Billing and Financial

The RCM Dashboard gives you a complete look at your practice's financial health, with a focus on managing your revenue cycle. It provides important metrics and visuals for insurance claims, collections, and overall financial performance. The dashboard helps practices track their revenue cycle in real time, spot trends, and make smart decisions to improve efficiency and profitability.

Utilizing the RCM Module

Below is a breakdown of each view within the RCM module. Read the following to get an overview of how each view can be used.

Claim Submissions

This view lists patient information, claims, and other relevant details. It allows you to see the claim lag (the time between the date of service and the date the claim was made) and the turnaround time for getting a claim back. You can also create reminders to follow up on claims from this view.

Payment Arrangement

This view shows a list of patients who have created a payment plan. It displays the date the payment plan was created, the total loan amount, and the amount due. You can also create reminders to follow up on past-due payments.

Patient Statements

This view provides information on patient statements, including the date the statement was made, the balance, and the due date.

Note: There are some Practice Management Systems (PMS) which do not work with this view.

Point of Service Collection

This view shows patients with a past-due balance. You can see the total amount of service, insurance, and the balance that is due. This view also allows you to create reminders to follow up on past-due payments.

Adjustment

This view shows all adjustments made to patient accounts, including the patient's office location, the adjustment date, and the amount of the adjustment. It provides a good overview of all adjustments made.

Dashboard

The RCM Dashboard offers an overview of the module. It shows the insurance estimate lost (denied or zero-paid claims), the percentage of patient payments collected on the date of service, and the percentage of claims closed within 60 days. The dashboard also includes pie charts for aging and production, patient vs. insurance collection, claims and RCM collection.

     Note: Some PMSs do not work with this view.

Collection Refund

This view displays collection refunds, which can be seen by either patient or insurance refunds. You can view who received the refund, the date, and the amount, as well as the total percentage of the adjustment.

Payor Overview

This view provides a breakdown of the payor mix for the current and prior years. It also shows a list of the top 10 payors and open claims by payor, as well as a breakdown of the top 10 providers and top 10 ADA codes.

User Mapping with the RCM Module

If your office has completed the code mapping process, this next step will be helpful.

     Note: Some PMSs do not work with this view.

• In the Configuration section, go to the RCM User Mapping tab.
• Using the … in the Actions column, use the Add User button to assign users to specific locations and click Save. This is essential for practices with multiple locations, as it ensures each user only sees data for their assigned office(s).