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Today you were hired as the Assistant of Revenue Cycle for a large health delivery organization. The company president feels the revenue cycle process has

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Today you were hired as the Assistant of Revenue Cycle for a large health delivery organization. The company president feels the revenue cycle process has been running on autopilot for some time and that revenue is probably being "left on the table" or being lost. Your goal is to review the revenue cycle process and develop key performance indicator metrics that will be used to measure and identify areas needing improvement or change to ensure that revenue is completely captured in an efficient and effective manner. You have decided to concentrate on 4 core process areas of coding, clinical documentation, billing, and collection of payments. 1. Claims Denial Rate = 25% 2. Coding Quality Score = 75% 3. Net Days in Receivables = 60 days 4. Charge Lag Days = 7 days Based on the above 4 performance metrics above, provide an assessment of the organization's revenue cycle core processes including any areas you feel have an opportunity for improvement and why

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