Blog Posts by Date: Feb 2019

Lab-Specific Revenue Cycle Management Systems Help Keep Hospitals Compliant

  • February 27, 2019

Like all laboratories, hospital outreach labs need to ensure compliance with regulatory requirements. Selecting the right revenue cycle management (RCM) partner, dedicated to the unique needs of laboratories helps hospitals keep in step with compliance.Too often, we see hospital outreach labs expected to “make do” with the health system that the...


Are you Maximizing the Bonus Available Through MIPS?

  • February 26, 2019

As a non-patient-facing physician, your Merit-based Incentive Payment System (MIPS) score is largely comprised of quality reporting (formerly known as PQRI or PQRS). Did you know that claims-based quality reporting could be causing you to miss out on some of the MIPS bonus available to you?There are multiple factors to consider when making a...


Why You Might Need a Virtual CIO – And Tips on Getting There Successfully

  • February 20, 2019

The leadership structure of diagnostic providers varies depending on their size. In some organizations, there is a full-fledged CIO or CTO, while in others there’s a very lean IT organization that may be missing key skills or leadership experience. As business strategies evolve, a change or augmentation of IT skills and experience may be...


XIFIN - A Strong Advocate for Compliance to Standards

  • February 19, 2019

UCare’s December 2018 Healthlines Bulletin included a notice to all providers indicating entire claims will be denied effective January 1, 2019 when any line on the claim is an unlisted HCPCS or CPT code if submitted without supporting documentation.  Outlined in the bulletin were guidelines to expedite the claims review process with sets of...


Creating an Effective Laboratory RFP

  • February 14, 2019

How to Ensure Your RFP Communicates Your Vital Company Needs so it Reels in the Best RCM SolutionsMany laboratories interested in gathering competitive information and looking to replace their revenue cycle management (RCM) systems use the traditional request for proposal (RFP) process. However, the concern is whether the laboratory's traditional...


PAMA: The Nitty Gritty on Labs Affected & What’s Required

  • February 12, 2019

As labs prepare for 2019, it is important to understand what has taken place this past year, and what is to come in order to move forward amicably without hitting the same barriers and roadblocks presented by PAMA in 2016. As you can see in the chart below hospital = outreach and physician office laboratories (POLs) were underrepresented in 2018...


Is Your Appeals Process Effective?

Over the last several years, the healthcare industry has undergone an enormous amount of scrutiny and restructuring. From the entrance of Affordable Care Act Health Plans to close examination of utilization trends and a significant increase in the patient burden related to the cost of healthcare, it has become increasingly challenging for...