XiConnect Newsletter, Vol 4, Issue 3

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Bi-Monthly XiFin News You Can Use

VOL. 4, ISSUE 3 | JUNE 2025

From the Desk of Lee Ann Nichols Chief Customer Officer

Welcome to the new issue of the XiConnect Customer Newsletter. This issue is packed with informative news you can use to help get the most out of your XiFin® Empower RCM system, maximize reimbursements, make your revenue cycle management (RCM) process more efficient, and lower your cost to collect. Here are some highlights of the useful information you’ll find in this issue:

■ Learn how the XiFin Empower RCM robust pricing logic helps ensure every claim is priced correctly the first time ■ See early performance results showcasing the effectiveness of XiFin Empower RCM’s Embedded AI for A-321 Claim Status Codes to deliver 73% faster payments

■ Discover three recent enhancements that improve portal communications, streamline appeals , and offer greater flexibility with CMS-1500 claim submissions

This issue also includes an important update about changes coming to the XiFin Customer Community. We truly value your partnership and ongoing collaboration. We remain committed to delivering tools, insights, and innovations that enhance your RCM success. We welcome your feedback and any suggestions for future topics you’d like to see covered in the newsletter. Please share your ideas with your account team.

Until Next Time,

In This Issue... How XiFin® Empower RCM Pricing Logic Drives Accurate Billing and Faster Reimbursement.. . . . . . . . . . . 3 Unlocking Faster Payments with XiFin Empower RCM’s Embedded AI for A-321 Claim Status Codes.. . . . 5 Three Recent Enhancements Now Available in XiFin Empower RCM.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 UpdatePayorGroupsforExistingPayors....................................................... 11 Migration to Salesforce Lightning Experience for the XiFin Customer Community . . . . . . . . . . . . . . . . . . . . 12 Three New Customer Success Stories Showcase XiFin’sImpactonMarketAccessandRCMOptimization.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 HowReal-TimeConnectivitySupportsFinancialSuccess.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 MeettheTeam:YasmeenEspinal.............................................................. 17

VOL. 4, ISSUE 3 | JUNE 2025

How XiFin® Empower RCM Pricing Logic Drives Accurate Billing and Faster Reimbursement Getting paid quickly and correctly depends on accurate pricing. XiFin Empower RCM includes

Unlocking Faster Payments with XiFin Empower RCM’s Embedded AI for A-321 Claim Status Codes Our latest embedded AI capability within Empower RCM is transforming how healthcare providers manage one of the most challenging payor responses: the generic “A-321” claim status code.

robust pricing logic to help ensure every claim is priced correctly the first time.

Three Recent Enhancements Now Available in XiFin Empower RCM Discover three recent enhancements that improve portal communications, streamline appeals, and offer greater flexibility with CMS- 1500 claim submissions.

Update Payor Groups for Existing Payors We’re making it easier for XiFin Empower RCM

users to manage and maintain accurate payor configurations.

Migration to Salesforce Lightning Experience for the XiFin Customer Community Scheduled for July 8 There is an important change coming to the XiFin Customer Community that your team needs to know about.

Three New Customer Success Stories Showcase XiFin’s Impact on Market Access and RCM Optimization We’re excited to share three recent customer success stories highlighting how our innovative Empower RCM with embedded AI drives

measurable results across diverse diagnostic and laboratory settings.

How Real-Time Connectivity Supports Financial Success A robust RCM solution with API-driven

integration enables providers to connect critical systems and automate essential processes, improving financial and operational performance.

Meet the XiFin Team Yasmeen Espinal, Procurement Specialist.

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VOL. 4, ISSUE 3 | JUNE 2025

Precision in Every Price: How XiFin® Empower RCM’s Pricing Logic Drives Accurate Billing and Faster Reimbursement

Getting paid quickly and correctly depends on accurate pricing. Small errors in pricing can result in big problems, such as denials, underpayments, manual rework, and delayed revenue. XiFin Empower RCM includes robust pricing logic to help ensure every claim is priced correctly the first time. The Empower RCM pricing engine automatically runs hourly (or as configured during implementation). Each time it runs, it identifies accessions/encounters eligible for pricing by verifying that the six required data elements are present: 1. Date of Service (DOS) 2. Test ID

