Revenue Cycle Management

Powered by our advanced, cloud-based technology platform, XIFIN RPM is a comprehensive, highly automated Revenue Cycle Management solution that maximizes efficiency, refines medical cycle billing, improves cash collection, and increases financial accuracy.

Introducing XIFIN RPM 10

Machine learning capabilities, patient responsibility estimator, and next-generation analytics and data visualization options make the most advanced revenue cycle management platform for diagnostics providers even better. 

Beyond Billing

Optimize revenue with a full-fledged financial system

Diagnostic providers need financial management technology that not only helps improve cash collections, but also delivers visibility and control over financial operations, and provides connectivity within and beyond the organization.

With these increasingly complex needs, diagnostic providers are poorly served by traditional billing systems that lack the referential and financial integrity required to deliver accurate, auditable information. Instead, they need a technology infrastructure with a solid financial and accounting foundation that delivers full visibility to understand the financial status of every diagnostic activity a provider performs, at every stage from order submission to payment. Providers need the information and tools to identify and correct errors, appeal, and take action to ensure maximum reimbursement as well as deliver accurate information for reporting and negotiating contracts, as well as strategically manage the business.

XIFIN RPM is the answer ─ optimizing billing and accounts receivable processes, intelligently automating revenue workflow, facilitating claim and appeal filing, and reducing regulatory compliance risk.

''Revenue cycle management represents a key area that needs to be focused on if you’re going to sustain the laboratory business for the long term''

Liana Romero, PhD, MBA, MT (ASCP)

Senior Director, Strategic Marketing and Clinical Affairs, Siemens Healthineers

''The data we get is sound, is valid. Actually, XIFIN is our source of truth. Even when accounting or finance questions volumes, we say, let's go to XIFIN— that's our source of truth''

Bobbi Kochevar

Director of Diagnostic Therapy & Care Management, North Memorial

''XIFIN’s RCM solution, XIFIN RPM, is superior and unrivaled in the diagnostic services market because it enables laboratories and other diagnostic service providers to operate efficiently, collaboratively and in a more sustainable manner in healthcare's uncertain and ever-changing regulatory environment…In addition, customers that have invested in XIFIN RPM highly praise its solutions for demonstrating a solid increase in cash collections, laboratory productivity and efficiency.''

Divyaa Ravishankar

Principal Analyst, Frost & Sullivan

''Our industry has no better authority than Lâle to speak about the financial ramifications of upcoming cuts to Medicare Part B lab test fees, which is predicted to be the single most financially disruptive event to hit the clinical lab industry in 20 years…XIFIN’s processing of more than 300 million lab claims a year gives them a unique perspective and rich database from which to analyze and model private payor pricing trends for high-volume lab tests. This is an invaluable opportunity for laboratory managers to learn how to prepare for the revenue compression that will hit the lab industry in 2018.''

Robert Michel

Editor-In-Chief of The Dark Report and President of The Dark Intelligence Group, Inc.

Why XIFIN RPM

With its Software as a Service (SaaS) foundation, machine learning-enabled XIFIN RPM 10 embodies a unique approach to diagnostic billing and accounts receivable that delivers unparalleled results. XIFIN RPM goes well beyond a mere billing system to provide a complete Revenue Cycle Management (RCM) with the visibility, business intelligence, and analytics diagnostics providers need to manage their businesses to peak financial performance. Designed for high-speed, high-volume healthcare diagnostics environments, XIFIN RPM proactively manages and intelligently automates diagnostic claims management throughout the revenue cycle process, reduces the risks associated with regulatory compliance, and delivers actionable insights.

How XIFIN RPM Delivers Value

Strong Technology Foundation

Cloud-based and designed for interoperability, XIFIN solutions are built upon a flexible platform that keeps stakeholders connected. While other revenue cycle management solutions require lengthy integrations, lack the ability to adapt to change, and require significant investment to maintain, XIFIN RPM with its advanced technology platform is seamlessly and transparently kept up-to-date. The XIFIN technology platform enables secure, flexible, interoperability with other internal and external systems.

