Preparing for the No Surprises Act: Learn How Your Billing Solution Can Help

Effective January 1, 2022, the No Surprises Act (NSA) established new federal protections against surprise medical bills and balance billing for services received from out-of-network providers. The Act applies to emergency and non-emergency services provided by all healthcare providers and all commercial health plans. The No Surprises Act is not applicable to Medicare and Medicaid programs,...

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Top 5 Blogs Posts of 2021

With ongoing COVID-driven disruptions, 2021 was yet another challenging year for the healthcare industry. XIFIN's Beyond Billing blog kept pace, addressing key issues and hot topics. Here are the top blogs of 2021. 1. UHC Announces Designated Diagnostic Provider Requirements for CoverageWhen UHC announced plans to implement the Designated Diagnostic Provider benefit designs beginning July 1, 2021...

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XIFIN Acquisition Opens Opportunities for Diagnostics Providers, Targets Patient-Centric Care

XIFIN recently announced the acquisition of OmniSYS, a healthcare technology company that serves more than 30,000 pharmacies, including four out of the top five national chains. OmniSYS capabilities include patient engagement, medical claims processing, automated pricing, managing clinical workflow, and supporting new clinical services such as immunizations, medication management, point-of-care...

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Pathology Clinical Consultations 2022 Code Additions

The 2022 changes to the CPT codebook include a makeover for the Pathology Clinical Consultation section, eliminating the 80500 and 80502 codes that have been in use since 1997. The CAP CPT Editorial Panel proposed a review of the 80500 and 80502 codes after a study identified these services as potentially misvalued in addition to noting discrepancies in code assignment and utilization. Discussion...

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Mitigating Hospital Margin Challenges in 2022

A shortage of nurses and other workers will continue to weaken the financial performance of for-profit and not-for-profit hospitals in 2022, according to the latest Moody’s Healthcare Quarterly. “The sharp rise in COVID-19 cases in various regions of the US has contributed to a wave of nurses, often burned out, resigning to take care of family, work in less acute healthcare settings such as...

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2022 MIPS Final Rule Changes and 8 Key Takeaways for Pathology Practices

Based on their practice size, specialty, location, or patient population, clinicians have two tracks to choose from in the CMS Quality Payment Program: Participants who qualify as Advanced APM participants receive a 5% incentive for achieving threshold levels of payments and patients. All other eligible clinicians are required to participate under...

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How Precision Medicine and Data Analytics Impact the Journey of Patients with Cancer

Earlier this year, I had the pleasure of co-authoring an article in Oncology Practice Management with Randy Erickson, RN, MBA, Chief Executive Officer of Utah Cancer Specialists and Linh Mekuria, MPA, clinical informaticist with XIFIN, Inc. The article, titled “The Intersection of Precision Medicine and Data Analysis in the Community Oncology Setting” explores the role of precision medicine and...

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Billing and Beyond with XIFIN RPM 14

Sandra GreefkesAVP Product and Partner Marketing, XIFIN Tina VossProduct Marketing Manager, XIFIN XIFIN strives to exceed our customer’s expectations and does so by continuously investing into the XIFIN RPM platform. The newest release of XIFIN RPM offers more communication and engagement...

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