Why It Matters: The Benefits of Configurable Pricing Logic Well-structured pricing logic does more than automate charge capture—it plays a direct role in financial and operational success. Empower RCM’s pricing logic helps you: ✓ ✓ Reduce claim denials and rework ✓ ✓ Improve reimbursement speed and accuracy ✓ ✓ Support compliance with payor and client contracts ✓ ✓ Maintain consistent pricing practices across test types, payors, and client agreements

3. Payor ID 4. Client ID

5. Place of Service 6. Final Report Date Once all six elements of pricing data are confirmed, Empower RCM’s pricing logic automatically evaluates numerous pricing variables, including:

After applying all applicable rules, Empower RCM calculates the total price for the claim and updates the accession’s financial status. All pricing activity is logged, offering full traceability for quality control, escalation resolution, and compliance. Pricing methods are visible in the Order Test screen. This transparency empowers your teams with the data they need to make informed decisions.

■ Single vs. profile diagnostics ■ Relevant payor and client rules ■ Modifiers and client billing categories ■ Consolidation logic

■ Discounts, capitation logic, and expect pricing ■ Special fee schedules and cost-based pricing for “no markup” states

Continued on page 4

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VOL. 4, ISSUE 3 | JUNE 2025

Precision in Every Price: How XiFin® Empower RCM’s Pricing Logic Drives Accurate Billing and Faster Reimbursement Continued from page 3 The Empower RCM Pricing Method Hierarchy The Empower RCM pricing process starts by considering the two main types of fee schedules: Empower RCM logs every pricing decision, creating a powerful audit trail. Use it to: ■ Track down root causes of pricing errors ■ Escalate issues quickly with full context

client-based and non-client-based. 1. Client-Based Fee Schedules

■ Train staff using real-world scenarios ■ Conduct QA reviews or internal audits

Tailored to a specific client ID, these reflect negotiated rates, special programs, or volume- based discounts for client billing. 2. Non-Client Fee Schedules

For insurance and self-pay scenarios, these reflect retail or contract-based payor pricing. The appropriate fee schedule is automatically applied based on the accession details and pricing logic rules. Powerhouse Behind the Scenes: The XiFin Empower RCM Pricing Engine

Runs hourly (or as configured) Identifies eligible accessions Applies pricing rules (contracts, modifiers, discounts)

Updates accession’s financial status Waits for joins if needed (based on “Max Days to Wait” configuration) Logs errors and creates an audit trail Management Tip: Use audit logs for pricing QA or escalation tracking.

4 Calculates total charges

Next, Empower RCM follows a hierarchical pricing logic , evaluating each method in order until a valid price is found. Once pricing is applied using the appropriate method, the logic stops searching—ensuring consistency and accuracy. Key pricing methods applied include: ■ Manual Pricing: Price updates made by users on the Accession Test Update screen.

■ Cost-Based: Uses actual costs—common for reference labs or non-markup states. ■ Client Billing Category (CBC): Includes flat monthly agreements and carve-outs.

■ Incremental Pricing: Adjusts based on volume tiers, client or patient frequency and/or client types (e.g., research studies).

Continued on page 5

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VOL. 4, ISSUE 3 | JUNE 2025

Precision in Every Price: How XiFin® Empower RCM’s Pricing Logic Drives Accurate Billing and Faster Reimbursement Continued from page 4 ■ Expect Pricing: Based on expected reimburse- ment, it helps align pricing with contract expectations. ■ Capitation and Per Diem: Applies when billing via fixed rates. ■ Fee Schedules: Default, client-specific, or payor- linked lists of billable prices. ■ Travel-Based Pricing: Includes mileage-based or flat travel fees. Pricing variants such as DISC (Discount) , FLAT, MIN (Minimum) , and TRADE (Trade Discount) further refine pricing based on client contracts or patient scenarios. ■ Special Pricing Tables: Client-specific pricing for client and non-client type fees, mainly test code based. While Empower RCM pricing logic may operate behind the scenes, its impact is front and center in your organization’s ability to get paid accurately and on time. With Empower RCM’s adaptive pricing logic, you get a system designed to support your financial goals and operational efficiency—ensuring every claim starts with the right price.

