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.
Active Review Session
Operator Shift Huddle
Run interactive huddle decisions and preview outcomes.
Start Review