Revenue Optimization

Identify and implement revenue cycle improvements and cost savings

Revenue Cycle Efficiency
87%

Target: 90% (+3%)

Claims Processing Speed
92%

Target: 95% (+5%)

Denial Rate
8%

Target: 5% (-2%)

Collection Rate
94%

Target: 96% (+1%)

Potential Savings
$437K

Annual opportunity identified

Realized Savings
$67K

Completed optimizations

ROI
285%

Return on optimization investment

Revenue Optimization Opportunities
Identified areas for revenue cycle improvement

Reduce Prior Authorization Delays

Implement automated prior authorization workflows

In Progress
Potential Impact:
$125,000
Effort Level:
Medium
Timeline:
3 months

Optimize Coding Accuracy

Enhanced coder training and AI-assisted coding

Planned
Potential Impact:
$89,000
Effort Level:
Low
Timeline:
1 month

Improve Patient Payment Collection

Implement patient payment plans and digital collection tools

Evaluation
Potential Impact:
$156,000
Effort Level:
High
Timeline:
6 months

Streamline Charge Capture

Mobile charge capture and real-time validation

Completed
Potential Impact:
$67,000
Effort Level:
Medium
Timeline:
2 months
Revenue Cycle Performance
Key performance indicators over time
Days in A/R32 days

Target: <30 days

Clean Claim Rate89%

Target: >95%

First Pass Resolution76%

Target: >85%

Cost Reduction Initiatives
Active projects to reduce operational costs

Automated eligibility verification

Reduced manual work by 40%

$23K saved

Electronic prior authorization

Implementation in progress

$45K projected

Denial management optimization

Planning phase

$78K potential
Recommended Actions
Priority actions to improve revenue performance

High Priority

Address coding accuracy issues causing claim denials - potential $89K recovery

Medium Priority

Implement patient payment portal to improve collection rates

Low Priority

Optimize charge capture workflow for better documentation