Unlocking Faster Payments with XiFin® Empower RCM’s Embedded AI for A-321 Claim Status Codes At XiFin, innovation is at the heart of driving better revenue cycle management (RCM) outcomes. Our latest embedded AI capability within Empower RCM is transforming how healthcare providers manage one of the most challenging payor responses: the generic “A-321” claim status code. The A-321 status code is notoriously vague—payors use it to indicate “missing or invalid information,” but without specific reasons. This lack of clarity forces manual review teams to sift through

countless ambiguous claims to figure out what’s wrong, delaying reimbursements and increasing administrative costs. How Empower RCM’s Embedded AI Resolves A-321 Ambiguity Our innovative Natural Language Processing (NLP)

specific issues—like subscriber ID mismatches or missing diagnosis codes—and automatically updates the claim status with a high-confidence prediction, enabling faster and more targeted resolution.

model analyzes unstructured payor messages attached to these “A-321” codes, intelligently translating them into precise, actionable reason codes. This AI-driven logic categorizes claims by

Continued on page 6

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VOL. 4, ISSUE 3 | JUNE 2025

Unlocking Faster Payments with XiFin® Empower RCM’s Embedded AI for A-321 Claim Status Codes Continued from page 5

The Power of the A-321 NLP Model The A-321 NLP model enhances the Revenue Cycle Management (RCM) process by addressing a key operational gap: the lack of actionable visibility into claim status updates , particularly from 277 claim acknowledgment and response files . The

New Dashboard The AI-generated reason codes are visualized in the new A-321 Dashboard, which provides: ■ Enhanced Visibility: See detailed claim data, including client, payor, status changes, and AI- assigned reason codes. ■ Prioritized Actions: Automate or manually assign the next steps based on actionable categories. ■ Insightful Analytics: Charts reveal denial trends, helping identify root causes.

main benefits of this approach include: 1. Translates Generic Claim Status into Actionable Intelligence

Traditional 277 responses from payors include vague or generic codes (e.g., “claim received,” “in process,” or “pending”) that offer little operational clarity. The A-321 model uses NLP to decode these into meaningful, human-readable messages , such as “Missing documentation for lab result,” “Pending coordination of benefits,” etc., enabling faster intervention. 2. Speeds Up Payment Collection Velocity By proactively identifying claims at risk of delay or denial early in the lifecycle, the model helps RCM teams prioritize follow-ups , fix submission gaps sooner, and reduce time to resolution, directly accelerating cash flow. 3. Enables Prioritization and Workflow Automation With model-driven categorization of claims, teams can auto-route claims to the right queue , such as documentation correction, secondary payor chase, or coding validation—improving throughput with fewer manual touches. 4. Reduces Denials and Rework By surfacing root causes and payor-specific patterns, preemptive action can be taken before denials occur , reducing costly rework and resubmissions. 5. Builds Intelligence Over Time The model continuously learns from historical claim patterns. This creates a feedback loop that improves predictability , allowing for smarter RCM forecasting and operational planning.

Continued on page 7

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VOL. 4, ISSUE 3 | JUNE 2025

Unlocking Faster Payments with XiFin® Empower RCM’s Embedded AI for A-321 Claim Status Codes Continued from page 6 Early Results Driving Real Impact

One early adopter—a large, national diagnostic provider—saw remarkable gains within just eight weeks: ■ Thousands of claims automatically re-coded from generic “A-321” to specific issue categories, reducing manual workload dramatically. ■ Over eight weeks, claims processed with AI-driven status updates achieved 45% paid within the period, compared to only 26% under the traditional manual process—a 73% improvement . ■ This accelerated payment speed translates directly to improved cash flow and reduced days in accounts receivable. Why This Matters for Your Revenue Cycle By automating the interpretation of vague status codes and streamlining workflows, XiFin Empower RCM’s embedded AI helps your team: ■ Cut down manual claim reviews and reduce denials faster ■ Prioritize high-impact corrective actions with confidence ■ Gain transparency into payor behaviors and denial patterns ■ Improve reimbursement speed and overall financial performance

After implementing a ML approach to claim status actions with Empower RCM, we see a consistent increase in the velocity of paid claims in the first 8 weeks after a claim status is received.

