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

Priority	ID	Payer	Specialty/Client	Type	Exposure	Age	Owner	Status	Evidence	Next-Best Action	Actions
high	WO-TASK-ASC-CASE-004-appeal_deadline_risk	Acc	ASC Orthopedics	Appeal	$4,100.00	12 days	Terrence Cole	Human Action Required	3 files	Denial specialist should validate deadline, evidence completeness, and appeal path immediately, for human review.	Open
high	WO-TASK-DEN-004	Acc	ASC Orthopedics	Medical Necessity Denial	$4,100.00	12 days	Terrence Cole	Human Action Required	3 files	Review whether missing documentation should be obtained before appeal drafting, for human review.	Open