Revenue Cycle Management: What Matters Now
       RCM Reporting: What to Watch, When to Watch



          Guest          ...
Reporting Framework
       Time Frame      Watching

                    • Charges
         Weekly     •Payments
         ...
Weekly Flash Report
Monthly Reporting
Accounts Receivable Reporting
Private Pay Collections
Clinic actively works Patient AR   Clinic does not actively work Patient AR
Denial Summary Analysis
Allowed Analysis Summary
Provider Performance
                        Total Visits
500
400    403                  390
300                         ...
Provider Performance cont.
                        Total Visits
400
300      353                                          ...
Ad-Hoc Report
 Financial Impact Analysis on Medicare Elimination of Consult Codes
   Performed by ALN Medical Management
 ...
RCM: What Matters Now
                          Why RCM
                        Performance is
                        Mor...
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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

Published in: Health & Medicine
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RCM reporting what to watch, when to watch

  1. 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. 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. 3. Weekly Flash Report
  4. 4. Monthly Reporting
  5. 5. Accounts Receivable Reporting
  6. 6. Private Pay Collections Clinic actively works Patient AR Clinic does not actively work Patient AR
  7. 7. Denial Summary Analysis
  8. 8. Allowed Analysis Summary
  9. 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. 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. 11. Ad-Hoc Report Financial Impact Analysis on Medicare Elimination of Consult Codes Performed by ALN Medical Management January 13, 2010
  12. 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

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