Hospitals
Hospitals rely on Medical Database to streamline diagnostic decisions (LDS®), consolidate test ordering processes (CPOE), and improve their billing and reimbursement (LabAI). These solutions help reduce unnecessary testing costs, improve compliance, and empower medical staff to focus on high-quality patient care. Medical Database offers solutions to Hospitals and Healthcare Providers through three interchangeable products designed to help providers make the right diagnostic decisions leading to reduced admission, cost reduction, and increased reimbursement.
CPOE (Computerized Provider Order Entry)
The test-ordering system, CPOE, is specifically designed to integrate seamlessly with hospital EHR systems, to help healthcare providers select and order the most appropriate lab tests using evidence-based guidelines and industry best practices.
CPOE is backed by our laboratory database, LDS®. LDS® uses our proprietary scoring system designed to rank testing recommendations based on clinical relevance, medical necessity, and testing indication. Each time an order is placed via the CPOE it automatically includes the appropriate CPT code, diagnostic ICD10 code and LCD/NDC to meet medical necessity for reimbursement.
Instant medical necessity checks
Improves reimbursement by decreasing denials
Cost reduction by reducing human capital
Improves Medicare and Insurance compliance
Backed by trusted clinical guidelines
Simple integration with HL7 or FHIR
LDS® (Laboratory Decision System) app
LDS® (Laboratory Decision System) is available as a web or smart phone app for providers using CPOE and serves as instant content for all commercially available tests (over 2300 diagnostic tests), including genetic and proprietary tests. It delivers immediate bedside guidance for test selection and utilization, assisting healthcare providers, laboratorians, and students in choosing the most appropriate tests through our proprietary scoring system.
Tests can be searched based on symptoms, diseases, procedures or CPT codes, and ICD10 codes. Each time an order is placed via the LDS platform by a healthcare provider, our system will suggest the most appropriate/common diagnostic ICD10 code and LCD/NCD for such tests to meet medical necessity for better reimbursement. Included in this vast database is content for each test, including test overview, clinical utility, interpretation, reference ranges, specimen collection, additional testing, LOINC codes, CPT and ICD10 codes, along with references used for publication that can be utilized for test directory and as a resource for providers and laboratorians. To sign up for the trial version, please visit https://app.medicaldatabase.com/site/join/account, or check the video to see how it works.
The most reliable resource for lab testing for providers and students
Designed specifically for instant answers to lab needs
Available as a web based or smartphone app
Free subscription when use with CPOE
Content is continuously updated by medical experts
Lab AI
LabAI streamlines billing, reimbursement, and claim verification for hospital laboratories. It automatically checks claims for medical necessity, recommends improvements as needed, and ensures compliance with Medicare LCD and NCD policies to optimize revenue. LabAI verifies submitted CPT and ICD-10 codes, ensuring they align with the test or procedure to meet medical necessity requirements for reimbursement. The system also cross-references Medicare and private payer policies to ensure claims are accurate and compliant.
Using its proprietary knowledge-based scoring system, LabAI recommends alternative lab tests, CPT, or ICD-10 codes to educate providers and enhance reimbursement while ensuring compliance. It produces comprehensive reports for labs, providers, and practices, detailing claim statuses, denial codes, and explanations, ultimately enhancing future denial prevention. LabAI integrates seamlessly via an API, supporting formats such as HL7 through Mirth Connect.
Instant check of every claim for medical necessity to improve reimbursement
Claim corrections and improvements before submitted when needed
Customized report based on claims to improve ordering and reimbursement
Content is continuously updated by medical experts