Laboratory Billing Software

There is a better way to get paid. See why independent laboratories choose our purpose built revenue cycle management platform to support their business.

Overview

PGM has been working with clinical and reference labs for the past 30 years and developed one of the most intuitive and effective lab billing systems. Our laboratory management software automates day-to-day tasks that slow labs and their staff down. Streamline workflow, gain access to real-time analytics, customize reports and boost productivity. It adds up to cleaner claims and fewer denials. And it's all for free. You get paid faster and more accurately — and keep more of your hard-earned money.

Dashboard

Assess your lab's most important performance metrics on system startup with our customizable dashboard. Select from billed charges and collections, accounts receivable, productivity, top CPT codes by volume, denials and much more. With just a few clicks, you can add, remove and edit components. It's the most important information you want displayed instantly and assessable in one place.

Streamline, manage and track, financial and administrative processes
with best in class laboratory billing software.

Financial Workflow

  • Charge Capture & Entry
  • Claim Submission
  • Remittance
  • Denial and A/R Management
Charge Capture & Entry
Set up your lab's most common codes, then watch clean claims go up and denials go down thanks to simple charge entry and capture. The system comes ICD-10 ready; no extra add-on needed. And it accepts data from any LIS, removing interoperability barriers that impede information flow, adaptation and compliance.
Claim Submission
Count on our powerful scrubbing tool to get clean claims out the door and money in the door fast. It checks every claim to help ensure accuracy and completeness prior to submission. When your lab's staff don't waste time reworking claims and repeating the submission process, they spend more time collecting.
Remittance
Always know the status of your lab's payments and immediately identify the issues causing payment delays without remittance management functionality. It shows what claims need additional attention and where staff should focus their efforts. It also illuminates opportunities to provide staff training and education to improve performance and productivity.
Denial and A/R Management
The faster you collect outstanding receivables, the faster the money can be put toward your lab's expenses and investments and efforts to enhance your profitability. Our system delivers insight into the status of denials and days in accounts receivable (A/R) so you can act fast. It's easy to organize denials and no-response follow-up, broken out by denial reason, claims by payer, age of claims and more. You'll always know the accounts to prioritize, maximizing staff time and, most importantly, money captured.

Reporting

It is said that what you can't measure, you can't improve. Our reporting and analytics functionality helps you do both effortlessly. Understand your lab's performance inside and out thanks to customizable, easy-to-assess metrics and graphs. They deliver the in-depth look into your financials to keep your lab growing and thriving. Choose from hundreds of standard reports or customize your own to meet specific goals. Achieve clearer visibility into your lab's operations and claims status — all maintained in real time. Our system makes it simple to produce the key data and metrics needed for regulatory reporting and meaningful benchmarking.

LIS Integration

LIS Integration

We know the last thing you want for your lab is a solution that risks slowing down your throughput. That's why we made sure our customizable system effectively integrates with nearly any LIS. The system can already integrate with some of the most common LISs. If your lab uses a different LIS, that's okay: As long as it meets basic industry standards, we'll with work with your LIS vendor to develop a bridge for the seamless exporting of testing and associated billing data to our system.

Rules Engine

You've witnessed it first hand: payer rules and regulations changing on what seems like a daily basis. Rely on the PGM team of lab experts to monitor payer announcements and update our claims rules engine when we learn of changes and additions. This keeps denials at a minimum and often eliminates the chance for repeat denials.

Pricing

Basic
$499.99/month

0 - 1500 Claims*

  • 24/7 Anywhere Cloud Access
  • Software Updates
  • System Access - Up to 5 Users
  • Laboratory Dashboard
  • Charge Capture and Management
  • Laboratory Analytics & Reporting
  • Paper Claims
  • Paper Patient Statements
  • Alert and Appeal Letter Templates
  • Claim Scrubbing
  • Online Tutorial Library
  • Electronic Claims and Electronic EOBS (ERAs)
  • Patient Eligibility
Pro
$999.99/month

1501 - 3000 Claims*

  • 24/7 Anywhere Cloud Access
  • Software Updates
  • System Access - Up to 5 Users
  • Laboratory Dashboard
  • Charge Capture and Management
  • Laboratory Analytics & Reporting
  • Paper Claims
  • Paper Patient Statements
  • Alert and Appeal Letter Templates
  • Claim Scrubbing
  • Online Tutorial Library
  • Electronic Claims and Electronic EOBS (ERAs)
  • Patient Eligibility
Pro Plus
$1499.99/month

3001 - 4500 Claims*

  • 24/7 Anywhere Cloud Access
  • Software Updates
  • System Access - Up to 5 Users
  • Laboratory Dashboard
  • Charge Capture and Management
  • Laboratory Analytics & Reporting
  • Paper Claims
  • Paper Patient Statements
  • Alert and Appeal Letter Templates
  • Claim Scrubbing
  • Online Tutorial Library
  • Electronic Claims and Electronic EOBS (ERAs)
  • Patient Eligibility

* Overages on claim volume will be billed at $.40 per claim.

Additional Services Offered

  • Manage EDI Enrollment Process between Client and Northstar’s preferred clearinghouse
  • Batch Statement Printing and Mailing – $.78 per statement
    • Through Northstar’s preferred clearinghouse
  • Patient Payment Portal
    • Through Northstar’s preferred clearinghouse
  • Patient Payment Portal
    • Through Northstar’s preferred clearinghouse
  • Requests for Report Customization in billing system
  • Data Field Customization in billing software
  • Software Training
  • HL7 LIS Integration

See our solutions in action

Try our new billing software