Our AI model is continuously refined using real-world claim data and feedback, ensuring it adapts to evolving payor messaging nuances and maintains high accuracy. For more information, contact your Customer Success Manager (CSM) team, or if your organization is an outsourced billing services customer, contact your Customer Account Manager (CAM).

Discover how embedded AI in XiFin Empower RCM is turning vague payor responses into clear next steps for faster, more efficient reimbursement. To enable this capability, please submit a case, and our EDI team will typically have your team enabled within 48 hours.

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VOL. 4, ISSUE 3 | JUNE 2025

PRODUCT UPDATE

Three Recent Enhancements Now Available in XiFin® Empower RCM XiFin continues to evolve Empower RCM based on customer feedback and industry needs. This article highlights three recent enhancements that improve portal communications, streamline appeals, and offer greater flexibility with CMS-1500 claim submissions. 1. Patient and Provider Portal Announcements A new Client and Patient Announcements screen has been added to make it easier to communicate timely information directly within the Empower Patient Portal and Empower Provider Portal . This enhancement allows your team to post standard updates, such as hours of operation, as well as urgent messages, such as weather-related closures. Announcements appear: ■ Before logging in to the Empower Patient Portal ■ On the Home tab after logging in to the Empower Provider Portal When setting up a new announcement in Empower RCM, it must include an effective date and an end date. To access the new screen: File Maintenance > Portals Management > Client and Patient Announcements

Your XiFin SSO Administrator must provide access to this new screen. Access Levels: ■ Read Only: View announcements ■ Read/Write: Add or delete announcements

Continued on page 9

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VOL. 4, ISSUE 3 | JUNE 2025

2. Appeal Letters Now Usable as Cover Sheets for Appeal PDFs We’ve enhanced the Document Maintenance screen to allow an Appeal Letter to serve as a cover sheet for Payor Appeal PDF forms. Previously: You could use either a letter or a PDF form Now: You can use both—for more complete appeal packages. Set-up is easy: ■ Navigate to File Maintenance > Product Update: Three Recent Enhancements Now Available in XiFin® Empower RCM Continued from page 8

Document Maintenance ■ On the Payor PDF Form, select an Appeal Cover Sheet from the new dropdown This enhancement is

supported on the: ■ Accession Single Statement screen ■ Accession Super Search screen ■ EP Search screen

Reminder: Attachments for the appeal must be associated with the Payor Appeal PDF Document.

3. Generation of the Background Form for the CMS-1500 Statement Format

Responding to customer requests, XiFin Empower RCM now supports printing CMS-1500 data directly onto system- generated red background forms through the Non-Client Statement Engine. Why it matters: ■ Simplifies submission for payors that no longer require original red-ink forms ■ Gives you the option to generate the entire CMS-1500 form digitally A case is required for EDI to add these new submission services.

Continued on page 10

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VOL. 4, ISSUE 3 | JUNE 2025

Product Update: Three Recent Enhancements Now Available in XiFin® Empower RCM Continued from page 9

New Submission Services: ■ CMSv02-12-Red-Form ■ CMSNPv02-12-Red-Form

Need Help? If you have any questions or would like assistance accessing these new features, contact your Customer Success Manager (CSM) team or your Customer Account Manager (CAM) if your organization is an outsourced billing services customer.

These can be configured on the Payor Pricing Configuration screen or selected ad hoc for individual print demands. Customers are responsible for confirming whether the payor will accept a system- generated, downloaded CMS-1500 form or if the payor requires submission on a pre-purchased, original CMS-1500 form.

NOW AVAILABLE

Update Payor Groups for Existing Payors: What You Need to Know We’re making it easier for XiFin Empower RCM users to manage and maintain accurate payor configurations. Customers can now update the Payor Group for a Payor ID with existing activity , a task that previously required a case to be entered. This new self-service feature provides greater flexibility, but it’s important to understand the cascading impacts of applying this update across your Empower RCM environment.

What Happens When You Update a Payor Group When you change the Payor Group for a Payor ID with historical activity, the system will: ■ Prefix the original Payor ID with “DNU-” to indicate Do Not Use ■ Create a new Payor ID tied to the updated Payor Group ■ Automatically apply the “DNU-” Payor ID to all existing accessions ■ Assign the new Payor ID to all new accessions moving forward

Key Definitions ■ “DNU-” Payor ID: The original Payor ID, now retired from active use. Retained for legacy accession history. ■ New Payor ID: A fresh ID assigned to the updated Payor Group for all future accessions.

