McKesson Revenue Builder for Labs

Accounts Receivable Management

Our accounts receivable management solutions can reduce your laboratory’s accounts receivable costs and boost revenue.

• Streamlining high volumes of transactions
• Locating the source of underperforming receivables
• Billing and reimbursement management to help ensure on-time, accurate payments
• Complete and timely charge capture
• Coding and auditing performed by certified coders
• Line-item posting of charges and payments
• RIS planning, evaluation and interfacing
• Hospital and managed care contract negotiation assistance
• Payor relations, including negotiation assistance
• Fee schedule optimization
• Random chart audits to help prevent incorrect payments
• Establishment of optimal billing cycles
• Establishment of appropriate codes for newer procedures that payors recognize and process
• Web-based patient portal for statement review and accurate payment processing

Reporting

Our laboratory reporting solutions empower you to increase productivity, simplify processes, and ensure accurate claims and strategize for future growth opportunities.

• Continuous, real-time web based reporting provides critical information required for daily operations and strategic decision making.
• Identifying and quantifying referral problems at the physician and test level
• Evaluating the effectiveness of salespeople
• Identifying underperforming clients for further analysis
• Pinpointing the financial impact of business decisions
• Summary management reporting and analysis
• Detailed custom reporting to provider and code level
• Productivity tracking for provider compensation
• Accession log number tracking
• Denial management tracking
• Radiology utilization and outcomes management
• Payor reimbursement tracking
• Practice benchmark comparisons

Compliance

Our compliance solutions ensure compliance and secure revenue with coding and monitoring that offer practice security you can count on.

Continuous system file update and electronic claims processing ensures accurate and compliant claim submissions.

• Technology-based compliance monitoring
• "Gold standard" compliance program managed by full-time staff
• Random audits to monitor compliance risks
• HIPAA data solutions and guidance
• IBM Fraud and Abuse Monitoring System
• Documentation training and physician education

Consulting

Get consulting services and expertise so your organization can implement the right solutions for its specific business problems.

• Network and managed care affiliation strategies
• Comprehensive financial management services
• Merger facilitation and group formation
• Development of outpatient and ancillary services
• Joint venture development for outreach labs
• Comprehensive practice reviews
• Compliance-related training and education
• Facility coding reviews
• Managed care contracting