcare), laboratory revenue cycle management (lab billing), and direct-to-consumer lab testing (TestDirectly and TestDirectly.com), on an all-in-one integrated pathology software platform that supports every role, department, and the entire lifecycle of all cases, enabling laboratories to differentiate themselves in the marketplace, scale their operations, and become more profitable. 

Learn More: Why Integrated LIS System and Lab RCM Software is a Catalyst for Growth

LigoLab’s laboratory revenue cycle management (lab RCM) module is deeply integrated with the laboratory information system (LIS system) module. The modules work together to automate ICD and CPT coding and many other operational and financial tasks while also mitigating compliance risk and increasing margins. 

With LigoLab, the laboratory billing process starts at order inception with verification, eligibility, and scrubbing components that increase clean claim submissions and revenue, and decrease claim denials and compliance risk.

To learn more about LigoLab’s LIS system and laboratory billing integration and what it can mean in terms of net collections and profit, we invite you to watch this LigoLab laboratory billing solutions presentation (the transcript of the presentation is also available as you page down).

‍How the Advantages of Laboratory Information System and Laboratory Billing Software Sharing the Same Database and Infrastructure Shaped LigoLab’s Future

Thank you for giving us your time to introduce ourselves and share who we are and how our innovative pathology management software platform can help save you time, improve lab workflow efficiencies, reduce payer denials, and gain financial and administrative insight, and how through all of this, we can help improve compliance and accountability, mitigate risk, and increase your revenue and profit. 

Our name LigoLab comes from the Latin word ligo, which means “to unite,” and this concept is at the core of not only what we provide, uniting the functionality of LIS system and lab RCM solutions into one encounter-based pathology lab management system, but it's also who we are. 

You see, our founders joined forces and became the perfect trifecta for a very unique pathology software product that intelligently, practically, and seamlessly responds to the laboratory needs of improving efficiencies, reducing denials, and increasing both revenue and profit. 

Their expertise includes 20 years in the fields of laboratory pathology, cutting-edge laboratory report software development, and both laboratory finance and lab billing operations. The three came together to create a comprehensive laboratory information system solution to meet the challenges they themselves had encountered. They knew there must be a better way to improve the prior siloed, disconnected, and cumbersome LIS system and laboratory billing solutions. So, after many years of hard work, they made an innovative, intuitive, and really industry-changing medical LIS and lab RCM platform, and they never stopped further improving it every single day. 

We’re a Growing and Constantly Evolving LIS Company 

To begin with, we are based in Los Angeles, California, and we've been in business for nearly 20 years. We have approximately 80 employees who are equally passionate about essentially creating a better mousetrap in the healthcare LIS software provider space. We are proud to say that each and every one of our team members is best in class in each of their fields, which includes anatomic pathology, clinical and molecular testing, highly advanced pathology lab software development, laboratory operations, both administration and management, accounting, medical lab billing and regulatory compliance, hands-on training remote and on-site, 24/7 customer service with a turnkey solution mindset, and customized and prompt LIS software and laboratory billing solutions for clients’ needs. We have an amazing group of people who know their business and whose collective expertise has enabled us to become a leader in the LIS medical and lab RCM software industry. 

Learn More: Stability and Performance: The Two Most Important Aspects of a Modern Laboratory Operation

Pathology Lab Reporting Software Minus the Data Silos

What sets LigoLab apart is it's a fully integrated and transparent informatics platform, providing an interwoven laboratory information system and a dynamic lab revenue cycle management tool all in one, and further powering it with extensive automation tools, intuitive user visual interface, and deep third-party integration. It's a truly end-to-end and patient-centered pathology lab reporting software solution. 

We believe the main benefit of an integrated LIS medical and lab RCM platform is having everything in one place, all with intuitive navigation and two-way, lab-to-billing, and billing-to-lab workflow interconnection, plus built-in custom rule engines. Altogether, this provides an extremely powerful set of LIS and RCM tools for claim processing, which leads to increased lab workflow efficiency, accelerated cash flow, and most importantly, increased margin and profit. 

With LigoLab’s intelligent end-to-end laboratory billing solutions, you gain full transparency and control of lab billing workflow with upfront patient demographic and insurance eligibility checks, insurance discovery, real-time clinical lab workflow queues and reports, extensive and clear audit trail functionality, and automated CPT and ICD coding, all to provide proactive mitigation of denials and rejections which leads to increased revenue and profit. 

