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Hex Laboratory Systems, Lab/Hex Billing & Cash Management (Billing Systems 2012)

Hex Laboratory Systems, Lab/Hex Billing & Cash Management (Billing Systems 2012)

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Contact Information

Hex Laboratory Systems
Susan Bollinger
sbollinger@hexlab.com
1042 B El Camino Real, Suite 308
Encinitas, CA 92024
800-729-2085



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
• extensive flexibility with custom invoices and statements; alternate pricing schedules; excellent medical necessity module
• electronic billing and remittance to all carriers; ANSI 5010 in production

*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.