
Mid-Revenue Cycle Management Pathway to Success
PRIORiTIze. STRATEGize. OPTIMize.
Mid-Revenue Cycle Management (MRCM)
Measure Performance, Manage Risks and Minimize Revenue Leakage
Keep an Eye on RI
Evaluate the impact that AI-Assisted
Automation has on your Claims Management process and Reimbursement performance metrics
CDM Management & Maintenance Audits
Optimize your Charge Description Master (CDM), and Enhance Reimbursement Opportunities with a targeted or focused CDM Review
Pre-Bill Edit Management
Analyze Pre-Bill Edit automation, and flagged accounts to minimize the risk of claims not being dropped for billing timely
Pre/Post EHR Implementations
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Set Clear and Measurable Pre/Post Implementation, Launch, and Go-Live Goals
Charge Reconciliation Process Improvements
Clinical Departments must assume ownership, responsibility and reconcile their charges daily
HIM & Revenue Integrity
HIM and RI work together to Achieve Operational Efficiency, Compliance, and Optimal Reimbursement Objectives
Work Queue Maintenance
Create, Manage & Modify WQ Activities daily to minimize excessive backlogs from occurring
Charge Integrity
Conduct a daily review of charges on claims held in a Discharged Not Final Billed (DNFB) status