Blog Posts by Tag: Medical Device - Remote Patient Monitoring
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...
What the End of the Public Health Emergency Means for Remote Patient Monitoring Companies
The COVID-19 Declaration of a Public Health Emergency (“the PHE”) ended on May 11, 2023. As a result, some of the virtual care flexibilities allowed by the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) during the PHE also expire. Remote Patient Monitoring companies are one of the many groups that must consider how the end of the PHE...
Measuring Real Client Profitability for Diagnostic Providers with Large National Sales Teams
Finance and sales executives for diagnostics companies with large national sales teams are becoming sophisticated in measuring sales productivity in terms of number of calls, revenue per client, revenue per rep, and even revenue per call. To better serve clients and patients, providers can leverage analytics covering the full transaction cycle—order-to-cash—to determine actual client...
Optimizing Billing and Cash Collection—Valuable Lessons Specialty Providers Can Learn from Clinical Laboratories
In our work at XiFin, we support a wide variety of medical providers, many of whom share similar challenges. While our founders and initial clients come from the laboratory space, we see an expanding need for flexible revenue cycle technology and services in other specialty and ancillary spaces. Specialty providers like radiologists, pathologists, anesthesiologists, remote patient monitoring...
Top 5 Blog Posts of 2022
As always, XiFin's Beyond Billing blog kept abreast of key issues and hot topics within the healthcare industry, staying especially in tune with legislative proposals that can potentially impact reimbursement and revenue.Here are the top blogs of 2022, with far-ranging topics that include PAMA and SALSA, the No Surprises Act, digital pathology, and revenue cycle management. 1. Laboratory Test...
No Surprises Act: 4 Key Steps to Providing Good Faith Estimates
The No Surprises Act protects patients from receiving a surprise medical bill by prohibiting balance billing and requiring providers to provide good faith estimates (GFE) of services. A GFE should be provided to all patients who are uninsured and should include all services expected to be provided by both primary and co-providers.While the legislation went into effect on January 1, 2021, HHS did...
Optimizing Patient and Payor Payments with Patient Responsibility Estimator Tool
In 2021, the total US out-of-pocket healthcare patient spending increased by 10% from the previous year and is expected to continue to increase by 9.9% annually through 20231. An increase in a patient’s financial responsibility is a growing problem in healthcare and is driven by several factors including: Payors shifting a larger portion of the payment to patient responsibility, on average...
Best Practice to Maximize Patient Collections Now that the HRSA COVID-19 Uninsured Program has Ended
On March 15, 2022, the Health Resources and Services Administration (HRSA) announced that the Uninsured Program would stop accepting claims as it had exhausted its federal pandemic funding. In the COVID-19 Uninsured Program Shutdown FAQs, HRSA stated: Claims submitted after March 22 for COVID-19 testing and treatment, and after April 5 for vaccination will not be adjudicated for payment. ...
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