Blog Posts by Date: May 2023
Overcoming Reimbursement Compression: The Latest Trends in Denials for Laboratories and Pathology Practices
This is the second article in a three-part series on denial and appeals trends. This article focuses on claim denial trends by payor group and by market segment, and denial trends for claims with a 2021 date of service differ from a similar analysis completed on claims with dates of service in 2018. If you missed the first article in this series...
What the End of the Public Health Emergency Means for Remote Patient Monitoring Companies
The COVID-19 Declaration of a Public Health Emergency (“the PHE”) ended on May 11, 2023. As a result, some of the virtual care flexibilities allowed by the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) during the PHE also expire. Remote Patient Monitoring companies are one of the many...
3 RCM Reports You Should Be Reviewing to Monitor Payor Payment Trends
Payor reimbursement behavior is complex and constantly changing. Payors make policy changes regularly and it’s challenging for medical providers to keep track of whether they are being reimbursed in full. Staying on top of payments whether for contracted or non-contracted reimbursements can require significant resources. Yet, if not monitored...
Denials and Appeals Management: The Importance of Patient Engagement
Revenue cycle management (RCM) for laboratories and pathology practices is constantly evolving in complexity. Payors introduce new and more rigid policies that make collecting reimbursement for services rendered increasingly difficult. XiFin recently published a new whitepaper, Overcoming Reimbursement Compression: The Latest Trends in Denials and...
4 Steps to Optimize the Prior Authorization Process
Prior authorization is a process used by insurance companies or health plans to confirm that certain medical services or procedures are necessary and appropriate before they are performed. This process helps ensure that patients receive appropriate care and that healthcare costs are managed effectively. While prior authorization can help prevent...