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.

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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.

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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)

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)

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)

Onetime setup fee: $1000.00

This fee includes 10 hours of system training during setup.

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

Additional Services Offered

Batch Eligibility – $48 per month
Manage EDI Enrollment Process between Client and Northstar’s preferred vendor
Batch Statement Printing and Mailing – $.78 per statement
- 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
Live web software Training
HL7 EMR Integration
- Pricing varies
CSV File Integration
- Pricing varies

* If client is able to use the NorthStar HL7 and / or CSV specification, no additional fee is required. Pricing applies only if additional customization is necessary.

See our solutions in action

Schedule a Demonstration

When starting our laboratory we relied heavily on PGM for guidance on everything from credentialing and coding to managing insurance payments to patients. Their knowledge and expertise in anatomical pathology billing has greatly contributed to the success of our company. I highly recommend PGM to any lab, and we look forward to continuing our long term partnership with PGM.

Dr. Shahrukh JovindahIcon Pathology

PGM has been instrumental in helping us manage Acculab's billing and revenue cycle. They are a trusted partner, and have played a pivotal role in our continued growth and success.

Acculab
Brandon WoodwardCFO

PGM has a smooth and efficient approach to implementation. My dedicated account representative was extremely knowledgeable about everything from improving my fee schedule to developing a list of frequently used procedure codes that could improve my payer reimbursement. PGM guided my office staff and I through every step of the billing hand over.

Jordan M. Garrison Jr. MDJersey City, NJ

PGM’s system tracks data so effectively that we can conduct detailed analyses to determine the health of each of our locations as well as the productivity of the providers.

A2 Medical GroupLeesburg, VA

PGM’s fully integrated practice management software combined with their back office billing solution gave our practice the resources to spend our time doing what we do best.

Office ManagerPrivate Physicians Medical Associates