Q3 Industry Updates – News You Can Use

Welcome to a round up of relevant news that piqued my interest over the past 60 days: Select Aetna Updates  Aetna announced that effective September 1, 2021, it will no longer pay for professional services performed in a hospital setting for technical-only procedure codes. The CMS Physician Fee Schedule lists these codes as diagnostic only. They do not have a related professional code. Note: This...

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Ensuring Oncology Practice Compliance with the No Surprises Act

The adverse impacts of surprise billing have garnered significant national attention, culminating in rare bi-partisan supported legislation that directly impacts community oncology practices. The No Surprises Act was signed into law as part of the Consolidated Appropriations Act of 2021.Surprise billing occurs when patients unknowingly receive either emergency or non-emergency care from an out-of...

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The Impact of COVID-19 on Remote Patient Monitoring, Medical Device, and IDTF Patient Engagement Tools

This blog post is part two of a three part series. View Part One. According to the “COVID 19 Telehealth Impact Study,” conducted by the COVID 19 Healthcare Coalition, 75% of physicians reported they would like to continue to offer digital services for chronic disease management post-COVID. These findings confirm that physicians see the value in providing digital and telehealth services as a part...

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How to Reduce Retro Authorizations to Improve Reimbursement

Enjoy the following content from our partner, Infinx. The reimbursement landscape for clinical labs and remote patient monitoring has never been so challenging or so precarious. Patient and third-party payor responsibility continues to shift, and there is no end in sight for ongoing changes and increases in government regulations and insurance requirements.In a rapidly changing and consumer-...

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XIFIN Acquisition Demonstrates Commitment to Radiology Market

Mirroring other segments of the diagnostic healthcare market, radiology practices and imaging centers are challenged with increasing case volume amid declining payor reimbursements and client fee reductions.Announced July 7th, XIFIN’s acquisition of Computerized Management Services (CMS), Inc. represents a sustained commitment to the radiology market. The agreement broadens XIFIN’s reach in this...

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XIFIN Announces East Coast Expansion to Charleston – Join Our Growing Team!

We’re excited to announce our expansion to the east coast, through a new facility in the greater Charleston, South Carolina area. Located at 100 Benefitfocus Way in Daniel Island, the new facility is slated to open in August 2021, and we are hiring now! South Carolina Is the Perfect Match of Location, Skills, and Culture As a west coast-headquartered company, XIFIN recognized that having an...

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How COVID-19 Influenced Billing and Patient Access Tools for Telehealth, Remote Patient Monitoring, Medical Device, and IDTF

Recently, I had the pleasure of participating in a Fierce Healthcare webinar, “Billing and Patient Access Tools to Boost Digital Health Profits.” During the webinar, I addressed how COVID-19 changed billing and patient access tools for remote patient monitoring (RPM), medical device, and independent device testing facilities (IDTFs). My presentation covered three main topics: COVID impacts to...

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Top 3 Challenges in Community Oncology Revenue Cycle Management

Community oncology continues to experience a dramatic shift in market dynamics. Substantive developments include a proliferation of acquisitions, the CMS Merit-Based Incentive Payment System (MIPS) and larger shift to value-based reimbursement models, as well as exploration of precision medicine as the standard of care.Notable changes that directly constrain practice financial health include fee...

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