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Cellarian's automated AI-powered solution creates the unique, patient-specific medical necessity documentation that your lab needs to get paid.
Cellarian's automated AI-powered solution creates the unique, patient-specific medical necessity documentation that your lab needs to get paid.
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.
Cellarian helps you breeze through audits, avoid penalties and recover everything you’re owed by ensuring your lab is compliant with insurance medical necessity requirements and industry standards.
With Cellarian automation streamlining your revenue capture and denials management, your lab can focus on gaining new customers rather than trying to get current ones to document better. Make more money with less payroll.
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Request a demo todayWe 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.
We know you have questions. We have answers. If you can’t find the answers below, send us an email and we’ll get you the answer.
No. Cellarian was built from the ground up from experts in this space. We know doctors don’t have the time for this. Our AI-driven algorithm only needs the information that your lab needs on a test requisition form. We can integrate with EHRs and LIS’s and to create even more accurate documentation with an even higher rate of success.
Yes, Cellarian creates patient and payer specific medical necessity documentation. It make no difference whether you’re in or out of network.
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. It works in a way similar to how a doctor reviews a nurse practitioner’s chart note, makes any edits or additions, then signs off on it.
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.
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.
a. 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 payers’ squeezing of the labs through decreasing reimbursement and increasing denials finally created enough pain to spark demand… especially, now that Medicare is targeting labs billing drug testing codes G0480-G0483 for audits. So, denials are skyrocketing and a number of lab operators have gone to jail… 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.
b. 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.