RCM manager

Where should I intervene to unblock teams?

Next-best action: Rebalance denials queue by re-allocating 15 Aetna denials to Specialist Ortiz.

Revenue at Risk

$1,250,000

Unassigned Queues

9 tasks

Team Throughput

84 outcomes/day

Payer memory

Average recovery time: 36.0 hours. Denial patterns tracked: 4.

What works: lead with claim history and generated claim timeline.

Payer memory

Average recovery time: 37.2 hours. Denial patterns tracked: 5.

What works: lead with claim history and generated claim timeline.

Payer memory

Average recovery time: 37.2 hours. Denial patterns tracked: 5.

What works: lead with claim history and generated claim timeline.

Payer memory

Average recovery time: 18.0 hours. Denial patterns tracked: 2.

What works: lead with implant reimbursement and generated claim timeline.

Payer	Problem	Resolution	Result	Memory
B	AR Follow-Up	Follow-up completed	$1,152.00	Jasmine Brooks chose 'advance follow-up' and produced 'Follow-up completed'.
C	Appeal	Appeal path documented	$3,776.00	Jasmine Brooks chose 'approve recommendation' and produced 'Appeal path documented'.
C	AR Follow-Up	Follow-up completed	$3,776.00	Jasmine Brooks chose 'advance follow-up' and produced 'Follow-up completed'.
B	Authorization	Authorization remediation documented	$1,152.00	Elena Park chose 'initiate remediation' and produced 'Authorization remediation documented'.
C	Authorization	Authorization remediation documented	$3,776.00	Elena Park chose 'initiate remediation' and produced 'Authorization remediation documented'.
B	Appeal	Appeal path documented	$1,152.00	Jasmine Brooks chose 'approve recommendation' and produced 'Appeal path documented'.
B	Ar 120 Plus	Follow-up completed	$1,152.00	Daniel Ortiz chose 'advance follow-up' and produced 'Follow-up completed'.
C	Ar 120 Plus	Follow-up completed	$3,776.00	Daniel Ortiz chose 'advance follow-up' and produced 'Follow-up completed'.