CELLARIAN AUTOMATES MEDICAL NECESSITY DOCUMENTATION.
You run your lab. We’ll help you get paid.
WE MAKE WORK EASIER FOR LABS AND PHYSICIANS.
Cellarian does the tedious part of the physician’s job—the part they just don’t have time to do. The lab doesn’t have to reach back to the physician’s office for patient-specific medical documentation. The records are correct and compliant without the usual time, cost, and frustration.
Imagine that.
We made it a reality.
STAY COMPLIANT AND REDUCE RISK
Cellarian helps you breeze through the audits, avoid penalties and recover everything you’re owed by ensuring your lab is compliant with insurance medical necessity requirements and industry standards.
MAXIMIZE REVENUE CAPTURE
Cellarian enables your lab to capture previously unreachable revenue by compliantly automating medical necessity documentation to support denied claim appeals and ensure payment for all coding levels.
MAKE YOUR STAFF INTO ROCKSTARS
With Cellarian automation streamlining your revenue capture and denials management, your staff can focus on gaining new customers rather than trying to get current clients to document better. Make more money with your current payroll.
HOW IT WORKS
Successfully capture denied claim revenue with our simple three-step process:
We obtain your denied claims on a continuous basis.
We automatically generate the medical necessity and appeal documentation.
You get paid on denied claims that were previously unreachable.
CELLARIAN IS TRANSFORMATIVE
Cellarian is the only company that compliantly creates clinical documentation needed for payment, without adding more work for providers.
CELLARIAN INTEGRATES WELL
Our automated solution integrates with EHRs and Lab Information Systems and can even be integrated into other RCM products to improve their suite of services.
CELLARIAN IS SMART
Designed by physician and drug testing specialists, along with revenue cycle and compliance experts. AI-driven processes automatically update payer medical necessity policies to ensure maximum revenue capture and compliance with payer guidelines.
CELLARIAN IS EXPANDABLE
Modular software design is rapidly adaptable to any diagnostic lab service line with clinical documentation requirements, increasing claim denials, or time-consuming prior authorizations, with the greatest ROI delivered at scale.
WE’VE WALKED IN YOUR SHOES.
Founded by a physician expert and a seasoned team of industry and health IT specialists frustrated with payment denial strategies of health insurance companies, Cellarian is a SaaS health IT company committed to developing automated solutions that empower labs, generate revenue, decrease risk, and improve patient outcomes.
YOU MIGHT BE ASKING…
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No. Cellarian was built from the ground up from experts in this space. We know doctors don’t have the time for documentation. Our AI-driven algorithm only requires the information that your lab needs on a test requisition form. We can integrate with EHRs and LISs and to create even more accurate documentation with an even higher rate of success.
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Yes, Cellarian creates patient- and payer-specific medical necessity documentation. It makes no difference whether you’re in- or out-of-network.
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Oh, it definitely is. We’ve done our homework to ensure that the documentation fulfills all the necessary requirements to ensure compliance. Physicians have the ability to review and edit the document to ensure it reflects their determination of medical necessity. The process is similar to a doctor's review of a nurse practitioner’s chart note: making any edits or additions, then signing off on it.
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Cellarian’s software is agnostic towards payers, labs, hospitals or doctors. We built this to support appropriate clinical drug testing and if a test for a specific patient is not medically-necessary, our software will not support it.
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We’re working on it. Cellarian’s platform is highly adaptable, so if you have a need for automating medical necessity for services other than lab, let’s set up a meeting to discuss that.
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We asked the same questions.
What we found was that until about two years ago, labs were still making such large margins that writing off denied claims didn’t really matter. However, a lot has changed recently. The pressure that payers have been putting on labs through decreasing reimbursement and increasing denials finally created enough pain to spark demand, especially now that Medicare is targeting labs that are billing drug testing codes G0480-G0483 for audits. So, denials are skyrocketing and a number of lab operators have faced serious consequences. Additionally, everyone in the lab billing space knows that doctors will never write the level of medical necessity documentation that payers require to support reimbursement. So, everyone just assumed the only solution was to write off the claim.
We didn’t think that way and leveraged our clinical and technical expertise to create a truly revolutionary solution to a very expensive problem. We knew that “cut and paste” or “cloning” a template doesn’t work. Our founder was part of the ASAM Drug Testing Expert Panel and our algorithm was designed from the ground up with compliance, security and privacy in mind.
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