Why Revenue Cycle Management Systems Fall Behind—and How to Modernize Them
Clinical lab billing teams face an overwhelming number of challenges if revenue cycle strategies fall short
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Articles and Reports
XiFin’s Payor Rate Transparency Monitor Helps Clinical Labs Compare In-Network Rates
The free online tool can set a foundation for renewed reimbursement strategies and contract negotiations with insurance carriers
Medicare Reimbursement: CMS Proposes to Cut Part B Payments to Physicians
The proposed PFS rule also includes other changes that will affect physician, lab, and other reimbursements in 2024 and beyond.
Medicare Reimbursements: Part B Lab Payments Slightly Down for 2016, Reports OIG
From - National Intelligence Report
The OIG released its report on Medicare Part B payments for lab tests in 2016. The punchline: Lab payments over the past three years remain incredibly consistent in terms of…
Newly Proposed PAMA Rates for 2018 Confirm Lab Industry’s Worst Fears
From - National Intelligence Report
CMS's newly issued preliminary Clinical Laboratory Fee Schedule (CLFS) for 2018 dashes the lab industry's hopes for PAMA relief by making two things…
LDTs: TRICARE Beneficiaries Get At Least 3 More Years of Access
From - National Intelligence Report
Some of the labs that participate in TRICARE got some good news when the Department of Defense announced that it has extended the so called…
Draft 2018 CLFS Reveals Fundamental Flaws in PAMA Reporting Exercise; Time to Take Action
By Lâle White bio
As XIFIN predicted, the PAMA reporting exercise has resulted in significant proposed laboratory fee cuts. In fact…
Medicare Reimbursement: CMS Proposes MACRA Physician Performance Requirements for 2018
From - National Intelligence Report
On June 30, CMS issued a Proposed Rule addressing a key part of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) implementation: the Quality Payment Program (QPP) for…
Labs to CMS: Push Back PAMA & Add Hospital Labs to CLFS Mix
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