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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 12
Transforming RCM for a Changed World
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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.

And now XIFIN RPM extends XIFIN’s market leadership in diagnostic RCM for both in-house and outsource applications. By incorporating artificial intelligence (AI) capabilities and providing new advanced analytics and visualization options, XIFIN RPM makes revenue cycle management for diagnostics providers even better, while continuing to provide enterprise-grade business intelligence with built-in reporting packages for PAMA and FASB requirements, enhanced patient and physician portals, and the industry’s best-in-class high-availability environment. 

On Demand Webinar –  Hosted by Beckers Hospital Review

Five Strategies to Supercharge Your Revenue Cycle Profitability for Outpatient, Outreach, and Ambulatory Centers

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''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.


With its Software as a Service (SaaS) foundation, AI-enabled XIFIN RPM embodies a leading health information technology approach to diagnostic billing and accounts receivable that delivers unparalleled results. XIFIN RPM goes well beyond a mere billing system to provide a transformative 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 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 in real time.

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. Advanced business intelligence options include subject-oriented and consultative data sets, easy to use pre-designed visualizations, and AI-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.

Robust Workflow Automation

XIFIN RPM employs 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.

Real-Time 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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Introducing Newly Expanded Prior Authorization and Appeals Automation Capabilities within XIFIN RPM

Introducing Newly Expanded Prior Authorization and Appeals Automation Capabilities within XIFIN RPM

Prior Authorizations Made Simple

The prior authorization process is complicated. XIFIN simplifies it by enabling diagnostic service providers to reduce prior authorization related workload and denials while improving cash collections with Glidian’s automated prior authorization application. This application works with the prior authorization workflow, logic, and document storage already available within XIFIN RPM resulting in increased revenue through the reduction of preventable denials. The process is simple.

Streamline your workflow

Submit and track all your prior authorizations electronically through a single platform. You will no longer need to fax or call health plans.

87% reduction in time spent per case

Prevent Denials

Increase your revenue by reducing preventable denials. Glidian incorporates insurance-specific criteria to improve your success rate.

7-10% increase in revenue

Get Decisions Sooner

Cases are routed to the appropriate benefits manager in the format they accept. Receive real-time notifications on the case.

31% faster time to decision

Source: Results are an average across all Glidian customers. ​

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

Advanced Business Intelligence Options Transform Insights Into Action

Options include:
  • Subject-oriented and consultative data sets
  • Executive-level analytics and key performance indicators experienced through Tableau visualizations
  • Topic-specific dashboards that visualize Accession Lifecycle and Test-level Analysis
  • The ability to integrate data
  • AI-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

Laboratory Billing Solutions

XIFIN Comprehensive and Flexible Medical Cycle 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.


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


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


Improving Reimbursements and Cash Collection 20% to 40%


120+ Million Accessions/Visits Processed Annually


$40 Billion in Gross Claims Billed Annually


50% Reduction in Denials


Threefold Increase in Successful Appeals


100% Payor Reach

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.