Blog Posts by Tag: Data Quality - Insurance Discovery
The Importance of Connectivity and Automation to Accelerate Revenue Cycle Management: A Focus on Insurance Eligibility and Discovery
Kouri AndrewsDirector, EDI Operations, XIFIN Mike FauverAVP Health Systems, XIFIN Using disconnected systems to manage the complexity of medical claim billing and revenue cycle management (RCM) can lead to errors, inefficiencies, and rework. This drives delayed reimbursement...
The Path to Touchless Insurance and Address Error Resolution
Enjoy the following content from our partner, Waveland Technologies. For the last few years, there has been a lot written and talked about on the topic of touchless claims. At its core, this topic is all about automation ― it starts with data accuracy in an effort to be more efficient, and reduce rework and costs. The net result, of course, is getting claims paid, faster.In the diagnostics...
Connecting and Automating Diagnostic Revenue Cycle Management: Eligibility Verification Speeds Reimbursement, Drives Revenue, and Reduces Operating Cost
When laboratories and other diagnostic providers use multiple disconnected systems to manage the complexity of diagnostic claim billing and revenue cycle management (RCM), this often leads to errors, rework, and other inefficiencies, ultimately driving higher operating costs. Diagnostic providers sometimes attempt to connect or “bolt-on” supplemental capabilities to augment missing or subpar RCM...
Consider Closing Out the Year Strong With an Accounts Receivable (AR) Clean-up
Enjoy the following content from our partner, FrontRunnerHC. If you’re like most organizations, 2020 has impacted your patient volume and cash collection, so capturing every dollar of the revenue you’re entitled to is critical. Recently, I wrote an article featured in Beckers Hospital Review about three key reasons claims are piling up in your Accounts Receivable (AR) ledger. (To check out the...
XIFIN RPM 12: Additional Appeals Automation Capabilities, Expanded Advanced Analytics and Patient Data Discovery, and More
Laboratory testing volume is at an all-time high. Molecular testing volume, for example, is currently at 275% of pre-COVID-19 levels. Diagnostic providers must transform their revenue cycle management (RCM) to adapt quickly to this changed world. This is not a challenge that can be overcome by throwing people at it. That is not a sustainable, scalable solution and during the COVID-19 pandemic is...
Is Your Lab Embracing the ‘Consumerism in Healthcare’ Era? It Should.
Enjoy the following content from our partner, FrontRunnerHC. The concept of consumerism in healthcare has evolved over the years, and whether we are in support of it or not, we must trust that the industry landscape has a new driver: the patient. The patient is taking charge of their healthcare more than ever. As consumers, they are proactively researching the different service options available...
The Impact of Surprise Bills - What's Your Lab Going to Do About It?
In the time of information accessibility, patients are still left in the dark when it comes to their insurance coverage, which leads to surprise medical bills flooding one out of five American mailboxes. This distress creates a negative ripple effect that not only disrupts their financial situation but also affects labs. How did this happen?According to Kaiser Family Foundation, 72% of health...
XIFIN’s Data Assists in Discovery of Standards Violation
With more than 3,000 payors, a siloed provider will not have the breadth and depth of data to determine if payors are adhering to standards. Because of the high volume of claims XIFIN processes and the managed services that are offered as part of our XIFIN RPM solution, our EDI services team has visibility across these payors for all of our clients. As the provider of a cloud-based revenue cycle...
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