WHO WE SERVE Clinical Laboratories

Realize New Levels of Profitability and Engagement with XiFin Solutions for Clinical Laboratories

Maximize reimbursement. Enhance workflow automation. Boost client and patient engagement. Gain operational visibility and insights. Mitigate compliance risk.

Enabling the Operational and Financial Success of Clinical Laboratories

Clinical laboratories play a crucial role in healthcare, providing essential testing and diagnostic services to patients and medical providers. The high volume and low margin of clinical laboratory accessions make operational efficiency and workflow automation critical to ongoing financial health and sustainability. Reimbursement compression, changing payor policies, and evolving regulatory requirements create additional financial and operational pressure. Embracing new ways to automate and optimize revenue cycle management, laboratory operations, and client and patient engagement are critical to maintaining and improving profitability.

At XiFin, we deeply understand the unique challenges of clinical laboratories and offer comprehensive solutions that help navigate these complexities, enabling labs to optimize revenue cycle management, increase the efficiency and productivity of laboratory workflow, meet regulatory requirements, and more cost-effectively provide high-quality patient care.

From Market Access Through Reimbursement

Watch our webinar On-Demand to explore revenue maximization and market access with industry experts Heather Agostinelli, and Clarisa Blattner. Discover the reimbursement playbook essentials to maximize cash flow.

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Who We Serve

Independent Clinical Laboratories

Reference Laboratories

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XiFin Revenue Cycle Management Solutions

XiFin® Empower RCM provides clinical laboratories with the ability to improve operational and financial performance, which is especially critical in today’s environment of changing payor behavior and razor-thin margins. It delivers a financial foundation and workflow automation that help laboratories manage claims more effectively and offers the business intelligence (BI) and advanced analytics laboratories need to deeply understand their business.

It also supports regulatory, compliance, and client and patient engagement tools that improve the experience, makes the revenue cycle management process more efficient, and increases cash collected. Empower RCM drives more clean claims and increased reimbursement at a lower cost to collect.

Front-End Clean Claim Automation

Empower RCM is a comprehensive revenue cycle management solution that provides clinical laboratories with highly configurable workflows, real-time connectivity, and advanced error processing capabilities. By maximizing clean claim submissions and minimizing denials with automation, Empower RCM accelerates the revenue cycle. It also provides patient-to-payment visibility that makes claim tracking both easy and actionable. By automating front-end workflows and error correction, Empower RCM significantly reduces clerical errors and denials, resulting in lower labor costs, greater efficiency, and faster reimbursements.

Denials and Appeals Automation

Empower RCM provides robust, highly configurable capabilities for automating denials and appeals management workflows, which streamline the process from end to end. With Empower RCM, many back-end denials and associated appeal management workflows can be automated, enabling faster resolution and improving the success rate of appeals. The solution includes document storage capabilities and the ability to attach the required documentation to claims, ensuring a seamless and efficient process. By automating denials and appeals workflows, Empower RCM reduces labor costs, accelerates denials management, improves cash collections, and leads to better financial performance.

Business Intelligence, Advanced Analytics, and Financial Reporting

Business Intelligence (BI) and Advanced Analytics are essential to achieving in-depth visibility and transparency into business operations. This visibility is vital to developing a strategy that is in step with changing payor behavior and market trends. XiFin BI provides detailed insight into financial and operational performance, enabling a deeper understanding upon which further improvements can be made. Plus, the high-quality data model is GAAP and Sarbanes-Oxley compliant and supports PAMA and FASB reporting requirements.

Connectivity and Management Services

APIs and managed services play a crucial role in improving revenue cycle management for clinical laboratories. APIs allow for seamless integration of revenue cycle management tools and systems, ensuring data accuracy and streamlining processes. Managed services take the burden of maintaining and updating complex systems off the laboratory’s IT team and helps ensure compliance with regulatory requirements.

Patient and Physician Experience Capabilities

Patient and client portals that facilitate two-way digital conversations with physicians, their office staff, and patients improve both the experience as well as operational and financial results. Patient and client portals are especially valuable when paired with tools that determine eligibility in real-time, accurately estimate a patient’s out-of-pocket financial responsibility, and determine what’s needed for prior authorization.

Optional Outsourced Billing Services (OSB)

With XiFin, clinical laboratories can choose whether the best option is outsourcing RCM operations, conducting these activities in-house with your own staff, or a custom combination of these two approaches. Plus, as your business needs change, you can easily transition between the models.

Laboratory Information Systems (LIS)

XiFin LIS is a SaaS-based, highly configurable laboratory information system designed to meet the needs of modern clinical laboratories. The system offers multi-specialty workflows for a wide range of anatomic and clinical pathology testing types, including surgical, breast, gastrointestinal, prostate, immunohistochemistry (IHC)/special stains, hematology, bone marrow, morphology, flow cytometry, cytogenetics, PCR, FISH, cytology, gynecological cytology,and non-gynecological cytology.

The system is also designed to integrate seamlessly with a variety of digital pathology platforms, allowing for efficient capture and management of digital images. With a robust feature set that includes specimen tracking, intuitive order management, TCPC splits, and patient diagnostic reports, XiFin LIS streamlines laboratory workflows and enables laboratory staff to interpret results with maximum speed and accuracy. Data analytics and robust management reporting also enable laboratories to optimize operational performance and financial results. XiFin LIS is a must-have solution for any clinical laboratory looking to improve efficiency, reduce errors, and enhance patient care.

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In Their Own Words

There was definitely a return on cash and that was return on all the old stuff that just sat there, unbilled, because of missing information.

Joel Welder Controller NICL Laboratories

Clinical Laboratory Expertise

XiFin’s in-depth knowledge and experience in the clinical laboratory market translate to clear performance improvements. The proof is in the numbers: our clinical laboratory clients bill for hundreds of millions of procedures annually, and our clients see significant improvements in profitability and collect on average 8 percent additional cash in the first 12 months; overall, XiFin clients have netted billions of dollars in cumulative realized gains in net cash collection, adjusted for growth.

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