Addressing the Radiology Industry Environment

XIFIN managed services do the heavy lifting of maintaining the XIFIN RPM technology infrastructure as well as the data logic and business rules to keep your billing system continuously up to date so that you can concentrate on optimizing your radiology business.

With its cloud-native technology platform, XIFIN RPM is ideally suited to the intense management required to keep the complex and continuously changing radiology billing process current, reliable, and timely. The failure of many billing operations can be traced back to inadequate management of data, connectivity, compliance rules, policies, and infrastructure – services that are seamlessly integrated throughout XIFIN RPM.

The extensive set of managed services that XIFIN performs on its clients’ behalf includes the ongoing maintenance of data logic (including ICD-10 and CPT codes, LCDs, NCDs, Medicare and Medicaid fee schedules, remittance advice and adjustment codes, OIG compliance logic, and more), and the daily processing and management of all online claim submissions. XIFIN takes a “100% reconciliation” approach to billing management and using sophisticated electronic surveillance methods, monitors all electronic submissions, acknowledgements, and remittance advice so that radiology providers have the necessary visibility to identify problems and rectify them quickly. XIFIN’s EDI department is the “first responder” for all rejected claim files. Our team works directly with health plans (payors) and clearinghouses to resolve all rejected claims.

XIFIN also assigns Client Success Managers who deliver unique services not found in any other billing solution. Working with your billing and management team, these experts ensure your workflow practices are optimized for maximum efficiency and revenue performance. They employ scorecards and benchmarks to assess a radiology provider’s performance, and lead periodic in-depth practice reviews designed to uncover opportunities for growth and process improvement as well as to ensure you are taking maximum advantage of XIFIN RPM.

As an extension of your own billing and IT staff, XIFIN’s dedicated staff works tirelessly on your behalf to ensure peak system performance, which in turn generates maximized clean claim submissions, and fastest collection of reimbursements.