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- Chart abstraction
- Claim Denials
- Clinical AI
- Clinical Data
- Interoperability
- Medical Necessity
- Patient Records
- xPress
Chart abstraction
How to Abstract Data From Medical Records: The Manual Process, and What Replaces It
Manual chart review takes 30 to 60 minutes or more per complex patient, according to AHIMA. Multiply that across a full caseload, and the person doing the abstraction is the one absorbing that time, one record, one missing field, at a time.
Claim Denials
Oncology Data Abstraction: Fixing the Denial Rate at Intake, Not on Appeal
Oncologists report denial rates of 30 to 40 percent on claims submitted to commercial payers, high enough that some say they hold their breath every time they submit one (Oncology News Central). A separate review of appealed genetic-testing denials from 2019 to 2023 found 46 percent were overturned on independent review, and cancer accounted for 70 percent of that dataset.
Claim Denials
The Denial Rate Nobody Puts on the Board Deck
The molecular diagnostics denial rate sits at roughly 35.3 percent (XiFin) of billed CPT codes, and prior authorization is the single most frequent reason. That number rarely makes it into a board deck, because by the time anyone’s building the deck, it’s already been absorbed into write-offs, rework, and an appeals team’s monthly numbers. This piece is about what that number actually costs, and why the fix belongs at order intake, not in the appeals queue.
Medical Necessity
Where Clean Claims Actually Start, Fixing Medical Record Abstraction at Test-Order
By the time a claim gets denied, the real problem already happened weeks earlier, at the moment a specimen came in the door with an incomplete requisition form. This piece looks at what breaks before billing even starts, and what medical record abstraction looks like when it happens automatically instead of manually, after the fact. […]
Clinical Data
How Clean Clinical Data and Documentation Integrity Improve Revenue Cycle Performance
A cleaner revenue cycle starts long before a claim reaches the payer.Many problems that eventually appear as coding exceptions, claim errors, or denials can be traced further upstream – to the clinical information used to create the claim in the first place. Sometimes, the necessary information exists but is fragmented across records or difficult to […]
xPress
Faster Prior Authorization Will Not Help Labs If the Evidence Is Still Missing
Washington is finally speeding up prior authorization. For laboratories, faster will not be enough. Federal rules that took effect in January require the major government-program payers to answer prior authorization requests within days rather than weeks. A proposed rule published in April would extend the same machinery to drugs while asking, for the first time, […]
Clinical Data
The Data You Can Pull vs. The Record You Can Use
Diagnostics and lab teams that need a decision-ready patient history keep running into the same wall. They already run one of the major electronic health record systems. They are already connected to a national exchange network. And they still bring their patient records to xCures®. xCures is the Clinical Clarity Engine for healthcare, assembling and […]
Interoperability
The Interoperability Tax
Your team wants to get connected to get more medical records, and after the contract is signed, you want clinical data flowing in quickly and distributed. That expectation is reasonable. What nobody puts in the kickoff deck is the queues you have to join first: connectivity applications, covered-entity attestations, conformance testing, etc… The platforms might […]
Patient Records
Patient Record Fragmentation: The Problem and the Fix
Every diagnostic lab knows the problem. The records that show what a patient needs, and that let your team order, run, and interpret the right test, already exist. They just can’t be seen, found, or relied on when your team needs them. So testing is delayed. And downstream, claims are denied: you can only bill […]
xPress
Interoperability’s Next Job Is Adjudication
Pay for performance is the most agreed-upon idea in American healthcare and one of the least achieved. Payers endorse it. Drugmakers keep proposing warranties tied to it. And yet after a decade of concerted national effort, 28.7 percent of healthcare payments carried downside risk in 2024, barely up from 28.5 percent the year before. The […]
Medical Necessity
Close the Loop on Medical Necessity
Wherever patient history is the bottleneck, Clinical Clarity unlocks the workflow. Clinicians lose hours to manual chart review. xCures® is the Clinical Clarity Engine for healthcare, assembling and structuring patient medical records into decision-ready data. It replaces the 100-page chart with a decision-ready summary, every answer linked to its source. Missing documentation delays eligibility and […]
xPress
The New Currency of Healthcare Data Is the Treatment Relationship
The most valuable thing in healthcare right now is not a data connection. It is a treatment relationship. For two decades, access to health data was determined by relationships and private contracts between institutions. If you wanted records, you negotiated for them. You signed an agreement with a hospital, a lab, or a health system, […]
xPress
Interoperability Is Not Intelligence
Interoperability Is Not Intelligence Healthcare has spent much of the past decade treating health data interoperability as a proxy for progress. For years, the system was defined by disconnected records, institutional silos, and basic failures of access. Before data could become useful, it first had to become available, and the industry had to solve the […]
Clinical AI
Why Clinical AI Needs the Whole Patient Record
Healthcare has entered the era of AI-assisted automated chart abstraction. Clinical workflows increasingly rely on the ability to surface granular information buried inside medical records: staging details, lab values, diagnostic evidence, eligibility criteria, and quality measures. The promise is obvious. If machines can reliably extract these details, clinicians and healthcare organizations can move faster, reduce […]
xPress
Quiet Part Out Loud
The market has finally caught up. As copycat and cloned companies flood the space with nearly identical messaging, one thing has become clear: retrieving medical records at scale is no longer a differentiator. Copy-paste marketing has turned access into a commodity. And that is fine, because access was never the hard part now that we […]
xPress
HIE Networks vs. the Power of TEFCA
How We Shift the Technology Burden Away from Health Systems For more than a decade, Health Information Exchanges (HIEs) have played a central role in connecting providers, hospitals, and public health agencies across regions and states. They emerged at a time when health data interoperability was fragmented, standards were inconsistent, and healthcare organizations largely carried […]