A/R Aging > 90 Days: Is your total A/R Aging > 90 Days greater than 15%? of that A/R Aging > 90, is more than 50% concentrated to 1 or 2 single payers? If so, within those payers is it a few major modalities that are the culprit? Within those modalities what procedures specifically make up the majority of your aging? Whatever is broken can be fixed.
Coding Backlogs: Is your DNFC (Discharged Not Final Coded) < 0.5 Days of Revenue? Do you have a Coding Bench to fall back on by enlisting the help of an outsourced overflow vendor during times of high volume? Do you utilize Computer Assisted Coding (CAC) as a way to help guide the coding process?
Missed Procedures: Are your coding audits revealing missed procedures? Do you have a Charge Capture reconciliation process in place? Are your key areas reconciling charges? Have you automated the Charge Capture process where Possible? Read More