Continued on page 11

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Update Payor Groups for Existing Payors: What You Need to Know Continued from page 10

Changes to Payor Group mappings can have broad impacts across the Empower RCM system. XiFin encourages customers to review all downstream dependencies carefully and use the referenced reports to ensure a smooth transition. If you need support or want to validate your changes, please contact your XiFin Customer Success Manager (CSM) team or your Customer Account Manager (CAM) if your organization is an outsourced billing services customer.

Important Considerations Before making the update, consider potential impacts. Following is a partial list of key considerations; to see a complete list, go to the XiFin Customer Community and search the Libraries for “Considerations” or “Updating Payor Group.” ■ Accession / Super Search or EP Search ■ Review Saved Searches ■ Replace references to “DNU-” Payor IDs with the new Payor ID ■ Client / Billing Rules ■ Run the “FM Client Billing Rules” BI report ■ Review all tabs and update any billing rules using a “DNU-” Payor ID ■ Client / Payor Exclusions ■ Run the “FM Client Payor Exclusions” BI report ■ Identify and replace “DNU-” Payor IDs as needed ■ Client / Pricing Configuration ■ Run the “FM Client Pricing” BI report ■ Look for “DNU-” IDs in the Override Payor ID from External Interfaces field and update them appropriately

Visit the XiFin Customer Community Libraries and search for “Updating Payor Group” or “Considerations” to access the full list of considerations.

Check Out Our Recent Blog Posts:

How Real-Time Provider Engagement Drives Revenue, Reduces Denials, and Accelerates Cash Flow

Four Strategic Imperatives Emerge at the 2025 Executive War College

The Importance of Robust Revenue Cycle Management in Healthcare’s Rapid Transformation

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VOL. 4, ISSUE 3 | JUNE 2025

Migration to Salesforce Lightning Experience for the XiFin Customer Community Scheduled for July 8

IMPORTANT UPDATE:

We strive to provide you with reliable and efficient tools to support your revenue cycle management needs. As part of this commitment, we want to inform you about an important change coming to the XiFin Customer Community that underpins our customer support services. Salesforce has announced that it will no longer support the legacy version of Salesforce currently in use for the Customer Community. As a result, migrating to the newer Salesforce Lightning Experience is required. This migration is dictated by Salesforce to ensure continued platform stability, security, and support. XiFin is committed to making this transition as smooth and efficient as possible for our users. While the move is required, the new platform also lays the groundwork for future enhancements to the Customer Community experience. We have set the target date to launch the new Customer Community on Tuesday, July 8 . Ahead of this transition, you can expect additional communications from us, including documentation designed to help you smoothly navigate the new user interface. We are actively collaborating with Salesforce to preserve as many existing features as possible. In addition to maintaining your current capabilities, the Lightning Experience introduces enhancements we believe you will find valuable, such as the ability to share screenshots during live chat sessions, making it easier for our customer service team to understand and quickly resolve any issues. Alongside this migration, we are excited to announce the upcoming relaunch of our Idea Center . The new Idea Center will feature easier navigation and a renewed commitment to actively reviewing and managing customer suggestions for new features and enhancements. We encourage you to participate and share your ideas to help shape the future of XiFin Empower RCM. Stay tuned for more updates on both the Customer Community migration and the Idea Center relaunch. We appreciate your partnership and look forward to supporting your continued success.

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VOL. 4, ISSUE 3 | JUNE 2025

Maximize Revenue Potential: Three New Customer Success Stories Showcase XiFin’s Impact on Market Access and Revenue Cycle Management At XiFin, we’re committed to empowering healthcare organizations with data-driven solutions that optimize reimbursement, reduce denials, and improve operational efficiency. We’re excited to share three recent customer success stories that highlight how our innovative Empower RCM with embedded AI drives measurable results across diverse diagnostic and laboratory settings. 1. Unlocking Market Access: Data-Driven Insights for Reimbursement Success A molecular diagnostics laboratory faced persistent challenges expanding payor coverage due to high denial rates, timely filing issues, and unclear Medicaid policies. Partnering with XiFin enabled the lab to harness real-time RCM data and sharpen its market access strategies. Key Results: ■ Reduced Denials: Proactive appeals and targeted policy adjustments cut denials and accelerated reimbursements.

