Test Utilization Management Software
The Right Solution For Medical Necessity and Improved Reimbursement.
Medical Database is a trusted source of reliable, up-to-date medical information for clinical laboratories, healthcare providers, insurance companies, and educational institutions. Our content, authored by medical professionals, is designed to support clinical decision-making, ensure medical necessity, and maintain regulatory compliance.
Our Solutions
Solutions For:
Explore our organization specific solutions to optimize your test utilization management and regulatory compliance.
Students and Education
Educational tools and platforms to inspire the next generation of healthcare professionals.
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Professionals Involved
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Medical Tests Covered
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Reduction In Orders
Proprietary Scoring Algorithm
A Data-Driven Approach to Medical Necessity & Clinical Relevance
Powering our LDS, CPOE, and Lab AI, our scoring system assigns each test a score from 0 to 10 based on clinical evidence, expert judgment, and quantitative data. By color-coding these scores (green, yellow, red), healthcare professionals gain clear guidance on which tests are most crucial for diagnosing or ruling out a condition, helping ensure tests are both clinically relevant and reimbursable.
Scores of 7–10 (Green) signal highly relevant tests
Scores of 5–6 (Yellow) indicate optional or supportive tests
Scores of 0–4 (Red) help identify less relevant tests
Solutions That Empower
Accelerate Growth and Simplify Your Workflow
At Medical Database, we understand that healthcare organizations need reliable solutions they can trust, that actively boost profitability, and that integrate seamlessly into their existing workflows. Our software solutions are designed to build confidence, optimize reimbursement, and reduce the complexity of clinical operations.
Proven track record & compliance with industry standards
Optimized reimbursements & minimized unnecessary testing
Simple, secure integration with existing EMR & LIM systems
Integration
Medical Database Seamlessly Integrates With Your Industry
FAQs
Frequently Asked
Questions
Have questions about how Medical Database’s solutions streamline test ordering, ensure medical necessity, or simplify reimbursement? Below you’ll find answers to some of the most common inquiries we receive from healthcare providers, laboratories, payers, and more.
Medical Database is a software company that specializes in providing evidence-based solutions for test ordering, reimbursement, and laboratory management. Our goal is to help healthcare providers reduce unnecessary testing, ensure medical necessity, and streamline clinical workflows.
Medical Database offers four core products: LDS App – A bedside guidance tool that assists providers in selecting and utilizing the most appropriate tests, CPOE – A computerized provider order entry system that ensures accurate test selection at the point of order, LabAi – An AI-driven solution for claim verification, improving medical necessity and optimizing reimbursement, LDS®Rx – An advanced interpretation software for infectious pathogen and antibiotic resistance testing, supporting antibiotic stewardship for any infection.
Our proprietary scoring algorithm evaluates each test’s relevance and necessity for a given diagnosis, assigning a 0–10 score and a color code (green, yellow, red). This makes it easier for physicians and laboratories to choose the most clinically appropriate tests while reducing the risk of denied insurance claims.
Our solutions are designed with seamless integration in mind. We provide APIs and HL7 interfaces that easily connect to most LIM, EMR, and EHR platforms. This ensures that patient data, test orders, and lab results can flow securely and efficiently between systems.
We continuously update our test database and scoring system based on the latest clinical guidelines, Medicare/Medicaid rules, and industry best practices. This helps labs and providers stay current on regulations, minimize unnecessary tests, and maintain reimbursement eligibility.
Our products are designed for a wide range of users: hospitals, laboratories, payers, EMRs, providers, and even educational institutions. Any organization looking to improve test utilization, reduce costs, and stay compliant with medical necessity guidelines can benefit from Medical Database’s tools.