Cogent Lab Services GIVING YOU ACCESS TO AN UNMATCHED NATIONWIDE NETWORK OF SUPERIOR HEALTH SYSTEMS

Why Hospital Out-Patient Diagnostic Billing?

The Government is continuing to restrict independent clinical labs due to recurring compliance and quality issues. Payers are strategically making moves to block all but a chosen few clinical labs by restricting in-network access. This forces out-of-network labs to strategically align themselves with health systems in order to have a seat at the table. Additionally, patients, clinics, rehab groups, and MDs prefer working with higher quality lab system than their current choices dictate; That's where you come in...

Benefits of being a Preferred Partner

  • 90% adjudication rate
  • 50% of claims within 30 days
  • Work with the top health systems in the country
  • Above average reimbursement
  • Free state-of-the-art specimen tracking system
  • In-Network status for 90+% of claims
  • Get paid a minimum of $500/specimen

Why is this Different than other HOPD models?

  • Planned and structured to meet stringent legal guidelines
  • Professional execution, meeting all compliance protocols
  • National scope of operation and linked to a unified operational team to capitalize on team strengths
  • We have been engaged to represent the hospital systems so you will not be dealing with brokers and middlemen

OUR HEALTH SYSTEM AFFILIATES

As a Preferred Partner, you will be part of a nationwide health system that includes over 350 hospitals.

  • A network of over 350 hospitals
  • 7 major well-respected health systems
  • 3 of the top 8 largest health systems in the United States
  • Hospitals located in 39 of 50 states

LABORATORY PREFERRED PARTNER PROGRAM

Our ideal Preferred Partner will meet the following criteria:

  • Have the ability to refer a minimum of 5,000 specimens per month
  • Have been in business for at least one year
  • Have a clean record and successfully complete the vetting and compliance process
  • Have capacity to process additional specimens
  • Have direct access to the laboratory owner without marketing groups or sales representatives
  • Be CLIA, CAP, or COLA certified and have successfully passed an inspection within the last 2 years
  • Toxicology Quantitative Method capable of testing 60+ analytes
  • Be able to complete a 48 hour turnaround time from receipt of specimen to reporting of certified results

OUR REIMBURSEMENT TIERS

  • Tier 1: Per reimbursable confirmation specimen (97+% clean claims)
  • Tier 2: Per reimbursable confirmation specimen (94+% clean claims)
  • Tier 3: Per reimbursable confirmation specimen (90+% clean claims)

Brian Madigan, Director of Business Development

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