You have no items to compare.
| Name of billing/accounts receivable/revenue cycle management system | Lab/Hex Billing & Cash Management |
| First ever billing/AR*/RCM** system install/Most recent billing/AR/RCM system install*** | 1983/May 2012 |
| Last major product release for featured billing/AR/RCM system | January 2012 |
| No. of contracts for sites operating billing/AR/RCM system | 45 |
| • Contracts signed since March 2011/Gone live since March 2011 | 4/4 |
| No. of sites operating billing/AR/RCM system (HL/IL/PP/PO/OL/FI)**** | 45 (0/40/1/0/3 veterinary, health department/1–in Lebanon) |
| No. of inpatient invoices handled by installed sites annually | — |
| No. of outpatient requisitions handled by installed sites annually | 10,000–1,300,000 (average, 200,000) |
| Percentage of installations that have standalone billing/AR/RCM systems | 10% |
| No. of user workstations in sites operating billing/AR/RCM system (average) | 3–64 (average, 16) |
| No. of employees in entire company | 14 |
| • No. of employees dedicated to billing/AR/RCM system development, install, support | 4 |
| Server platform | Intel Open Platform |
| PC or workstation platform | Windows |
| Innovative peripherals | scanning |
| Operating systems | Linux |
| Databases and tools used | Thoroughbred Basic |
| Other vendors to which software has a lab system-related interface | Cerner, McKesson, PSI, Siemens, Sunquest, Emdeon, others |
| Features (listed as a percentage of live installations or based on availability) | |
| • Patient demographics transferred via interface from LIS to billing/AR/RCM system | 100% |
| • 1500 claim form generation (paper version) | 100% |
| • UB-04 (formerly UB-92) claim form generation (paper version) | 100% |
| • Client invoices | 100% |
| • Patient invoices | 100% |
| • Reprints of above on demand | 100% |
| • Key indicator tracking (online view of site-assigned key indicators) | 100% |
| • Test profile versus component billing | 100% |
| • Medical-necessity screening for Medicare | 100% |
| • Professional component billing | 100% |
| • Auto delete of nonbillable procedures | 100% |
| • Technical component only | 100% |
| • Retain demographic data, repeating patients | 100% |
| • Account and patient payment posting | 100% |
| • Accounts receivable system | 100% |
| • Management or marketing reports | 100% |
| • Automatic balance billing to patients | 100% |
| • Capitation billing plus billable tests | 100% |
| • Utilization reports for managed care | 100% |
| • Global charges for lab tests | 100% |
| • Unlimited user-defined fee schedules | 100% |
| • Track financial classes | 100% |
| • Allow open-item accounting (each line item on bill can be handled separately) | 100% |
| • User report writer | 100% |
| • User-defined collection system | 100% |
| • Track profitability by test, payer, and client | 100% |
| • Client services or call tracking module | 100% |
| • Rules-based processing/claims scrubbing/bundling/unbundling/72-hour rule | 100% |
| • Multi-lab or multi-company processing | 100% |
| • Support all HIPAA transaction sets | 100% |
| • Support electronic formats, including ASC X12 5010, IAIBC EDI guidelines | 100% |
| • Support standardized coding systems, including ICD-9-CM, ICD-10, CPT, etc. | 100% |
| Billing/AR/RCM system supports electronic data interchange with third-party payers and claims clearinghouses | yes |
| • Electronic functions offered | claims, remittance, rebill, acknowledgement, medical necessity, eligibility, financial reports |
| Third-party rules and coding updates supported by system | CodeMap, 3M, ADP, Ingenix, any tab-delimited file |
| Complete ASP solution for billing/AR/RCM system | no |
| • Method of charging for ASP service | — |
| • Client software required | — |
| • ASP information conduit | — |
| • Client contracts supported from data center not operated by client | — |
| • How data center is operated | — |
| Indexed field in each test definition for LOINC code | yes |
| Provide LOINC dictionary for each new installation | no |
| Source code | escrow |
| Methods by which users can tailor billing/AR/RCM system in their own setting | ad hoc query tools, user-defined interfaces, dictionary settings, others |
| Total cost for smallest standalone billing/AR/RCM system install***** | $17,500 (annual maintenance fee, $2,400) |
| Total cost for largest standalone billing/AR/RCM system install***** | $100,000 (annual maintenance fee, $15,000) |
| Total incremental cost for smallest configuration of billing/AR/RCM***** | $5,000 (annual maintenance fee, $1,200) |
| Total incremental cost for largest configuration of billing/AR/RCM***** | $35,000 (annual maintenance fee, $6,000) |
| Distinguishing features (supplied by company) | • fully integrated billing with Lab/Hex LIS or can be interfaced to any LIS, HIS, PMS, or other system |
| *AR=accounts receivable/**RCM=revenue cycle management | |
| *** based on June 2012 survey deadline | |
| **** HL=hospital labs, IL=independent labs, PP=pathology practices (only surgical pathology/cytology services), PO=physician offices, OL=other U.S. locations, FI=foreign installations | |
| ***** total cost includes hardware, software, installation, and training | |
| Note: A dash in lieu of an answer means company did not answer question or question is not applicable. | |
| Tabulation does not represent an endorsement by the College of American Pathologists. |