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Having an In-office PCR Lab Program's leads to improved outcomes for your patients.
A recent Urology study found a 13.7% reduction in hospital admissions and/or ED utilization associated with the use of the M-PCR/P-AST assay compared with the use of a traditional standard urine culture (3.27% vs. 3.79%; p = 0.003).
Molecular tests are becoming more routine as diagnostic tools - covered by Medicare and most commercial insurers. In certain specialties and populations, molecular diagnostics are positioned to become a standard screening test. View White Paper
Long turnaround times can lead to further spread of communicable diseases and hinder effective contact tracing, ultimately posing health risks and increasing costs as outbreaks are not contained.
KEEP COMPLIANT with CDC’s Antibiotic Stewardship Program, aimed at reducing unnecessary hospital readmissions and infections.
By integrating a physician-owned laboratory (POL) into your practice, your medical practice will elevate with robust services, improved treatment capabilities, and monthly revenue.
Often the large lab facilities are not just billing the insurance carrier, they also send patients to collections. The Integration of this system will grant you all-inclusive billing privileges or the option to outsource billing and the control of your patient’s financial outcome when PCR testing is utilized.
LEARN MORE HOW THIS CAN WORK IN YOUR PRACTICE
Enrollment is simple.
Your dedicated account representative will qualify your practice for volume and billing matrix minimums. We can provide a customized pro forma for your practice to utilize in your due diligence process and introduce you and your decision-makers to our experienced PCR Lab team via online conference for presentation and Q&A.
We would be setting up a high complexity lab (CLIA/COLA) -- either expanding your existing lab operations or starting from scratch. Our experienced PhD Lab Consultant will help you to select the right space and design your lab area. We can help you source and even help outsource the management of the required staff (Lab Director and Lab Technician) if you don't already have them in your organization.
Full validation studies are completed onsite by our licensed PCR experts who will train your staff and maintain ongoing compliance of your lab.
We offer customized program options to either own or lease-to-own equipment with 60-day deferred payment schedule, which can help with cash flow while your reimbursements are being collected.
For qualified practices who merely meet the minimum test volume return on investment should be the first month.
After an agreement is signed, you can be up and running tests in 30-60 days.
Identifying the right pathogen is the crucial step in developing an appropriate treatment plan for an infection. The gold standard has been traditional culture and sensitivity. Now providers have an additional diagnostic test available – molecular testing.
Traditional culture method is all about growing what's there, slowly but surely and observing phenotypic characters like shape, size, staining property, reactions in biochemical tests etc. It often involves a lot of process of trial and error, ruling out species after species until you have only one option left using observable characteristics.
The major advantage of Real-Time PCR over traditional culture method is the ability to obtain accurate results in a very short time.
Traditional methods for diagnosing infection have relied largely on clinical microbiology laboratories selecting, isolating and then identifying pathogenic
organisms via culture. This can be very time consuming. For some fastidious or slow-growing organisms, the delay to de nitive microbiological
diagnosis can stretch to weeks, while some organisms cannot be cultured at all. Other drawbacks with culture methods include problems with
sensitivity, cost (resource intensive) and potential safety concerns with pathogenic organisms.
PCR can precisely analyze the genetic material of pathogens, provide a more de nitive diagnosis than POC antigen assays, and can be done within 1-hour (In-Office) turn-around.
Traditional culture and sensitivity testing has been carried out since in a very similar manner to the techniques developed by Robert Koch in the late
1800s. This led to the development of the science of infectious disease, where a microbe caused a given disease. Although this was a breakthrough for identification and treatment of infectious disease, culturing worked only for a fraction of microbes.
Testing for these microbes took a few days for fast growing bacteria and up to a few weeks for the slower growing organisms. The advent of new sequencing technologies, with techniques such as PCR (polymerase chain
reaction) and microarrays has reduced analytical processing time to a matter of hours. The newly developed technologies have arrived at a time when antibiotic resistance has become a serious problem for today’s clinicians.
Infectious disease testing using Real-Time PCR and other sequencing methods will continue as a cutting-edge technology for developing primers based on known resistance genes. As a result, traditional cultures and sensitivity is not as effective as Real-Time PCR and other genetic based assays in identification of the resistant strains of organisms and how to best treat them.
UTI PLUS with Grid Sample Report_PMD (pdf)
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We help urgent cares, medical groups, hospitals, reference labs, and employers set-up or expand on-site COVID-19 PCR testing labs.
Patients get same-day test results with the gold-standard of COVID testing methods, and owners can capture additional lab revenue.
We produce our own reagents and have ample PCR analyzers and testing supply stockpiled. Our clients do not have to source ANY items required for collection or testing, as we supply everything needed from sample collection to result, in addition to turnkey set-up, licensing, and ongoing compliance maintenance.
Medicare reimburses (CPT U0003 + U0005) $100 per test. The per test bundle cost comes with everything needed from collection to reagent - swab/saline transport/reagents/pipettes/plastics.
Our customers net about $50 per test. Contact Us for a sample pro forma - 200 tests a day, 22 days/mo. yields over $250K net income per month. A recently on-boarded urgent care chain who's operating a drive-through testing operation (1,200 tests a day) will net over $1.7M per month.
If your facility is in one of our partner cities where there is an urgent need for Covid-19 PCR testing for airlines and public events, we can help drive volume to your practice for testing. (See hub city list)
Due to high demand and testing capacity of our testing, we are looking to work with facilities that can do at least 200 Covid-19 PCR tests per day. You can courier samples from multiple locations to your central lab location to batch runs.
Equipment information:
https://www.bio-rad.com/webroot/web/pdf/lsr/literature/10010424.pdf
EUA/test efficacy information:
Our PCR Covid assay is an adaptation of an EUA from one of our partner labs. We have adapted this to have no extraction, which increases speed of processing samples. EUAs are no longer accepted by the FDA for Covid lab developed tests and must instead be validated under the CLIA guidelines. Lab developed tests are now allowed under the guidance: https://www.hhs.gov/coronavirus/testing/recission-guidances-informal-issuances-premarket-review-lab-tests/index.html
With one RT-PCR Biorad CFX96 instrument, up to 94 Covid samples can be run in a 1 hour runtime. The preparation step is a 5 minute heating with a lysis buffer. The sample is then pipetted into a pre-filled 96 well plate prior to the PCR run. More instruments increases sample throughput.
Full validation studies are completed onsite. These studies are 1) lower limit of detection, 2) interfering substances, 3) precision, and 4) accuracy. Also, clinical correlation will be completed by running 30 known Covid positive and 30 known Covid negative samples from a reference laboratory. These can be completed in two days onsite with our materials.
We have validated for NP, nasal, and mid-turbinate sample collection.
The Limit of Detection (LOD):
We achieve 20/20 positives at 3.46 TCID50/mL, or 2160 genome equivalents/mL, with a mean Ct 34.64, SD 0.67. This corresponds to 5.4 genome equivalents/reaction. This is approximately the limit of detection that would be determined onsite during validations.
In addition, we do not see false positives or negatives with our testing. We have run this approximately 3 million times already with our partner labs and have a lower LOD than published by LabCorp.
We would be setting up a high complexity lab (CLIA/COLA), Virology -- either expanding your existing lab operations or starting from scratch at your point-of-care facility. We can help you source a Lab Director and lab technician, if you don't have them in your organization already.
You would need a 10'x12' space for a single-unit installation.
If you're concerned about improved patient outcomes and the financial health of the medical practice, stay up-to-date on proven ancillary revenue programs, programs to avoid, digest of case studies and white papers, and summary interviews with the experts.
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