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Reimbursement Screening

Orchard Harvest LIS improves reimbursements and simplifies the time-consuming task of medical necessity validation by automatically screening ICD-9 codes, testing frequency and experimental procedures during order entry.

Medical Necessity Checking Made Easy

Orchard Harvest LIS: Advance Beneficiary Notice (ABN)With Harvest LIS, maintaining your medical necessity checking is simple. The master ICD-9 dictionary and National Coverage Determinations (NCDs) can be downloaded from Orchard Software's website and easily imported into your Harvest LIS database.

 Automatic ICD-9 Screening Increases Reimbursements

Harvest LIS automatically screens 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.

 Documentation of Problem Orders

The Reimbursement Problem Report documents all orders not meeting medical necessity, and it allows you to proactively address reimbursement concerns with your providers.

 Test Routing Rules Maximize Reimbursements

Harvest LIS order entry rules allow you to route poorly reimbursed tests to outside labs if an insurance company reimburses less than it costs your laboratory to perform the test in-house.

Orchard Harvest LIS: Color-coded Diagnosis Codes