Mid-Revenue Cycle Management Pathway to Success
PRIORiTIze. STRATEGize. OPTIMize.

Mid-Revenue Cycle Management (MRCM)

Measure Performance, Manage Risks and Minimize Revenue Leakage

Evaluate the impact that AI-Assisted

Automation has on your Claims Management process and Reimbursement performance metrics

Optimize your Charge Description Master (CDM), and Enhance Reimbursement Opportunities with a targeted or focused CDM Review

Analyze Pre-Bill Edit automation, and flagged accounts to minimize the risk of claims not being dropped for billing timely

Set Clear and Measurable Pre/Post Implementation, Launch, and Go-Live Goals

Clinical Departments must assume ownership, responsibility and reconcile their charges daily

HIM and RI work together to Achieve Operational Efficiency, Compliance, and Optimal Reimbursement Objectives

Create, Manage & Modify WQ Activities daily to minimize excessive backlogs from occurring

Conduct a daily review of charges on claims held in a Discharged Not Final Billed (DNFB) status