PATIENT DEMOGRAPHIC AND INSURANCE DISCOVERY AUTOMATION
Find & Fix Data Quality Issues Faster While Collecting More Revenue
We know that one of the most challenging obstacles to healthcare facilities and independent labs getting paid for their services is a lack of accurate patient data. That's why XIFIN RPM integrates automated demographic and insurance discovery capabilities to help find and fix inaccurate patient data faster and easier. With this powerful solution, you will experience:
FrontRunnerHC's PatientRemedi insurance discovery application is integrated with XIFIN RPM, delivering valid insurance coverage information for your patients and reducing the staffing expenses associated with discovery, seamlessly and automatically within the award-winning revenue cycle management solution.
This partnership incorporated PatientRemedi's sophisticated data mining and analytics into XIFIN RPM. The result is a higher impact reimbursement solution that automatically identifies and fixes data errors for healthcare facilities and laboratory customers. With XIFIN RPM and PatientRemedi's insurance discovery capabilities working as one, you can locate active insurance coverage, increase clean claim rates, and generate more revenue—all while reducing accounts receivable and rework costs. And with accurate and timely billing, you can help improve your patients' and referring physician billing experience.
Accurate Patient Data Means More Revenue & Less Cost
During Q1 and Q2 2018, XIFIN processed $200M in charges through the integrated and automated demographic and insurance discovery workflow within XIFIN RPM, resulting in the following improvements:
Seamless Integration & Powerful Capabilities
Due to the unique nature of Cordant’s business, they have a significant number of “self-pay” patients. Many of these patients actually have insurance coverage that could be billed for their services, but in some cases the patients are in treatment for substance use disorder. As a result, gathering eligibility and insurance coverage information for these patients can be very labor-intensive and remain unsuccessful.View Success Story
Sonora Quest Laboratories was using all of the traditional methods to capture and validate insurance eligibility and coverage information to maximize the opportunity to receive full reimbursement for its services. However, cases were still being encountered that lacked enough valid information to fill in the missing gaps and gather complete insurance coverage data.View Success Story
Hospital and independent labs conducting COVID tests can also leverage COVID-Assist, a solution introduced by FrontRunnerHC to accelerate and automate COVID test reimbursements, reduce the administrative claims processing burden, and remain compliant with the CARES Act. The solution automates gathering patient data, verifying insurance coverage of self-pay status, and capturing HRSA Member ID's. It then provides uploads that are fully audited and compliant patient files to the client's billing system to submit to insurance carriers or HRSA. COVID-Assist helps organizations scale up to 100,000 tests daily without impacting their staffing levels related to patient information
See it in Action
We help optimize your revenue cycle management processes by finding and fixing data quality issues faster, and by helping you reduce operating expenses and generate more revenue.