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Resources

Metric

Deployments

Live
Authorization Submission - Radiology
Authorization
1
Initial Denial Rate
1
Live
HAR Creation - Scheduled Visits
Registration
1
Pre-Registration Rate
1
Live
Add/Update Coverage - No Coverage RTE Response
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Live
Zero Balance Claim Management - MedeAnalytics and FinThrive
Cash Posting
1
Bad Debt AR
1
Live
Authorization Denial Resolution - BCBS
Denials & Appeals
1
Denial Write offs
1
Live
Claim Status - Medicaid
Insurance Follow-up
1
Aged Insurance AR>90 days
1
Live
Referral Update & Routing - Multiple Payers - Epic
Referral Management
1
Percentage of Patient Schedule Occupied
1
Live
Referral Update & Routing - Multiple Payers - Epic
Referral Management
1
Percentage of Patient Schedule Occupied
1
Live
Python Script For Payer Website Access
Information Technology
1
Not Applicable
1
Cancelled
Denials Management - Timely Filing - Write-offs
Denials & Appeals
1
Denial Write offs
1
Cancelled
Charge Edit - Timely Filing Modifier on Late Charges
Charge Capture
1
Discharge not final billed (DNFB) Days
1
Status Unknown
Charge Edit - Place of Service (POS) Mismatch
Charge Capture
1
Discharge not final billed (DNFB) Days
1
Being Pursued
Add/Update Coverage - Self-Pay Coverage Discovery
Insurance Verification & Eligibility
1
Conversion Rate (Self-Pay)
1
Being Pursued
Denials Management - COB - CO26/27, No Coverage Resolution
Denials & Appeals
1
Denial Write offs
1
Live
Correspondence Processing - Insurance Refund Requests
Health Information Management (HIM)
1
Net Days in Credit Balance
1
Being Pursued
Correspondence Processing - Insurance Refund Requests
Health Information Management (HIM)
1
Net Days in Credit Balance
1
Live
Claim Upload & Remit Download - Medicaid
Information Technology
1
Not Applicable
1
Live
Charge Edit - Subscriber Missing/Incorrect
Charge Capture
1
Discharge not final billed (DNFB) Days
1
Live
Add/Update Coverage - Third Party Liability Medicaid Letter
Insurance Verification & Eligibility
1
Service Authorization Rate
1
Live
Insurance Overpayment - Send Cancel Claim
Credits
1
Net Days in Credit Balance
1
Member Portal
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