Many hospitals lean on EHRs and enterprise systems to manage patient claims. The problem? Those systems and processes are optimized for acute encounters, not high-volume, dynamic outpatient events – such as those in pathology, radiology, pharmacy, and the lab. Rather than allocate precious staff time to working those claims, many hospitals and health systems choose to write them off.
That’s a problem. With more and more care transitioning to outpatient settings, what seems like a small percentage of revenue will balloon over time.
Instead, free your staff to focus on those high-value tasks and interactions. Outsource with us. And transform write-offs into reimbursement.
Hospitals and health systems face ongoing financial challenges, staffing shortages, and new disruptive competitors. Outsourcing with XiFin empowers you to:
You can expect big things when you work with XiFin. Our technology is unequaled. Our service unparalleled. Our performance unrivaled. And we’ve got the stats to prove it.
Of XiFin Customers Increase Net Collection Rate
Reduction in Denials
Average First Year Cash Collections Increase
Million Encounters Processed Annually
Move to Lab Spot
Billion in Gross Claims Billed Annually
Our team manages the entire process – from claims submission and acknowledgment to reconciliation and follow-up if required.
Available services include updating permanent patient demographics, remittance advice remark codes, as well as claims adjustment reason codes, processing clearinghouse rejects, and returned mail.
Payments from third parties, patients, and clients are posted automatically when there are no discrepancies and files are balanced. XiFin also manages manual payment postings when required.
Leveraging our system’s interoperability with other systems of record, XiFin can place patient demographic and billing information into an optimized, automated workflow. Even process requisitions received through non-automated mechanisms can be integrated into the workflow.
Our customer service capabilities include communications with ordering physicians to obtain or correct information, answering calls from patients regarding benefits or billing, customer complaint resolution, and management of customer feedback.
In addition to setting payors up within the XiFin RPM solution and making timely updates to necessary data, XiFin manages the entry of new accounts, pricing, test, and device information.
Our extensive knowledge and experience cover the vast majority of payors and include a broad range of regional and national diagnostic testing and monitoring providers.
Our medical billing teams use XiFin RPM, the same industry-leading SaaS solution used every day by leading healthcare organizations to automate and accelerate workflow and improve cash collections.
Tapping into insight from more than 3,000 payors and an enormous volume of processed claims, our payor relations team has unparalleled visibility into problematic payor changes or errors. They also have the payor relationships to address them.
Our EDI team securely and precisely moves relevant files between payors and clients, ensuring everything is tracked and correctly reconciled, then loaded back into the system at the line-item level.
With a best-in-class compliance program, XiFin prevents potential fraud, waste, and abuse by separating billing and coding.
© 2024 XiFin, Inc. All Rights Reserved.
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