Stop leaving money on the table. Turn denied claims into revenue, compliantly.
Don’t let lack of medical necessity documentation cost your lab thousands per month.
CLAIM WHAT’S YOURS.
Cellarian’s automated AI-powered solution creates the unique, patient-specific medical necessity documentation that your lab needs to get paid.
Award-Winning:
Trusted By:
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.
Lower Overhead and Capture More Customers
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.
Stay Compliant and Reduce Risk
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.
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.
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.
MORE REVENUE
LESS RISK.
We understand what matters. Cellarian was founded by physicians and lab owners frustrated with trying to get doctors medical necessity documentation to get paid. Our process is effortless, easy to integrate and effortless to on-board, and does not require anything more from you or your customers.
Who will benefit from this service?
Clinical Reference Laboratories
Revenue Cycle Management
Physician-Owned Labs
Electronic Health Record Companies
“I’m tired of leaving money on the table. Cellarian delivered what no one else could.”
Tony Osko, President of Avanti Laboratories
Cellarian helped Avanti Labs recover over 60% of medical necessity denied claims, boost monthly collections, all while decreasing operational costs and risk.
“We have multiple labs both in and out of network. Cellarian’s technology is brilliant. We always code appropriately and now we never worry about a medical records request. With Cellarian, we always have the documentation we need to support our claims.”
Maddy Nara, Clinical Lab Consulting
Cellarian helped Avanti Labs recover over 60% of medical necessity denied claims, boost monthly collections, all while decreasing operational costs and risk.
Frequently Asked Questions
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.
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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.
