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Five Steps to Capture Lost Revenue for Hospital Outreach and Outpatient Services | Part 5: Sharpen Focus on Stakeholder Access and Engagement

This blog post is the final installment of our five part series. View Part One, Part Two, Part Three, Part Four. Pressure on hospitals and health systems to promote transparency, access, and engagement for patients and physicians is accelerating on multiple fronts. For example, as of January 1st 2021, CMS requires hospitals to post specific pricing data for at least 300 “shoppable services” in...

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CFO Perspective: Boosting Outpatient Profit with Optimized RCM

Many health system and hospital executives look to outreach, outpatient, and ancillary services to impact their organization's cost structure and quality performance.However, these organizations typically employ EHR systems designed for inpatient service revenue cycle management. This leads to reduced visibility into key outpatient RCM problem areas and metrics that enable critical decision-...

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Five Steps to Capture Lost Revenue for Hospital Outreach and Outpatient Services | Part 4: Establish Universal Compliance in RCM

This blog post is part four of a five part series. View Part One, Part Two, Part Three. Running afoul of regulatory compliance requirements is a significant concern for hospital administrators and finance leaders—with good reason: the consequences can be steep. For example, in June 2020, a Georgia-based hospital system agreed to pay $16 million to settle multiple allegations of violating the...

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Five Steps to Capture Lost Revenue for Hospital Outreach and Outpatient Services | Part 3: Capture and Exploit the Right Data

This blog post is part three of a five part series. View Part One and Part Two. In this series, we’ve explored the substantive topline and bottom-line impacts of front-end revenue cycle automation and enhanced claim denial management capabilities. Next, we look at capturing and exploiting the right data, to help regain lost outpatient revenue. Faced with the pronounced fiscal impacts of Covid-19...

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Five Steps to Capture Lost Revenue for Hospital Outreach and Outpatient Services | Part 2: Enhance Denial Management Capabilities

This blog post is part two of a five part series. View Part One. View Part Three. Part one of this series explored the adverse topline and bottom-line impacts of using an EHR system to manage outreach and outpatient services billing. We learned how the front-end automation functionality of a purpose-built revenue cycle management (RCM) system, used in concert with an EHR platform, mitigates these...

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Five Steps to Capture Lost Revenue for Hospital Outreach and Outpatient Services | Part 1: Automate Front-End Processes

This blog post is part one of a five part series. View Part Two. View Part Three. Health systems and hospital groups are looking to outreach, outpatient, and ancillary services to boost topline and bottom-line results and bolster overall quality of care. Yet many of these departments are confined to using EHR systems designed for inpatient services. Too often, this leads to coding discrepancies,...

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After Large Spikes in 2020, Diagnostic Laboratory Testing Volumes on the Decline

As XIFIN CEO Lâle White wrote in her recent LinkedIn article, the COVID-19 pandemic created many challenges for the diagnostic industry in 2020. In the preceding years, many laboratories were running lean with little excess capacity. With the surge in COVID-19 testing demand, labs had to quickly add capacity to handle the new testing volume. In addition, dynamic regulatory changes designed to...

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How an Accurate Patient Out-of-Pocket Expense Estimator Helps Prevent Surprise Billing

There has been a lot written about surprise billing lately and the No Surprises Act, which includes surprise billing legislation, was signed into law the final week of 2020 and is slated to go into effect on Jan. 1, 2022. Surprise medical bills are unexpected balances the patient owes. This can occur for example when a patient receives care from a hospital that is in-network but is seen by a...

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