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

Health & Medicine

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

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

Private Pay Collections
Clinic actively works Patient AR Clinic does not actively work Patient AR

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

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

Ad-Hoc Report
Financial Impact Analysis on Medicare Elimination of Consult Codes
Performed by ALN Medical Management
January 13, 2010

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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