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Billing depends not only on access to accurate and up-to-date information; it requires an expert knowledge of how and when to apply these data. Between payor-specific requirements, compliance guidelines, and HIPAA standards, as well as numerous other requirements from States, FDA, and the OIG, few labs are able to keep up, with fewer still being able to reliably integrate them into their billing process. XIFIN maintains both the supporting data sets and the associated logic for these critical requirements. All are integrated into workflows that automatically process or prompt users for the needed information or action. Examples of Logic Maintenance Include:
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Compliance management is a difficult and potentially costly challenge for most laboratories. Because monitoring, accurately interpreting then implementing the latest guidelines is hard, few labs have reliable mechanisms and procedures that ensure compliant billing. XIFIN has incorporated and maintains sophisticated compliance management tools within applicable workflows. Some monitor, warn users and report potentially non-compliant actions or decisions, while others force compliant workflows. The system also assists labs with required documentation or correspondences. The Council of Ethical Organizations (a non-profit compliance "watchdog" group) recommended XIFIN as the only laboratory billing solution that provides a practical means for managing compliance requirements. Examples of Logic Maintenance Include:
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XIFIN helps each customer maximize their benefits by closely monitoring many key performance indicators within their revenue cycle process. XIFIN periodically reviews their findings with customers to help them troubleshoot problems, identify opportunities for improvement and measure overall progress.
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