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Blog Posts by Tag: Revenue Cycle Management

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...

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The Value of Payor-Specific Appeals Automation

Clarisa BlattnerSenior Director MDx Support Services, XIFIN Scott BurkClient Success Manager, XIFIN The growing number of appeals and the high costs associated with them is a challenge for many laboratories and diagnostic providers. These costs are exacerbated if the...

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How Real-Time Web Services Help IDTFs and Medical Device Grow Revenue Faster

Krista NadolskiSr. Director, Genetics and Novel Technologies, XIFIN Michael HeinTechnical Implementations Manager, XIFIN Diagnostic technology companies are known for innovation. The latest diagnostic and monitoring devices and applications collect more information than ever...

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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...

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On the Road to Herd Immunity, Labs and Payors Navigate Reimbursement Hurdles

Will I get paid for this? That’s not a question anyone wants to be posing when it comes to their work. Yet for most of 2020, amid the pandemic, it was one of the most pervasive questions from diagnostic laboratories to payors. While COVID-19 diagnostic testing volumes fluctuated dramatically, laboratories faced uncertainty in getting reimbursed for processing these tests. Then, in January 2021,...

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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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The Remaining 20%: How Payor Policies and Specific Language Increase Success Rates of Appeals (Part 3)

This blog post is part three of the series. View part one. View part two. As we’ve covered statistically where our greatest challenges and opportunities lie, it’s important to recognize the appeal process is NOT a one-size-fits-all solution. Lesson 1: Report Documentation — “If it isn’t documented, it wasn’t billable” Appeals with path...

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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...

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