Complimentary Program Consultation
We can help you evaluate the effectiveness of your lab benefit management program though our Channel Evaluation process.
|Claim Data||We assess claim data to identify utilization and unit cost issues, scoped at place-of-service 11, 19, 22, 81, par and nonpar providers. Unit cost and utilization costs are segregated at the market, product, test, rendering-lab, referring-MD, and par/nonpar levels.|
|CPT Pattern Analysis||We assess the unit-cost and utilization performance of hard-to-identify tests through our proprietary CPT Pattern Analytics.|
|Lab Network||We assess whether lab networks are optimally used by ordering physicians, and if not, we identify strategies to improve network value, including lab-test repricing through our Labs-of-Choice™ relationships.|
|Policy||We array existing clinical and administrative policies against the data-analysis to assess if policies have been well-executed and if new policies should be added to existing policy portfolios.|
|Tests||Based on the data analysis, we identify tests, and test-classes (molecular, toxicology, etc.), that may benefit from physician decision support and prior authorization.|