What are your revenue cycle needs? Let us define the objectives, scope of work, and the deliverables. We are experienced revenue cycle consultants and provide support for the entire revenue cycle process; including interim managers for key spots. Office 239.775.7773, ask for Jackie Francis, President, SHM Inc.

1. NEEDS ANALYSIS Revenue Cycle: Your KEY FRUSTRATIONS
Review the following revenue cycle questions. Use these questions to determine if
you have a need for revenue cycle expertise to maximize your revenue cycle
processes.
• Can my CBO run more efficiently?
• Can I reduce my cost to collect?
• How can I run my system revenue cycle more efficiently?
• Where are my key opportunity areas?
• Is your Total A/R, greater than 90 days, more than 20% of your receivables?
• Is more than 1% of your accounts receivable older than 365 days?
• Are your credit balances more than 2% of the total A/R?
• Are your Total IP and OP Discharge Not Final Billed days more than 4 to 6 days?
• Is your net revenue collected, as a % of total revenue, at 100% or greater?
• Do you know how well your collection agencies are performing?
• Is your unapplied cash account current?
• Do you have skilled leaders in Patient Financial Services?
• Do your Patient Financial Services and Patient Access Departments have a good reputation with
the rest of the facility?
• Will you be going through any major operational changes or restructuring in Patient Financial
Services and/or Patient Access?
• Are you able to benchmark trends at your facility against industry standards?
• What is your accuracy rate of registrations in Patient Access less than 98%?
• Are you using the latest technology for insurance verification and precertification?
• What is the trend of cash collections in Patient Access?
• Are your Charity Care Policies being implemented in compliance with state and federal
legislation?
• Do you have skilled financially oriented leaders in Patient Access?
• How current are your charge capture processes and charge entry forms?
• Do points of charge entry reconcile charges entered daily?
• Are charges entered passing thru to the patient’s bills?
• Was your Charge Description Master last updated for pricing and coding in the last six months?
• Do your clinical department directors understand the charge process and assure all charges are
entered daily?
• How do I know if all my charge interfaces are set up and work?
• Do you have an active revenue cycle improvement team in place?
• Do you have an active process in place to track and manage denials?
• Is your denial rate trend more than 1% of claims billed?
• Do you have an active process in place to track managed care underpayments?
• Do your managed care contracted rates increase annually?
• Does your staff know which insurance plans require pre-certification and authorizations prior to
the service being rendered?
• Can you quote prices to your patients?
• How effective is your facility at collections prior to the time of service?
• What is my revenue cycle strategic plan?
• How will the potential merger affect receivables management?
• Am I ready for RAC’s and their potential impact to the bottom line?
Select Health Management Inc. 239.775.7773 Jackie Francis, President
shminc.org jfrancis@shminc.org
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