ASC Bravo / RCM manager / My Work
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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
Priority ID Payer Specialty/Client Type Exposure Age Owner Status Evidence Next-Best Action Actions
urgent WO-TASK-ASC-CASE-004-stale_followup Acc ASC Orthopedics AR Follow-Up $4,100.00 21 days Terrence Cole Human Action Required 3 files Assigned owner should validate follow-up history and refresh the next action plan for human review. Open
urgent WO-TASK-ASC-CASE-006-missing_implant_supply_charge Acc ASC Orthopedics Missing Implant Supply Charge $1,320.00 21 days Nina Patel Human Action Required 2 files Coder should validate the implant log, invoice support, and charge capture checklist before any claim release, for human review. Open
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-ASC-CASE-004-ar_120_plus Acc ASC Orthopedics Ar 120 Plus $4,100.00 21 days Marcos Vega Human Action Required 3 files Biller should validate aging details and prepare the next follow-up step 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
high WO-TASK-ASC-CASE-004-documentation_missing_medical_necessity Acc ASC Orthopedics Documentation Missing Medical Necessity $1,800.00 21 days Nina Patel Human Action Required 3 files Coder should validate whether the case includes the required medical-necessity support and build a missing-document checklist for human review. Open
high WO-TASK-ASC-CASE-005-bundled_procedure_risk Acc ASC Orthopedics Coding Review $650.00 21 days Nina Patel Human Action Required 2 files Coder should validate whether modifier 59 or XS is supported by separate-site documentation before claim release, for human review. Open