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Useful Links, Forms & Tools

To simplify your laboratory operations we are making available several the following sample forms and tools that can be adopted in your organization. New topics will be added in response to the healthcare industry implementation of new policies and procedures.

Forms and Tools

Advance Beneficiary Notice for PAP Smears

Advanced Beneficiary Notice (EXPIRED)

California Direct Billing Exemption letter

Client Cut Off Letter 1

Client Final Collection Letter 1

Client Info Request Letter 1

Client Info Request Letter 2

Client Letter 1

Client Letter 2

Client Letter 3

Client Letter 4

Client Letter 5

Client Letter 6

Client Payment Agreement 1

Client Settlement 1

Client Settlement 2

Client Welcome Letter

Collection Service Agreement

Deposit Log Spread Sheet

Dx Do's and Don't

Dx Request Letter

Earn Top Billing in Radiology: Improve your accounts receivable management by evaluating these key areas

Frequency Denial Appeal

Indigent Patient Agreement

MDX Reimbursement Strategies

Metrics for Strategically Managing an MDx Laboratory: It's crucial that strategies and tools are employed to ensure viable financial performance.

Physician Acknowledgment

Policy for Diagnosis

Policy for Obtaining Third Party Billing Information

Policy for Standing Orders

PRL EWC 2011

Promissory Note

Revised Advance Beneficiary Notice (Effective 09/2008)

Revised Advance Beneficiary Notice Instructions

Sample Over-Payment Refund Letter

Travel Allowance Calculation Guidelines

Underpaid at Contracted Price

Underpaid at Fee Schedule

US Labs Case Study

Usual and Customary for Proprietary Test

XIFIN iNet Internal IT Web Services - Synchronous Exchange of Data Across Internal Systems Use Case

XIFIN iNET Overview

XIFIN_iNet_Patient_Services_OV.pdf


Useful Links




Interested In Learning More? Contact us to learn how XIFIN can help your business. Call us at (858) 436-2995 or click here to complete a brief information request form.