■ Stronger Contracts: Data insights supported negotiations for improved in-network agreements and higher reimbursement rates. ■ Enhanced Compliance: Ongoing monitoring improved audit readiness and regulatory compliance.

■ $2 Million Revenue Recovery: Discrepancy reporting identified a significant underpayment, successfully recovered.

2. Integrated Health System-Based Laboratory Network Speeds Up Error Resolution with XiFin Empower AI

Leveraging XiFin’s embedded AI and specialized Exception Processing (EP) Workgroups, a leading health system laboratory network reduced the time needed to fix billing errors by over 40%. The AI prioritizes claims based on reimbursement probability and assigns them to the most effective team members— streamlining workflows and improving visibility. Key Results:

■ Minimized Multiple Touches: Reduced redundant work on the same claims. ■ Improved Process Visibility: Managers can track exception volumes and team productivity with ease.

■ 40%+ Reduction in Error Resolution Time ■ Elimination of Manual Report Sorting: Work queues are pre-assigned, enabling team members to focus immediately on exceptions.

Continued on page 13

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Maximize Revenue Potential: Three New Customer Success Stories Showcase XiFin’s Impact on Market Access and Revenue Cycle Management Continued from page 12

3. Precision Diagnostics Company Boosts Revenue Cycle Efficiency and Revenue for Complex Tests After acquiring a complex laboratory test that used outsourced billing and that relied heavily on manual processes, this diagnostics company opted to take advantage of the automation in Empower RCM and transitioned the test’s billing in-house onto its existing Empower RCM instance—realizing dramatic improvements in cost, accuracy, and reimbursement. Key Results:

■ Better Financial Forecasting: Integrated data enabled precise revenue projections. ■ Optimized Collection Strategies: Payor-specific targets and automated workflows maximized reimbursements.

■ 12% Increase in Average Sales Price (ASP): Improved payor management and appeals strategies led to $50 more per test on average. ■ 50% Reduction in Billing Costs: Automation and insourcing cut billing expenses by half. ■ Higher Efficiency and Fewer Errors: Automated prior authorization, eligibility, and documentation processes improved claim accuracy.

Would you like to know more about capabilities your organization might not be taking full advantage of? Are you interested in sharing your organization’s success story? Contact your Customer Success Manager (CSM) team. If your organization is an outsourced billing services customer, please contact your Customer Account Manager.

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How Real-Time Connectivity Supports Financial Success Healthcare providers continue to face financial and operational challenges. Increasing prior authorization and documentation requirements and changing payor policies make maintaining financial stability more challenging. At the same time, diagnostic and device providers must ensure accurate patient intake, facilitate seamless order processing, and enhance referring physician and patient engagement. To navigate these complexities, providers need an infrastructure that streamlines workflows, supports compliance, and optimizes reimbursement. A robust revenue cycle management (RCM) solution with API-driven integration enables providers to connect critical systems and automate essential processes, improving financial and operational performance. The Power of APIs (aka Web Services) in XiFin Empower RCM APIs facilitate real-time, two-way data exchange, creating seamless connectivity between systems, including laboratory information systems (LIS), referring providers, payors, and patients. This digital integration supports more efficient patient intake, order processing, billing, and patient engagement. Specific API-driven RCM benefits include:

■ Enhanced Claim Accuracy: Real-time data sharing allows corrections to be made before claims are submitted, increasing claim approval rates. ■ Accurate Patient Financial Responsibility Estimation: Provide upfront cost estimates on patient financial responsibility before providing services, improving financial transparency for patients. ■ Seamless Document Uploads: APIs facilitate the upload of necessary medical documentation, reducing administrative burdens and improving reimbursement timelines. Continued on page 16

■ Patient Demographic Information Validation: Verify patient data to ensure accurate claims processing and reduce costly delays and denials. ■ Streamlined Ordering Processes: Enable seamless exchange of order details between providers and referring physicians, reducing manual errors and ensuring completeness. ■ Automated Eligibility Verification: Instant insurance eligibility checks improve clean claims rates and reduce denials; real-time integration with insurance discovery vendors provides access to secondary insurance when relevant.

