How can TELCOR’s Lab Outreach Business Pro Solution Help Your Outreach Program?
Our Lab Outreach Business Pro solution is the only system available on the market that is designed specifically for a hospital outreach lab setting to manage the billing process for your outreach services and provide metrics to make informed business decisions. This robust set of tools allows you to better manage your outreach program’s business, effectiveness and revenue-generating power.
PRODUCT FEATURES
Workflow Improvement
TELCOR's software helps improve your laboratory's production and workflow. It also reduces denials and improves client satisfaction, all with an expected ROI of just one year.
The application receives all outreach charges from your LIS and uses our configurable rules engine to validate and process the data. Tools are provided for the laboratory to correct transactional errors, such as a missing diagnosis, and then the transactions are processed (e.g., CPTs and prices assigned). Once complete, transactions that are patient-billed will be transferred to patient accounting for processing, and client-billed transactions will be further processed by the Lab Outreach Business Pro Client Billing module.
Client Billing
The TELCOR application includes extensive functionality to customize pricing and manage the contract process required to support client billing. Master client-to-client relationships make it easy to support client organizations with multiple locations. Significant client pricing options are available and include unlimited fee schedules, discounting with rounding rules, special pricing, capitated contracts, contracts that limit dollars that can be billed, discounting tiers based upon amounts billed, quantity based discounting and more. Multiple contracts can be in effect concurrently, and, with the use of effective date ranges, a complete contract history of each client is maintained. Prior to publishing a price schedule for a client, management can model profitability determine if the pricing schedule offered meets the organization’s goals. Also, to aid in contract management, the client price schedule option allows inquiries to all client contracts that are going to expire within a defined time frame to ensure the laboratory is not performing service under an expired contract.
The Lab Outreach Business Pro also includes many rules that define how client transactions are processed to ensure the client is only billed for what is eligible. Rules for client bill eligibility, nursing home bed type, which procedures can be client billed and more ensure each client is only billed for expected services. Per client, you can also define if daily or weekly notifications of charges will be provided, so the client can perform their own patient billing in a timely manner. Monthly client invoices present all charges, credits, adjustments, payments and, if necessary, even sales tax. Invoice format, content, sorting and messages can be customized by the client, as well as how their notifications and invoices will be distributed (e.g., fax, secure encrypted email, paper or even HL7 charge transactions).
Business Management
This application provides significant business-management metrics and analytics to assist with growing your outreach program. For example, the application:
- Provides the ability to know profitability by client
- Allows for the determination of expected reimbursement of your outreach program
- Allows daily, weekly and monthly reviews of charges transferred to patient accounting
- Provides statistics on error corrections required by the client or ordering provider
- Compares the projected and actual profitability of clients
- Provides flexible contract administration tools
- Provides tools to manage sales teams
- Provides an understanding of utilization by client, territory, region, salesperson, etc.
PRODUCT BENEFITS
- Reduce denials
- Improve cash flow
- Improve production and workflow
- Utilize current patient accounting system
- Improve client satisfaction
- Expected ROI in 12 months
- Reduce labor per transaction