CHALLENGES

• Establishing an entirely new lab
• Setting up Practice Management System
• Credentialing with insurances
• Data extraction from Lab Information System (LIS)

PROCESS

• Daily data extracted from LIS for claims submission
• Set up Direct Deposits and Electronic remittance for all possible insurances
• Global agreements established with TPA’s for higher reimbursements
• Sharing billing summary with practice on a weekly basis
• Confirmation of payments (paper checks) prior to reconciliation in Practice Management System
• Setup process for patient account receivables

RESULTS

• Agreements set at 90% of billed amount
• More than 100% increase in samples screened
• Collected approx. $66,000 in Q1 2013 and approx. $100,000 in the first month of Q2 2013
• One of the only two WellCare providers in Greater New York

“Thank you very much to all of you for your wonderful work ”