ASC Bravo / RCM manager / Overview
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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
Today's priorities
urgent priority

Stale Followup

AR Follow-Up · $4,100.00 · Resolution

Evidence: 3 items · Owner: Terrence Cole

urgent priority

Missing Implant Supply Charge

Missing Implant Supply Charge · $1,320.00 · Payer Review

Evidence: 2 items · Owner: Nina Patel

high priority

Appeal Deadline Risk

Appeal · $4,100.00 · Resolution

Evidence: 3 items · Owner: Terrence Cole

high priority

Ar 120 Plus

Ar 120 Plus · $4,100.00 · Payer Review

Evidence: 3 items · Owner: Marcos Vega

high priority

Medical Necessity

Medical Necessity Denial · $4,100.00 · Appeal

Evidence: 3 items · Owner: Terrence Cole

high priority

Documentation Missing Medical Necessity

Documentation Missing Medical Necessity · $1,800.00 · Payer Review

Evidence: 3 items · Owner: Nina Patel

Evidence-backed next actions
  • Review whether an appeal packet or authorization correction packet can be assembled, for human review.Review whether an appeal packet or authorization correction packet can be assembled, for human review. Current state: Authorization. Dependency: Waiting on Authorization.
  • Review whether an appeal packet or authorization correction packet can be assembled, for human review.Review whether an appeal packet or authorization correction packet can be assembled, for human review. Current state: Authorization. Dependency: Waiting on Authorization.
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