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Blog Posts by Tag: Technology

Addressing EKRA Sales Force Compensation Mandates to Improve Both Compliance and Profitability

EKRA - Eliminating Kickbacks in Recovery Act - is a relatively new law that has some important implications for all diagnostic laboratories, and not just toxicology labs, which precipitated the legislation. Passed in October 2018, it was widely understood the law was intended to combat the opioid crisis. Recently, due in part to COVID-19 and government concerns over fraud and abuse, there has...

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Celebrating Telehealth Awareness Week and The Evolving Role of Telehealth in Diagnostics

This week we’re celebrating Telehealth Awareness Week. Telehealth has undoubtedly provided significant value to patients and providers throughout the COVID-19 public health emergency (PHE). Many hope that telehealth will continue to play an important role in healthcare well beyond the emergency caused by the pandemic.Telehealth technology provides health care providers, staff, and patients a way...

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Seven Factors to an Effective Compliance Program

This is the second article of a multi-part series on the many dimensions of compliance related to diagnostic providers, independent device testing facilities (IDTFs), and hospital outreach laboratory services. The responsibility of compliance does not rest on the shoulders of one individual or committee. Compliance responsibility for laboratories, IDTFs, pathology practices, and hospital outreach...

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Building an Effective Compliance Program and Compliant Diagnostic Systems That Work: An Overview

The healthcare industry is in a state of constant change in laws, regulations, reimbursement and payor requirements, and commercial and patient expectations. It is hard for any individual healthcare provider to keep up with all of these changes. The diagnostic business, in particular, is under pressure to stay in compliance. Over the course of the next several weeks, the XIFIN Beyond Billing Blog...

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Telehealth Is Here to Stay

One of the lasting changes born of the pandemic is the expectation by healthcare providers that they will continue to leverage telehealth and remote patient monitoring platforms in their practices. According to the “COVID 19 Telehealth Impact Study” conducted by the COVID 19 Healthcare Coalition, in 2018 only 18% of physicians incorporated telehealth as part of their care model, primarily due to...

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Pathology Denial Metrics and Implementing a Strategic Appeals Processes

Pathology practices are becoming increasingly inundated with added requirements for prior authorization and medical necessity documentation. Insurance requirements are becoming more onerous, and lines are increasingly blurred around what is required for claims to meet individual payor standards for reimbursement. Failure to meet a single requirement, on even a small percentage of claims, is...

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The Value of Highly Flexible Client/Physician e-Invoicing Capabilities

There are several scenarios in which ordering entities, such as physician practices, want other healthcare providers, like laboratories or medical device companies, to bill them for services performed or devices delivered rather than billing payors or patients. For example, if a diagnostic provider offers only non-covered services, such as a new genetic test or novel medical device, the ordering...

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XIFIN Advanced Analytics Allows you to Build Custom Analytics: BI Expert

XIFIN Business Intelligence and Advanced Analytics provide the revenue cycle management (RCM) operational performance metrics and test-level data exploration diagnostic executives require to thrive in today’s competitive healthcare marketplace. In response to diagnostic leader’s need for accurate visualizations of operational performance, XIFIN created a suite of four Advanced Analytics solutions...

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