A Revenue Cycle Management (RCM) audit doesn’t have to take days. With a structured 60-minute approach, healthcare practices can quickly identify bottlenecks and revenue leaks that impact cash flow. Start by reviewing patient intake and eligibility verification to ensure accuracy in demographics and insurance details. Next, assess charge capture and coding for compliance and completeness—missing or incorrect codes are common causes of denials. Move on to claims submission performance, checking clean claim rates, average submission turnaround, and payer-specific rejections. Then, evaluate the denial management process—how efficiently are denials tracked, analyzed, and appealed? Follow this with a review of accounts receivable aging to pinpoint delayed payments or underpayments. Finally, examine patient collections and financial reporting to ensure transparency and accountability.
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