Blog Posts by Tag: Laboratory
6 Strategies to Support Patients and Optimize Revenue During the Medicaid Continuous Enrollment Unwinding
During the COVID Public Health Emergency period, the Medicaid Continuous Enrollment Provision was established; under this provision, Medicaid could not disenroll its members, even if they technically no longer met eligibility requirements. As a result, during the pandemic between 2020 and 2022, Medicaid enrollment increased by 25%. But the provision expired on March 31, 2023, and states have...
Overcoming Reimbursement Compression: The Latest Trends in Denials for Laboratories and Pathology Practices
This is the second article in a three-part series on denial and appeals trends. This article focuses on claim denial trends by payor group and by market segment, and denial trends for claims with a 2021 date of service differ from a similar analysis completed on claims with dates of service in 2018. If you missed the first article in this series on the importance of physician engagement in...
3 RCM Reports You Should Be Reviewing to Monitor Payor Payment Trends
Payor reimbursement behavior is complex and constantly changing. Payors make policy changes regularly and it’s challenging for medical providers to keep track of whether they are being reimbursed in full. Staying on top of payments whether for contracted or non-contracted reimbursements can require significant resources. Yet, if not monitored regularly, organizations will miss out on earned...
Denials and Appeals Management: The Importance of Patient Engagement
Revenue cycle management (RCM) for laboratories and pathology practices is constantly evolving in complexity. Payors introduce new and more rigid policies that make collecting reimbursement for services rendered increasingly difficult. XiFin recently published a new whitepaper, Overcoming Reimbursement Compression: The Latest Trends in Denials and Appeals Management for Laboratories and Pathology...
Love Your Labs—Support SALSA
As Lab Week 2023 approaches, it's important to reflect on the ways in which laboratory professionals contribute to patient care and how legislation can impact their work. The Protecting Access to Medicare Act (PAMA) and the Saving Access to Laboratory Services Act (SALSA) have a direct impact on laboratory services. Did you know?In just three years, PAMA has resulted in payment cuts of...
Why HIMSS 2023 Matters
Discover insights from the annual conference that can impact your organization. HIMSS 23 is right around the corner, running April 17-21 in Chicago, drawing attendees under the banner of healthcare information and technology. Although it is seen primarily as an event for hospitals and health systems, consultants, and healthcare IT providers, there are reasons to pay attention even if you don’t...
Improve Your Lab Efficiency by Integrating Your EHR and LIS
Advances in patient care continue to accelerate at record levels. Concurrent with this trend, digitized laboratory information systems (LIS) and electronic health records (EHR) are becoming even more essential for managing patient information—and improving the quality of care. Integrating these two systems can help streamline laboratory operations and improve overall efficiency.But not everyone...
Avoiding LIS Disruptions: Applying Lessons Learned from Southwest Airlines
This blog expands on the impact related to a recent blog, "What Can Medical Providers Learn from the Southwest Airlines Fiasco." If you missed that blog, we encourage you to read it. In healthcare, especially laboratory testing, a significant percentage of medical decisions are based on test results. Laboratory test results influence approximately 70% of medical decisions that are made by...
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