Revenue Cycle

Revenue

Revenue Cycle Management

End-to-end financial performance · Collections pipeline

Gross Charges (MTD)

$284,600

+8.2%

Net Collections

$231,400

+5.1%

Collection Rate

81.3%

+1.2pp

Days in A/R

28.4

-2.1d

Denial Rate

4.8%

-0.6pp

Avg Pay / Claim

$330

+$12

AI Copilot: CO-4 (modifier missing) denials increased 12% this month. Root cause: Okafor cardiology codes need modifier 25 on same-day E&M visits. Suggested fix prepared — will resolve an estimated $8,400 in denials.

Revenue Pipeline

Monthly charge-to-collection flow

Charges Posted
847 claims$285K100%
Claims Submitted
812 claims$271K95%
Payer Adjudicated
741 claims$247K91%
Paid / Posted
698 claims$231K94%
Patient Balance
143 claims$19K17%
Written Off
28 claims$5K2%

Denial Analysis

Top denial codes this month · Click a row to action it

CodeReasonClaimsAmountTrend
CO-4Modifier missing34$8,400 Worse
CO-16Claim lacks info28$6,200 Better
PR-96Non-covered charge19$4,800 Same
CO-97Bundled service14$3,100 Better
CO-45Contractual adj.11$2,700 Same

A/R Aging

Outstanding balances by age

Current (0-30)
$48K38%
31-60 Days
$29K23%
61-90 Days
$20K15%
91-120 Days
$15K11%
120+ Days
$17K13%

Monthly Goals

Revenue cycle targets

CollectionsActive
$231K/ $250K target
Claims SubmittedActive
812/ 850 target
Clean Claim RateActive
91%/ 95% target
Denial RatePending
4.8%/ 4% target

Collections Trend

Monthly ($K)

Jan
$412K
Feb
$431K
Mar
$458K
Apr
$445K
May
$473K
Jun
$487K

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