Audit Of Processes and
Development of Best Practices for Coding and Billing Reference Laboratory
Services
The analysis of current policies and procedures associated with
the outreach reference laboratory business practice provides an
opportunity to develop “best practice” procedures with
associated training for staff. This review evaluates current operations
and defines for the client the elements required for a “best
practices” cost analysis, client pricing, and compliant coding
and billing for the reference laboratory.
Analysis of Reverse Laboratory Model
HSC offers a profitability analysis of the “reverse reference
model” business relationship between a hospital laboratory
and a major commercial reference laboratory for “stat”
and “rapid turn-around” testing. The review includes
an analysis of the pros and cons of the relationship as compared
to a typical outreach model. It also includes an evaluation of the
associated fee schedule and, where appropriate, recommendations
for adjustment.
Outreach Profitability Analysis
This service evaluates the profitability of a client’s Laboratory
Outreach Program by examining the client’s expense and revenue
reports. HSC takes into consideration variable, direct and indirect
costs against recorded revenues to show whether the program meets
established institutional return on investment rates. This analysis
is valuable for a hospital administration when determining if it
should start or expand an existing laboratory outreach program.
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