Empowering Labs with Automated Medical Necessity Documentation
In today’s healthcare environment, labs face mounting pressure—shrinking reimbursements, soaring audit rates, and denials that drain both time and revenue. At Cellarian, we’ve witnessed firsthand how labs are losing up to 40% of potential income simply because medical necessity documentation isn’t handled properly. That's huge. And obnoxiously unfair.
1. The Pain: Denials, Audits & Compliance Burden.
Payers frequently deny claims due to insufficient or missing documentation.
Laboratories are drowning in the back-and-forth with provider offices to obtain patient‑specific justification—creating delays and frustration.
Medicare and private insurers are tightening oversight, especially around drug test codes like G0480–G0483—triggering escalated audits and penalties.
2. The Cellarian Solution: Automated, Compliant, Revenue-Driving.
Cellarian automates the entire medical necessity and appeals documentation process:
Seamless integration with LISs and RCM tools to pull denied claims continuously.
Smart generation of patient- and payer-specific documents using clinical and payer policy logic.
Compliance built in—each document meets audit standards and can be reviewed/edited by providers before submission.
3. ROI That Scales
Recover denied revenue that was previously written off.
Limit administrative burden on physician partners—no added effort in documentation.
Free up your internal teams to focus on growth and customer acquisition rather than chasing claims.
4. Designed by Experts, Built for Labs
Developed by physicians, lab owners, and RCM experts, Cellarian continuously updates its algorithms to reflect payer policy changes. The platform is modular, scalable, and secure—allowing you to expand your business instead of chasing administrivia.
5. Proven Outcomes
Labs report a significant uptick in successful appeals and timely payments.
Physician reviewers save time and remain engaged thanks to the Cellarian Solution.
Labs avoid risk and stay audit-ready—no scrambling during compliance checks.
If you’re a lab operator feeling the pinch from denials and rising compliance pressure, it’s time to explore an automated solution that pays for itself. Request a demo today and see how Cellarian turns denials into recovered revenue—with minimal effort from your team or providers.