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How Real-Time Connectivity Supports Financial Success Continued from page 15 Patient and Provider Portals: Driving Engagement and Efficiency Integrated patient and provider portals enhance engagement and ensure streamlined processes, improving referring physician and patient satisfaction and financial performance. Real-time access to claim information enables providers to track order and claim status, ensuring transparency in the reimbursement process. In addition, billing teams can identify and correct errors before claims are submitted, reducing denials. Patient Portals Offer:

■ Secure Access to Statements: Patients can log in to review their financial obligations and previous invoices. ■ Convenient Payment Options: Online payment capabilities streamline the collections process and support payment plan setup.

■ Paperless Billing Enrollment: Patients can opt for electronic statements, increasing convenience and reducing administrative costs. ■ Upfront Cost Estimates: Patients gain visibility into their expected financial responsibility before testing, reducing billing surprises.

Enhancing Financial Performance with API Integration XiFin’s API-enabled solutions give providers access to the tools they need to improve financial performance and operational efficiency, including:

■ Seamless System Integration: Enables interoperability between systems, provider networks, and payors, ensuring real-time information exchange. ■ Streamlined Communication: Reduces the need for back-and-forth follow-ups by ensuring clean, accurate claims submission. ■ Reduction in Manual Processes: Minimizes manual data entry and reconciliation efforts, reducing administrative costs.

■ Automated Error Resolution: Detects errors early and automatically updates claims before submission, reducing denials and improving cash flow. ■ Supports Compliance: Supports price transparency requirements and Good Faith Estimates under the No Surprises Act.

Bridging the Gaps Between Finance, RCM, and IT Teams As healthcare providers strive to improve financial performance while managing increasing regulatory demands, real-time connectivity via APIs and portals is essential. Forward-thinking healthcare leaders prioritize interoperability by integrating API-driven workflows that connect finance, revenue, and technology teams.

By leveraging APIs and Empower RCM’s advanced capabilities, you can eliminate inefficiencies, reduce administrative burdens, and improve financial performance. Not sure if you have the expertise to tap into APIs? Contact us to discuss how one of our IT services partners may be able to help.

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MEET THE XIFIN TEAM

Yasmeen Espinal, XiFin Procurement Specialist

At XiFin, our company’s success is rooted in the dedication and passion of our team members. Today, we’re excited to shine the spotlight on Yasmeen Espinal, Procurement Specialist, who has been with us since 2021. Yasmeen’s journey at XiFin has been one of growth and impact, and in July 2024, she took on the vital role of managing our procurement processes. As a procurement specialist, Yasmeen is essential in ensuring that all purchase requests are processed smoothly and efficiently. She oversees the entire procurement process, from vendor contracting to the completion of purchase orders. One of Yasmeen’s key responsibilities is managing our new procurement tool, PayEm, which was implemented in November 2024. This tool streamlines the entire procurement process, making it easier for our teams to manage purchase requests and approvals. Yasmeen confirms that every purchase request goes through the process for all required approvals, making sure that all necessary documentation is correct and complete before moving forward. One of the things Yasmeen enjoys most about her role is the variety it brings. Each week offers something new, and she collaborates with members of all departments within the company. Once departmental approvals are complete and our Legal team has reviewed and approved any relevant contract language and terms, Yasmeen ensures that purchase orders are finalized, signed by our CFO, and returned to the appropriate vendors with any necessary countersignatures captured.

A big part of Yasmeen’s job involves communication. She works closely with purchase requesters and vendors, keeping everyone informed on the requests’ status and investigating any potential bottlenecks. Her ability to solve problems and facilitate smooth communication between all parties is a testament to her dedication and expertise. In addition to her procurement role, Yasmeen is also a valued member of the XiFin BeWell Team, which organizes wellness-related events for our employees. This involvement helps Yasmeen stay connected to our San Diego office and ensures she remains engaged in creating a positive, wellness- focused work culture. During her time off, Yasmeen enjoys traveling, hot yoga, concerts, and spending time with her friends and family. We’re fortunate to have Yasmeen on the XiFin team, and we look forward to seeing the continued positive impact she will have in her role.

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