Laboratory Services

Lab Startup Services

Medicare and payer payments to providers are driven by the value providers add to the delivered care to patients and not by the volume of patients they encounter.

Lab Management

Our highly trained staff review the documentation to substantiate the medical necessity for procedures to seek legitimate payment. This review enhances reimbursement from the payers as well as avoids recoupments, penalties, and sanctions by Recovery Audit Contractor (RAC)/ Zone Program Integrity Contractor (ZPIC).

Lab Consulting

Star ratings and quality data submission mandates such as: Physician Quality Reporting System (PQRS), Meaningful Use (MU) - Electronic Health Records (EHR) Stage-II, Value Based Modifier, and Medicare Access and CHIP Reauthorization Act (MACRA) - Merit-Based Incentive Payment System (MIPS). These offerings are the new standards for providers to remain compliant in the industry. We help providers navigate these crucial areas to assure compliance and timely payment.

Instrument Services/ Supplies

For traditional providers and hospitals we manage medical billing, coding, accounts receivable follow-up, and prepayment/post-payment audit compliance. Augustus HCS’ services range from demographic entry (CMS-1500/UB-04), charge capture, Electronic Clearing Service (ECS), Explanation Of Benefits (EOB) posting, accounts receivable follow-up and compliance assistance.

RCM Auditing / Consulting

Revenue Cycle Management (RCM) auditing and consulting are critical for optimizing the financial performance of a clinical laboratory. These services help ensure accurate billing, maximize reimbursements, and maintain compliance with regulatory requirements.

Quality, Regulatory and Compliance Auditing

Quality, regulatory, and compliance auditing are essential practices for ensuring that clinical laboratories adhere to industry standards, meet regulatory requirements, and maintain high-quality operations. These audits help identify areas for improvement, ensure compliance with relevant laws, and enhance overall laboratory performance.

Software Solutions

A Laboratory Information System (LIS) is a software solution designed to manage, store, and process data and workflows in a clinical laboratory. Implementing a Laboratory Information System (LIS) can significantly enhance the operational efficiency, accuracy, and compliance of a clinical laboratory.