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Functional Area

Resources

Metric

Deployments

Being Pursued
Appeal Status - Availity
Denials & Appeals
1
Denial Write offs
1
Live
Medical Record Uploads - Availity
Denials & Appeals
1
Denial Write offs
1
Live
Referral Status - Availity
Referral Management
1
Percentage of Patient Schedule Occupied
1
Live
Medical Record Uploads - Availity
Denials & Appeals
1
Denial Write offs
1
Decommissioned
Write-off/Adjustments - Custom
Cash Posting
1
Cash Collection as % of Net Revenue
1
Decommissioned
Write-off/Adjustments - Custom
Cash Posting
1
Cash Collection as % of Net Revenue
1
Live
Add/Update Coverage - Medicaid
Insurance Verification & Eligibility
1
Insurance Verification Rate
1
Live
Claim Status - WellMed
Insurance Follow-up
1
Aged Insurance AR>90 days
1
Live
Claim Status - Cigna
Insurance Follow-up
1
Aged Insurance AR>90 days
1
Live
Claim Status - Aetna
Insurance Follow-up
1
Aged Insurance AR>90 days
1
Live
Claim Status - Availity
Insurance Follow-up
1
Aged Insurance AR>90 days
1
Live
Claim Status - UHC API
Insurance Follow-up
1
Aged Insurance AR>90 days
1
Live
Charge Edit - Patient Demographic Interface Errors
Charge Capture
1
Discharge not final billed (DNFB) Days
1
Live
Supply Chain Collection Letters
Supply Chain
1
Not Applicable
1
Live
Reporting - Claim Run
Reporting
1
Not Applicable
1
Live
Claim Reconciliation - MBMS
Reporting
1
Not Applicable
1
Live
Interface Reconciliation Automation
Charge Capture
1
Late Charge as a % of Total Charges
1
Live
Correspondence Processing - Letters of Guarantee Document Transfer
Health Information Management (HIM)
1
Other
1
Live
Correspondence Processing - Faxes
Health Information Management (HIM)
1
Other
1
Live
Authorization Submission - NOA - Availity
Authorization
1
Initial Denial Rate
1
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