Revenue Cycle Integrity & Yield Acceleration
Core Focus
Transforming reactive billing departments into high-velocity yield engines that capture every dollar owed without balance-sheet drag.
Key Operational Elements
- Denial Rapid Response Teams: Mobilize daily cross-functional task forces to audit, appeal, and resolve top denial root causes within 48 hours of payer notification.
- Clean Claim First-Pass Optimization: Enforce strict front-end registration and coding validation rules to elevate first-pass clean claim submission rates past 95%.
- Legacy Backlog & DNFB Recovery: Execute targeted sweeps of unbilled claims (DNFB >3 days) and aging AR to rapidly convert trapped clinical value into liquid cash reserves.
Target Metrics
>95% Clean Claim Rate
DNFB <3 Days
Sub-40 Days in AR