Tracking Revenue Cycle Management (RCM) helps a dental practice by making sure they get paid on time, get more money back, make patients happier, have better financial information, and run smoother. This supports the financial success of the practice.

The Revenue Cycle Management Report will include:


Summary​

Purpose: The Revenue Cycle Management (RCM) Summary Report provides a comprehensive overview of the production process, from collections, giving context to the necessary efforts for collection optimization. The report also evaluates the performance of insurance and patient collections.

Roles: COO/CFO & Director of revenue cycle management (RCM)


Adjustments and Write-offs​

Purpose: The Adjustments/Write-offs Report enables you to analyze the frequency of specific adjustment types across the organization and view the total amount of adjustments by location and provider. This report is useful in determining the profitability of dental offices, by examining the amount of write-offs across insurance claims, promotions, and other discounts.

Roles: COO/CFO & Director of revenue cycle management (RCM)


Claims

Purpose: The Claims Report provides a comprehensive list of open claims for follow-up purposes across your organization. It enables you to organize claims by insurance company or specific location(s) and provides the ability to reference the claims from the list or export it for further analysis in a spreadsheet.

Roles: Director of revenue cycle management (RCM) & Insurance billing administrator/coordinator


AR Guarantor List

Purpose: The Accounts Receivable (AR) Guarantor Report provides a comprehensive list of outstanding balances from patients across the organization, including relevant information to facilitate patient communication and collection efforts. The report can be viewed on the screen or exported to a spreadsheet for further analysis and management.

Roles: Director of revenue cycle management (RCM) & Insurance billing administrator/coordinator


Claims Aging

Purpose: The Claims Aging Report provides an overview of a Dental Service Organization's (DSO) progress in collecting payments from insurance companies after billing. It presents a visual representation of claims aging, categorized into 0-30, 31-60, 61-90, and 90+ days since submission to insurance companies. The report displays bar graphs displaying the dollar amount in each aging category, with the ability to view the number of claims by hovering over the bars. Additionally, the report allows you to see the claims aging visualization by location(s) and specific insurance companies.

Roles: COO & Director of revenue cycle management (RCM)


Patient Payments

Purpose: The Patient Payments Report offers a quick understanding of the sources of patient payments and the mix of payment types used in a practice. The report provides a visual representation of the payment types, with the ability to view the number of patients who have used each type by hovering over the data points. This report helps in gaining insights into the payment behavior of patients and the effectiveness of different payment options in the practice management system.

Roles: COO/CFO, Director of revenue cycle management (RCM), Regional manager


Payor

Purpose: The Payor Report provides a quick overview of the mix of payers utilized by a practice, enabling an understanding of the sources of billed production. This report helps to compare the production billing against the time it takes to collect payments and the amount of write-offs that occur with each insurance company. It provides insights into the practice's revenue cycle and helps to identify areas for improvement in collections and write-off management.

Roles: COO/CFO, Director of revenue cycle management (RCM), COO/CFO, Regional manager


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