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

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