Tips for Medical Device and Remote Patient Monitoring Companies for Getting Your Foot in the Door with Payors

When you develop a new medical device or remote patient monitoring service, inevitably in your launch planning you come to the question of which of the following must happen first: Physicians must prescribe your new product or service and show market demand to get payors to cover it. OR You must get payors to cover it (through a payor contract) so that physicians will prescribe it and...

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Preparing for the Next Phase of Virtual Care and Remote Patient Monitoring

Tina VossProduct Marketing Manager, XIFIN Melanie PhanProduct Marketing, XIFIN On July 15, 2022, the COVID-19 federal Public Health Emergency (PHE) was extended for an additional ninety (90) days. Many wonder when the PHE extension will end and what that will mean for virtual care and remote...

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Mitigating 2023 Proposed Medicare Reimbursement Cuts

Over the past few years, due to the public health emergency (PHE), Congress has stepped in to halt pending Medicare cuts. However, legislative intervention during the PHE only delayed the cuts until the following year. With the proposed 2023 Medicare Physician Fee Schedule released in July, which contained several reductions, and the return of the 2% sequestration, healthcare providers need to...

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Laboratory Test Claim Denials and Appeals Trends

I recently had the privilege of presenting an in-person workshop in conjunction with The Dark Report Executive War College on Laboratory and Pathology Management. The workshop was on the topic of “Latest Trends and Denials Involving Lab Test Claims.” In this session, I shared XIFIN insights into payor behavior changes and shifting claims processing protocols and highlighted the importance of a...

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How Real-Time Connectivity Can Drive Revenue, Reduce Cost, and Increase Client Satisfaction

In today’s healthcare environment, there is a lot of uncertainty about what revenue will look like in the face of declining reimbursement, increasing payor denials, and staffing shortages. At the same time, there are greater expectations on the workforce to comply with regulations and payor reimbursement requirements, which can differ by payor and state. Therefore, it is essential for healthcare...

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Pathology Laboratories Need Unique LIS Capabilities

Anatomic pathology laboratories receive multiple specimen types including pathology, IHC, molecular, next-gen sequencing, FLOW, cytogenetics, FISH, clinical trials, and specialty testing. This is why anatomic pathology laboratories require a sophisticated laboratory information system (LIS) with enhanced capabilities that can manage everything from routine to highly complex cases. The right...

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New CPT Digital Pathology Codes Help Make the Case for AI-Driven Digital Pathology Workflows

Updated August 2, 2022. The College of American Pathologists (CAP), working with the American Medical Association (AMA) CPT Editorial Panel, has successfully advocated for the inclusion of (13) new digital pathology add-on codes to be effective January 1, 2023. According to the CAP, these new digital pathology CPT codes will be “used to report additional clinical staff work and service...

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New Market Dynamics Poised to Reshape Clinical Lab Services and the Role of the Pharmacy

In May, I had the privilege of addressing the audience at the National Independent Laboratory Association (NILA) Lab Leaders Forum to discuss the market dynamics that are reshaping clinical laboratory and pharmacy services. This blog provides a summary of several of these important trends.The healthcare industry continues to experience a data explosion. Industry leaders are combining claim data,...

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