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XIFIN Managed Services

A key differentiator of XIFIN RPM is the extensive set of XIFIN Managed Services that are part of the solution.

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“The analysis XIFIN has done of hospital lab market price data will be of high interest, not just in the lab industry, but also among legislators and healthcare policy experts.“

Robert Michel
Editor-in-Chief, The Dark Report

Taking the Burden off You

Keeping your billing process and technology up to date can be burdensome, but it is critical for success. So how do diagnostic providers and specialty physician groups, regardless of size, keep up with every payor, every payor plan change, and every compliance requirement — while staying at the forefront of industry best practices?


How XIFIN Works for You

XIFIN capitalizes on its visibility across more than 120 million accessions/tests through hundreds of laboratories, pathology practices, and medical device companies to inform the industry and keep your billing processes and best practices up to date. XIFIN leverages its cloud-based technology platform and its extensive industry expertise to deliver a breadth of services that other billing software and technology providers simply cannot.

XIFIN Does the Heavy Lifting

The failure of most billing operations can be traced to inadequate maintenance of data, connectivity, functionality, compliance rules, transaction services, reporting, and infrastructure services — all tasks that are seamlessly handled by XIFIN's expert staff. The XIFIN Managed Services team maintains the technology infrastructure and data logic and performs all submissions, processing, and other data exchanges. XIFIN keeps the complex and continuously changing RCM process current, reliable, and timely so that its clients don’t have to.

Staying Current Is Critical to Success

The failure of most billing operations can be traced to inadequate maintenance of data, connectivity, functionality, compliance rules, transaction services, reporting, and infrastructure services — all tasks that are seamlessly handled by XIFIN's expert staff.

Features of XIFIN RPM Managed Services

Payor Relations


XIFIN manages relationships with more than 3,000 payors. Due to XIFIN’s substantial processed claims volume, our Payor Relations team has high visibility across these payors and how they adjudicate claims. As your reimbursement champion, the XIFIN team may identify problematic payor behavior or errors, raise these issues with the appropriate parties, and advocate on your behalf.

Data Logic


XIFIN manages the ongoing maintenance of data logic (such as ICD-10 and CPT codes, LCDs, NCDs, ZIP Codes, Medicare and Medicaid fee schedules, remittance advice and adjustment codes, state-level no-markup or disclosure rules), and incorporates this essential information into the daily processing and management of all online submissions.

Electronic Data Exchange – XIFIN’s Policy of 100% Reconciliation


XIFIN’s policy of “100% reconciliation” takes full advantage of all available electronic submissions, acknowledgments, and remittance advice so that organizations have the necessary visibility to identify problems and rectify them as quickly as possible. XIFIN’s Electronic Data Interface (EDI) department is the “first responder” for all rejected claim files. Our team works directly with health plans (payors) and clearinghouses to resolve all denied claims.

XIFIN RPM Boot Camp

Do you want higher collections? XIFIN RPM Boot Camp is an invaluable opportunity to maximize the value of your investment in revenue cycle optimization.

Organizations that manage their billing themselves can choose to receive targeted best practices and hands-on tutorials covering the use of XIFIN RPM software, process optimization, workflow insight, and business intelligence reporting and analytics. Also, XIFIN RPM’s in-person and on-site Boot Camp will help your organization quickly maximize revenue, as well as reimbursement and workflow efficiencies.

Boot Camp participants average 4% higher collections than clients who do not participate in Boot Camp.

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Named Client Success Managers

As a XIFIN RPM client, you are assigned a Client Success Manager (CSM). This subject matter expert delivers another set of unique services not found in any other vendor’s billing solution.

Working with your billing and management team, your CSM ensures that your workflow practices are optimized for maximum efficiency and revenue performance. Your CSM also performs hands-on training with users and management, employs scorecards and benchmarks to assess performance, and conducts periodic, in-depth practice reviews designed to uncover potential opportunities for growth and improvement. These services help maximize clean claim submissions and the fastest collection of cash possible.

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