XIFIN announced the expansion of its portfolio of physician and patient engagement solutions with integrated patient responsibility estimation and automated prior authorization capabilities, enabling diagnostic providers to improve their patient experience and physician satisfaction. The new capabilities include a strategic partnership with Glidian that integrates automated prior authorization capabilities with XIFIN’s revenue cycle management and laboratory information system solutions, XIFIN RPM and XIFIN LIS.
Securing Prior Authorizations Can Be Time-Consuming
Driven by higher co-pays, increased participation in high deductible healthcare plans and claim denials due to prior authorization requirements not being followed, patient out-of-pocket expenses are at an all-time high. Patients are now responsible for 30% of healthcare revenue, and these added expenses are a significant driver of patient dissatisfaction.
The trend is driving increased consumerism with patients demanding cost transparency and better access to their diagnostic information. Laboratories and remote patient monitoring companies have an opportunity to enhance patient engagement and physician satisfaction by providing tools that offer insight into costs and help improve access to the diagnostic tests or health monitoring that physicians recommend.
Unlike current billing processes where patients frequently do not have clear visibility into what is going to be expected of them financially, the patient responsibility estimator within XIFIN RPM allows diagnostic providers to give their patients a better understanding of their out-of-pocket costs for ordered tests and provides a pre-payment option. It is available through XIFIN’s multi-portal infrastructure that serves patients, providers, and clients.
XIFIN Enables Diagnostic Service Providers to Further Increase Revenue
As increasingly complicated tests enter the market, diagnostic providers need more efficient ways to secure prior authorizations, while also getting reimbursed without delay. XIFIN enables diagnostic service providers to increase revenue by reducing prior authorization related denials with Glidian’s automated prior authorization process, and builds on the prior authorization workflow, logic and document storage already available within XIFIN RPM. Knowing the workflow of prior authorizations starts at the physician’s office, the Glidian application works with XIFIN LIS so that physicians or diagnostic providers can initiate the prior authorization process as early as possible.
“Securing prior authorizations can be time-consuming due to disconnected systems and manual processes–all of which can lead to delays in patient care,” said Ashish Dua, CEO of Glidian. “By integrating our electronic prior authorization submissions with XIFIN RPM and XIFIN LIS, we’re able to help providers streamline their workflows, prevent denials and help expedite decisions to make sure patients receive the important diagnostic information they need.”