Queue-Based Billing Software for Labs

LigoLab’s primary driving force is its real-time queue-facilitated lab workflow design. All relevant information within the lab workflow process including order and specimen, patient and payer demographics, coding, lab billing, and remittance processing is all consolidated within our Billing Encounter data entity, and this interwoven lab billing logic is built-in throughout the entire LIS system and lab RCM lifecycle.

As we all know, one of the laboratory industry's biggest challenges is reducing insurance denials. It's estimated that 35 percent of claim denials are due to inaccurate or missing data, data that's been entered manually in a very time-consuming manner. So, investigating and verifying patient personal information and active insurance coverage with our third-party integrated RCM tools, and employing extensive LIS system/lab billing software automation and claim processing is so important, and we've made it all just a click away with features such as patient demographic lookup through Whitepages, address validation through USPS, real-time insurance eligibility checks and pre-authorization, real-time insurance discovery, regulatory institution compliance (including PTP and MUE, NCD/LCD and NPI registry), payment gateways, financial institution integrations, clearinghouses, client/patient portals, collection agencies, and automated and flexible statement distributions, such as fax, email, and SMS. 

The unique properties of our real-time, queue-based workflow design include user-defined queue filter templates, ease of navigation, intelligent filters, and its ultimate ability to allow for strategic distribution of work with full audit trail visibility. 

The workflow relevant data is compartmentalized within the Billing Encounter, which is the source of everything thereafter, almost like an interconnected relay race of data that seamlessly proceeds throughout the laboratory operations lifecycle. This provides synchronization of demographics and payment information, consolidation of multiple sessions, direct access to relevant patient data, accurate representation of performed procedures, consolidation of related claims, and EOBs and automatic generation of statements and claims. 

This slide expands on the interconnectivity of the Billing Encounter. Here we show multiple fields including the lab order. This is where you see client information, patient demographics, payer information, tests, specimen info, panels, and even external data, lab test results, which is where you see CPT codes, pathology, diagnosis and reports and then imaging, so you can check requisition scans, send out reports, or see payer insurance information. And then settings, which is where the powerful rules and automation live along with CPT codes, and NCCI, MUE, and custom edits, TC/PC splitting, and pricing policies, just to name a few. Finally, we have any and all associated claims and invoices consolidated here, all just a simple click away. 

Laboratory Billing with Multiple Distribution Options, All Packed into One Comprehensive Pathology Lab Reporting Software Solution

Our distribution engine accommodates numerous vehicles for statement and report delivery, such as auto manual fax, secure email notification, EHR interoperability, and IVR and printing to a remote server. There are many options for distribution, and they are all extremely intuitive. 

The payment resolution module within the LigoLab application is a well-oiled machine. Transaction processing is intuitive and optimized. Payment tools are transparent and data of any category is easily extracted. Payment history is designed to be easy, comprehensive, and is a reliable source of accounting insights, and our payment search engine is very robust and fast. 

With LigoLab, you can access accurate statistical analysis of all financial data, you can easily monitor industry trends, performance indicators, and benchmarks. With this detailed statistical reporting, users have the ability to balance AR down to a cent, extract a point in time posting summary, create dynamic customized reports with even the most elaborate format, build dashboards for all types of financial and medical analysis, and track all lab workflow data. All of this information can be extracted from the pathology lab management system in excel or in a customized PDF format.

Customized Pathology Lab Reporting Software

Our reporting template engine is quite powerful and can achieve the highest level of customization with documents or reports of any kind. Users may design their own client invoices, appeal inquiries, collection letters and so much more, all with the touch of a button, and we have many additional features including streamlined appeal and denial management, auxiliary data event alert functions, batch claims submission, claim submission, acknowledgment reports, comprehensive payer group and individual settings, flexible patient billing policies including payment plans, automatic multi-channel bill distribution and scheduling, and regulatory policy compliance. 

LIS System Vendors with Aligned Laboratory Billing Solutions 

In summary, we are true partners who align with your organization to meet the challenges of a rapidly changing environment. Our integrated LIS medical and lab RCM platform provides visibility and deep insight for your financial, administrative, and technical operations, all to increase productivity, mitigate risk, and improve compliance, enabling you to effectively and efficiently scale your business and increase both revenue and profit. 

We've helped many clinical labs and pathology groups do exactly that, and we look forward to the opportunity of partnering with and assisting you in achieving your lab’s growth objectives. 

We thank you for your time and we look forward to speaking with you soon.