Revenue Cycle Optimization resources

Start with what you are trying to do

This category holds two different kinds of asset. The measurement and improvement work is below; the specialty and CPT code references sit in the A-Z library further down the page.

• Decide what to measure, and how The twelve KPIs a billing dashboard should carry, each with its formula, plus the monthly layout that puts them in one view instead of thirty metrics with no priority. KPI dashboard template
• Audit the process yourself, against a fixed list Forty-seven items across coding accuracy, documentation, denial trends, KPIs and compliance — so a review follows the same list every time rather than whatever looked wrong that week. Billing audit checklist
• Have someone else establish the baseline Two separate things, not one: a free no-fee screening of your remittance and A/R data, and a scoped paid audit with a stated sample, a named input list and a written findings report. Which one you need depends on what the screening turns up. Billing audit service
• See the reporting before committing to anything Days in A/R, clean claim rate, net collection rate and denials reported per provider and per payer, against the targets we operate to — rather than a monthly PDF of charges and payments. Analytics and reporting
• Hand off the cycle rather than instrument it Eligibility through final payment under a single scope, priced as a percentage of collections with no per-claim charge. The published rate card is on the pricing page. RCM service

Every Revenue Cycle Optimization guide, A to Z