RCM reporting what to watch, when to watch

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Revenue Cycle Management: What Matters Now, Part 5 of a 6-part series. View podcast and key topics at www.alnmm.com/rcm-series

Revenue Cycle Management: What Matters Now, Part 5 of a 6-part series. View podcast and key topics at www.alnmm.com/rcm-series

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  • 1. Revenue Cycle Management: What Matters Now RCM Reporting: What to Watch, When to Watch Guest Host Lisa Maqueira, Tim Coan, Vice President, Client Management CEO ALN Medical Management ALN Medical Management
  • 2. Reporting Framework Time Frame Watching • Charges Weekly •Payments • Missing encounters • Charges Monthly • Payments • AR (Days in AR/%over 120) • Payer Mix Annual • Charge/Payment Trends • Productivity Analysis • Denial Analysis Ad Hoc • Reimbursement Monitoring • New Revenue Opportunities
  • 3. Weekly Flash Report
  • 4. Monthly Reporting
  • 5. Accounts Receivable Reporting
  • 6. Private Pay Collections Clinic actively works Patient AR Clinic does not actively work Patient AR
  • 7. Denial Summary Analysis
  • 8. Allowed Analysis Summary
  • 9. Provider Performance Total Visits 500 400 403 390 300 319 200 100 0 Mar-10 Apr-10 May-10 Coding: Established Patient Office Visits For 80.00% Current Month 60.00% 40.00% 20.00% 0.00% 99211 99212 99213 99214 99215 May-10 National Distribution
  • 10. Provider Performance cont. Total Visits 400 300 353 340 200 291 100 0 Mar-10 Apr-10 May-10 Coding: Established Patient Office Visits For 80.00% Current Month 60.00% 40.00% 20.00% 0.00% 99211 99212 99213 99214 99215 National Distribution May-10
  • 11. Ad-Hoc Report Financial Impact Analysis on Medicare Elimination of Consult Codes Performed by ALN Medical Management January 13, 2010
  • 12. RCM: What Matters Now Why RCM Performance is More Important Than Ever Interoperability: Managing Day The Coming to Day RCM Merger of Performance Clinical and with Data Financial Data Revenue Cycle Management RCM Reporting: Technology What to Watch, Enhanced RCM When to Watch The Future of Coding and Compliance