Business Intelligence

XIFIN RPM delivers reporting and business intelligence to support evolving healthcare models. Enterprise-grade financial reporting and data visualization options, key performance indicators, quarterly benchmarks, and enhanced end-of-month reporting packages set XIFIN RPM  apart as the RCM with the most comprehensive and accurate reporting and business intelligence capabilities available. XIFIN Business Intelligence provides more than 400 operational reports and supports  PAMA and FASB reporting requirements. Premium business intelligence options include subject-oriented analytic data sets, federated data, next-generation data visualization, and machine learning powered analytics.

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Expertise and Managed Services

XIFIN handles the countless payor edits, regulatory modifications, and other changes so that you can concentrate on optimizing your billing. No other solution provides this level of service, and it is the key to ensuring you bill and collect all that is due to your lab, as quickly as possible.

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Financial Integrity

Unlike traditional diagnostic billing systems, XIFIN RPM was specifically developed in a financial language with full referential integrity. XIFIN RPM clients are balanced to the penny every month, and every month receive from XIFIN RPM a general ledger-ready complete financial accounting package with GAAP and Sarbanes-Oxley compliant financial data. XIFIN RPM gives your management team the accuracy and detail needed to manage the business with confidence.

Intelligent Workflow Automation

XIFIN RPM employs intelligent and highly configurable automated workflows that ensure clean claim submissions upfront, and in the shortest possible time. This means far fewer clerical errors, significantly reduced denials, lower labor costs, and greater efficiency. With XIFIN RPM, it's all about producing clean, trackable claims that are reimbursed quickly and efficiently, and XIFIN RPM includes automated document storage management options, as well.

Enhanced Connectivity

XIFIN RPM is built for connectivity and interoperability. XIFIN web services deliver capabilities and information where they are needed. From patient and client portals to external systems, XIFIN web services operate flexibly, seamlessly, and with HIPAA and Internet security protocols built in. XIFIN RPM enables two-way data exchanges in real time, thereby removing redundancies and data latencies. Enhanced portals increase patient and client engagement and satisfaction.

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XIFIN Business Intelligence

Because you can't manage what you can't measure

XIFIN Business Intelligence (BI) includes an enterprise-class data warehouse that lets you see how the business is performing, from top to bottom, and every step in between.

Architected for maximum performance and built on a healthcare financial management-specific data model, XIFIN BI delivers accurate, meaningful results that are both GAAP and Sarbanes-Oxley compliant and conforms to FASB reporting requirements.

Explore XIFIN BI

Only XIFIN Business Intelligence can deliver insights you need to run your organization

  • Integrated, aggregated, and historical reports
  • End of month analysis that validates your XIFIN RPM end of month package
  • Trending, snapshots, dashboards, it's all available
  • Operational reports and alerts
  • Ability to federate data from additional sources
  • Self service: business users can access what they need; no need to know SQL query

Premium Business Intelligence Turns Insights Into Action

Options include:
  • Subject-oriented analytical data sets
  • Federated data
  • Data exportation
  • Next-generation data visualization
  • Machine learning enabled analytics

XIFIN Managed Services

A key differentiator of XIFIN RPM is the extensive set of managed services that are part of the solution. XIFIN Managed Services do the heavy lifting of maintaining the technology infrastructure, data logic, and perform all submissions, processing, and other data exchanges, so that you can concentrate on optimizing your diagnostic services business.

Ongoing Maintenance of Data Logic

Policy of 100% Reconciliation

Client Success Managers

Billing Solutions

XIFIN Comprehensive and Flexible Billing Solutions

XIFIN has more than 20 years’ experience partnering with laboratories to optimize their revenue cycle management. We offer unrivaled flexibility by allowing you to engage us at a level suited to your needs, whether it be in-house billing, outsourced to our internal operations, or a hybrid of both.  With our unique model, XIFIN can help design a solution that fits today, and provide the flexibility necessary to adapt to your changing needs in the future. For example, many start-up labs choose to begin with fully outsourced billing services and later transition to in-house billing once they are ready with the team and the processes to handle these critical functions. Likewise, some established labs that have been handling billing services in-house choose to outsource for the flexibility it provides in terms of staffing and related costs. At XIFIN, we use RPM to drive all outsourced billing operations, so we experience the value of the solution ourselves.

