SCC’s Healthcare RCM Solutions

Lab Portal

RCM’s order entry and results portal provides accurate information on patient demographics and insurance, while the Demographic Bridge connects the physician’s PMS to the laboratory’s ordering system. Laboratories can then connect to a physician’s office system from any application, regardless of its physical location, network accessibility or operating system. This feature eliminates the need to retype patient demographic and insurance information into the laboratory’s ordering system when placing an order.

EMR Connectivity

Our solution for accessing electronic medical records (EMR) creates two-way connectivity between hospitals, labs, physicians, and pharmacies. It removes the communication barriers that often exist between different systems, allowing connectivity with virtually any third-party EMR solution. The capabilities of our EMR Connectivity Hub include over 500 EMR and PM systems across over 900 versions. It also connects with over 34,000 physician offices.

RCM’s lab portal offers remote configuration with a built-in scheduler, which manages data transfers between your laboratory and each physician’s practice. It provides full control over the days, times, and frequencies of these transfers. Users can also configure the physician interface to a secure web browser.

Business Intelligence Reporting

Monitoring key performance indicators (KPIs) in multiple areas remains a critical challenge for laboratories, whether they’re commercial or hospital-based. RCM provides this type of reporting in many areas, including financial and outreach analytics.

Financial analytic reporting includes comparing expected reimbursement with actual reimbursement, usually for the purpose of identifying payor errors. RCM provides tools that can monitor a laboratory’s billing and collections efforts, while providing accountability and operational transparency. This capability also allows laboratories to assess the efficiency of these services.

Outreach analytic reporting benefits from multiple levels of granularity when used to manage a laboratory’s business. RCM offers many tools for monitoring growth and profitability that provide functions like assessing profitability by physician, physician office, physician specialty, and nursing home. It also allows users to monitor revenue by market, courier route, and laboratory department.

Eligibility and Patient Verification

Payments create challenges for laboratories, such as patients frequently changing their insurance coverage, employers using high-deductible plans to shift costs onto their employees, and physicians sending blood work to laboratories with paper requisitions. These issues often cause the laboratory’s billing department to spend a significant amount of time updating patient and insurance demographics.

Our RCM tools now check patient demographics and verify insurance coverage for accuracy at the point of registration. In addition, we verify eligibility at the payer, and again at the clearinghouse prior to claim submission.

Courier Tracking

RCM’s Courier Tracking system defines routes by routine and specialty, helping laboratories dispatch pickup requests to couriers in the field in real time. It also documents all courier activities, such as specimen pickup, supply delivery, and returns. In addition, Courier Tracking displays routes in different colors to indicate their status, allowing dispatchers to easily select the best route based on its proximity to the requesting location or expected run time.

Inventory Management

RCM provides many functions for managing inventory for laboratories, such as tracking inventory from filling to delivery. It also maintains inventory levels for outreach supplies and tracks supplies sent to outreach accounts. This process is based on pre-defined minimum and maximum inventory levels, which can be adjusted at the inventory location. RCM also allows laboratories to create and track back orders from inception to resolution.

Healthcare CRM

RCM’s Call Management feature provides laboratory call centers with maintenance functions like tracking problems and complaints. They can also monitor courier pickups and generate management and history reports. The Call Registration feature enables users to register incoming calls by parameters like call number, caller name, and call category. Users can also track calls that were dropped before they were processed, which is especially helpful in call center management.

Billing Services

RCM Enterprise Services provides outsourced billing services for medical laboratories, such as hospital-based outreach laboratories, commercial laboratories, genetics laboratories, and pathology groups. Our solutions address the revenue cycle side of these businesses by providing tools and services that improve data capture, thus enhancing the final billing process. These solutions provide a complete toolset, eliminating the need for clients to seek out multiple solutions from other vendors.