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Blog Posts by Tag: Outsourced Billing

Molecular Diagnostic Market-Share Expansion: Keys to Success

The molecular diagnostics market has experienced tremendous growth in recent years. It’s a complex business with many challenges, including prior authorization requirements, diagnostic coding changes, the evolving regulatory landscape, and specimen collection moving from physician offices and laboratories to the home. Growing and scaling a successful molecular diagnostics business requires...

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Quick Wins to Mitigate Hospital Staffing Challenges

In its annual survey, the American College of Healthcare Executives (ACHE) asked community hospital CEOs to rank 11 issues facing their organizations. Personnel and staffing shortages leapt to the forefront – ranked as the number-one concern for the first time since 2004. Equally noteworthy, staffing shortages skyrocketed from an average ranking of 4.6 of 11 in 2019 to 1.6 in 2021. RNs topped the...

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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...

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Outsourcing All or Some of the RCM Process Supports Compliance

The healthcare industry is notorious for nearly constant changes in laws, regulations, government, and payor requirements. It is difficult for an individual diagnostic provider to keep up with all the changes, particularly as it relates to compliance. Any compliance misstep can result in lost revenue, fines, and even extreme penalties like debarment, corporate integrity agreements, and criminal...

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Mitigating 2023 Proposed Medicare Reimbursement Cuts

Over the past few years, due to the public health emergency (PHE), Congress has stepped in to halt pending Medicare cuts. However, legislative intervention during the PHE only delayed the cuts until the following year. With the proposed 2023 Medicare Physician Fee Schedule released in July, which contained several reductions, and the return of the 2% sequestration, healthcare providers need to...

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Understand Black Book Research's Assessment Criteria for Evaluating RCM Services Providers on Measures Associated with Service

This blog is part of a series. Read Part 1 and Part 2. This is our third and final blog in this series about the advantages of leveraging Black Book Research’s comprehensive assessment criteria for evaluating outsourced revenue cycle management (RCM) service providers. In this blog, we focus on the measures associated with Service.Black Book Research evaluates outsourced diagnostic/laboratory RCM...

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Things to Consider When Moving to an Insurance-Based Reimbursement Model for Remote Patient Monitoring and Medical Devices

Negotiating payment agreements with commercial and government payors can increase both your market share and your revenue substantially. But it can be challenging for smaller or newer medical device or remote patient monitoring companies and IDTFs to get the attention of large payors. One way to help this is to have a well-articulated, compelling value proposition, such as filling a known gap in...

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Part 4: Analytics for Finance Leadership

This is the fourth installment of a four-part series. View Part 1 (How to Calibrate Hospital Lab Financial Performance), Part 2 (Analytics for the RCM Team), or Part 3 (Analytics for the Lab Director). Increased staffing costs and investment losses are impeding hospital profitability. Recent financial disclosures by large health systems including Kaiser Permanente, Providence Healthcare, and Mayo...

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