The XIFIN outsourced billing platform ensures our clients have complete visibility at all times. XIFIN clients can access the RPM platform to view, in real time, all claims that are being held for billing due to missing/incorrect information, rejections, denials, and appeals. With XIFIN there are no “black box” operations, both our team and yours can monitor workflow and progress so that no claim ever falls through the cracks. Regardless of the billing option you choose, you can count on higher performance and increased revenue and profit.

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10.5% average increase in revenue in the first year after transition when transitioning from other outsourced billing providers

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21% Average Improvement in Cash Collections for Outsource Clients Submitting over $9B in Annual Claims

XIFIN Technology Platform

A Technology Foundation for Success

The XIFIN technology platform gives diagnostic service providers the ability to leverage multiple information systems and data sources to maximize the effectiveness of both clinical and business decisions. Web-native, the XIFIN platform links the many different stakeholders in the delivery of healthcare, optimizing both business and patient outcomes.

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Featured Success Stories

XIFIN iNet Web Services and Portals

Extend your capabilities for maximum impact

The information held within laboratory and radiology billing and information systems is incredibly useful and powerful XIFIN portals and web services help diagnostic service providers leverage these important assets and related system capabilities to their fullest.

XIFIN Portals

XIFIN portals improve efficiency by delivering functionality to constituents like patients and physician offices in an intuitive web interface.

XIFIN Web Services

XIFIN web services enable "digital conversations" with a two-way data exchange between systems in real time.

Proof in Numbers

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8% Average Improvement in Net Cash Collection, Adjusted for Growth

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61 Million Accessions/Visits Processed Annually

$0B

$29 Billion in Gross Claims Billed Annually

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50% Reduction in Denials

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Threefold Increase in Successful Appeals

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100% Payor Reach

Do You Know Your Total Cost of Billing?

The only way to optimize revenue and financial performance is to know your true total cost of billing as a percent of revenues. XIFIN clients typically see a total cost of billing that is half as much as industry averages.

Most diagnostic providers grossly underestimate their total cost of billing; in fact, we have found organizations routinely underestimate total cost of billing by a factor of four or more. As a result, faulty decisions about revenue cycle technology and staffing are made that can lead to a significantly poorer financial picture and inferior accounts receivable performance.

A CEO's Guide to Measuring Total Cost of Billing in the Laboratory

When assessing billing solutions and options, many organizations fail to take into account all the various elements that comprise the organization’s true cost of billing. This white paper specifically addresses how increasing revenue and cash collection can contribute significantly to lowering the total cost of billing.

Download White Paper

Calculate Your Total Cost of Billing

In conjunction with the white paper, "A CEO's Guide to Measuring Total Cost of Billing in the Laboratory," XIFIN has created an in-depth calculator in which you can calculate and print your organization's total cost of billing. When total billing costs are accurately evaluated, laboratories can benchmark themselves against industry averages.

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XIFIN RCM Consulting

XIFIN's Revenue Cycle Management (RCM) Consulting team has extensive experience in developing and optimizing billing organizations and workflows for molecular, clinical, toxicology, pathology, and medical devices, for purposes of improving financial performance and accelerating cash flow.

  • Commercialization & reimbursement
  • Transition from outsource to in-house billing
  • Optimize existing XIFIN RPM solution
  • Consolidate billing operations

Flexibly Outsource All or Part of Your RCM Process

With XIFIN, you choose whether the best option for your organization is outsourcing your RCM operations, conducting these activities in-house with your own staff, or a custom combination of these two approaches. Plus, as your business needs chance, you can easily transition between the models.