Not all patient financial estimators are the same. XiFin RPM 15 queries deeper into payor-specific health plans. At the time of the order or service, it provides real-time patient eligibility and coverage information, including payor-specific pricing, copays, coinsurance, and deductibles. It also extracts data from the billing system to provide CPT reimbursement pricing for tests and procedures. That means more patients will have “No Surprises” when it comes to out-of-pocket expenses.

Not all denials can be avoided, but you can avoid many write-offs and some of the additional staffing expenses involved in denials/appeals. XiFin RPM 15 automates more of this time-consuming process, significantly improving appeals success and freeing valuable human resources. Appeals can be configured by payor, procedure code, reports, and appeal letter—with little or no human intervention. The platform can even automate proprietary appeal letters.

Get an objective, market-based assessment of your organization’s performance using XiFin best-in-class performance metrics and segment-specific industry benchmarks. Through a robust business intelligence portfolio including industry benchmarks, XiFin makes it easier to compare your performance to that of others in your diagnostic specialty. Benchmarking data is derived from thousands of payors and the tens of billions in claims billed through XiFin RPM annually.

Automating the RCM workflow as the status of a claim changes is now easier than ever. The enhanced claim status workflow automation in XiFin RPM 15 allows the configuration of a prioritized series of actions all the way to final billing are available, including data exchange and automated correction via web services or through portals with direct access to physician offices as well as patients in the case of incorrect insurance information.