25d (edited) • Tip and Tricks
Best Practices
Let’s crowdsource the RCM plays that actually move metrics. Drop ONE best practice your team uses and copy this format so it’s easy to learn from:
Template to post your best practice:
- Context: setting/specialty/payer mix
- The Play (steps): what you do, in order
- Metrics Moved: before → after (e.g., first-pass %, denial rate, days in A/R)
- Artifacts: checklist/script/template (attach if you can)
- Pitfalls & Tips: what to watch out for
Starter ideas (pick one):
- Eligibility “double-verify” at scheduling and day-of
- Prior-auth tracker with SLAs and next-action reminders
- Monthly edit tune-up: top rejections → new pre-submission edits
- Daily 10-minute denial triage huddle + 48-hour follow-up standard
- Weekly KPI one-pager (clean claim rate, first-pass yield, denial rate, days in A/R)
- Appeal letter template customized by payer + reason
House rules: no PHI; anonymize accounts; keep it practical.
Who’s got the first one? 👇
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Best Practices
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