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Name

Functional Area

Resources

Metric

Deployments

Cancelled
Payment Posting - Zero Pay 835
Cash Posting
1
Cash Collection as % of Net Revenue
1
Cancelled
Audit - Release of Information (ROI) for Payer Audits
Health Information Management (HIM)
1
Not Applicable
1
Status Unknown
Denials Management - COB - CO26/27, No Coverage Resolution
Denials & Appeals
1
Denial Write offs
1
Status Unknown
Payment Posting - Missing 835
Cash Posting
1
Cash Collection as % of Net Revenue
1
Status Unknown
Correspondence Processing - Authorizations
Health Information Management (HIM)
1
Initial Denial Rate
1
Being Pursued
Denials Management - COB - Patient Letters
Denials & Appeals
1
Insurance Verification Rate
1
Status Unknown
Insurance Overpayment - Credit Threshold Identification
Credits
1
Net Days in Credit Balance
1
Status Unknown
Correspondence Processing
Health Information Management (HIM)
1
Other
1
Status Unknown
Payment Posting - EKG Payment File
Cash Posting
1
Cash Collection as % of Net Revenue
1
Status Unknown
Patient Estimates and Benefit Updates
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Status Unknown
Add/Update Coverage - Mom and Baby
Insurance Verification & Eligibility
1
Service Authorization Rate
1
Being Pursued
Write-off/Adjustments - Expected Reimbursement & Low Balance
Cash Posting
1
Bad Debt AR
1
Status Unknown
Referral Submission - Availity
Referral Management
1
Percentage of Patient Schedule Occupied
1
Status Unknown
Medical Record Uploads - Availity
Denials & Appeals
1
Denial Write offs
1
Status Unknown
Payment Posting - Undistributed Payments
Cash Posting
1
Cash Collection as % of Net Revenue
1
Status Unknown
Authorization Submission - NOA - WellMed + UHC
Authorization
1
Initial Denial Rate
1
Status Unknown
Authorization Status - Availity
Authorization
1
Initial Denial Rate
1
Status Unknown
Add/Update Coverage - E-Rejected RTE Response
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Being Pursued
Claim Status - WellMed
Insurance Follow-up
1
Aged Insurance AR>90 days
1
Being Pursued
Claim Status - Cigna
Insurance Follow-up
1
Aged Insurance AR>90 days
1
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