Reimbursement Screening
Orchard Harvest LIS improves reimbursements and simplifies the time-consuming task of manual medical necessity validation by automatically screening ICD-9 codes, testing frequency, and experimental procedures during order entry.
Medical Necessity Checking Made Easy
With Harvest LIS, maintaining your medical necessity checking is simple. You can download the master ICD-9 dictionary and National Coverage Determinations (NCDs) from Orchard Software’s website and easily import them into your Harvest LIS database.
ICD-9 Screening Increases Reimbursements
Harvest LIS automatically screens for valid ICD-9 codes, testing frequency, and experimental procedures during order entry, flagging all potential reimbursement issues. If an ABN is required, you can generate and print either a Medicare ABN or a non-Medicare ABN in English or Spanish. Harvest LIS will automatically add the correct billing modifier, ensuring complete and accurate coding, as well as timely reimbursement.
Test Routing Rules Maximize Reimbursements
Order entry rules allow you to route poorly reimbursed tests to more cost-efficient reference laboratories, should an insurance company reimburse your lab less than it costs to perform the test in-house.
Documentation of Problem Orders
The Reimbursement Problem Report documents
all orders with medical necessity, frequency,
and research reimbursement issues, which allows you to proactively address concerns with your providers.
