rcm reporting what to watch, when to watch

Host

Tim Coan, CEO ALN Medical Management

Guest

Lisa Maqueira, Vice President, Client ManagementALN Medical Management

Revenue Cycle Management: What Matters NowRCM Reporting: What to Watch, When to Watch

Reporting Framework

Time Frame Watching

Weekly• Charges •Payments • Missing encounters

Monthly• Charges• Payments• AR (Days in AR/%over 120)

Annual• Payer Mix• Charge/Payment Trends• Productivity Analysis

Ad Hoc• Denial Analysis• Reimbursement Monitoring• New Revenue Opportunities

Weekly Flash Report

Monthly Reporting

Accounts Receivable Reporting

Private Pay Collections

Clinic actively works Patient AR Clinic does not actively work Patient AR

Denial Summary Analysis

Allowed Analysis Summary

Provider Performance

403 390 319

0 100 200 300 400 500

Mar-10 Apr-10 May-10

Total Visits

0.00%20.00%40.00%60.00%80.00%

99211 99212 99213 99214 99215

Coding: Established Patient Office Visits For Current Month

May-10 National Distribution

Provider Performance cont.

353

291

340

0

100

200

300

400

Mar-10 Apr-10 May-10

Total Visits

0.00%

20.00%

40.00%

60.00%

80.00%

99211 99212 99213 99214 99215

Coding: Established Patient Office Visits For Current Month

National Distribution May-10

Ad-Hoc ReportFinancial Impact Analysis on Medicare Elimination of Consult Codes

Performed by ALN Medical ManagementJanuary 13, 2010

RCM: What Matters Now

Revenue Cycle

Management

Why RCM Performance is More Important

Than Ever

Managing Day to Day RCM Performance

with Data

Technology Enhanced RCM

The Future of Coding and Compliance

RCM Reporting:

What to Watch, When to Watch

Interoperability: The Coming

Merger of Clinical and

Financial Data