Revenue Performance Results From Disciplined RCM Execution
Veriflow focuses on measurable revenue movement - stronger collections, reduced avoidable denials, lower aging AR, cleaner unpaid claim inventory, and better executive visibility.
What Revenue Control Can Look Like
|
Metric
|
Before
|
After
|
Message
|
|---|---|---|---|
|
Payments per Visit
|
$148
|
$188
|
Improved reimbursement realization through AR cleanup and front-end
correction.
|
|
Gross Collection Rate
|
39%
|
49%
|
Strengthened claims accuracy and collections discipline.
|
|
First-Time Denial Rate
|
11%
|
8%
|
Reduced avoidable denials through root-cause controls.
|
|
AR Over 90 Days
|
37%
|
15%
|
Focused aging AR reduction with daily performance review.
|
|
Total AR
|
$3.94M
|
$3.43M
|
Reduced outstanding AR through prioritized execution
|
|
Unpaid Claims
|
4,853
|
2,697
|
Converted inventory into actionable work queues.
|
Dashboards
Dashboards That Give Owners Revenue Control
Physician Dashboard
Payments, charges, lag, denials, AR, specialty-level reimbursement, and productivity displayed in a simple owner view.
Front-End Dashboard
Scheduled patients, insurance captured, eligibility status, patient balance links sent, collections completed, and unresolved front-end issues.
Prior Auth Dashboard
Authorizations pending, approved, denied, missing documents, payer aging, follow-up status, and procedure readiness.
Denial Dashboard
Denials by payer, CPT, ICD, modifier, medical necessity, documentation gap, eligibility, and authorization reason.
AR Dashboard
AR by aging, payer, financial class, priority, worked claims, resolved claims, collectability, and high-value inventory.
Team Performance Dashboard
Clean claim ratio, rejection turnaround, denial rework time, productivity, and daily queue progress.
Our Dashboards
|
Case Result
|
Challenge
|
Action
|
Result
|
|---|---|---|---|
|
60-Day Revenue Flow
Improvement
|
High AR, recurring denials,
weak reporting, and unresolved
unpaid claims.
|
AR prioritization, denial root-cause
review, front-end correction, payer
segmentation, payment posting
visibility, and dashboard cadence.
|
Improved payment per visit,
reduced AR over 90, reduced
unpaid claims, and stronger
collection visibility.
|
|
Biologics AR Recovery
|
High-dollar biologics claims
stuck due to authorization,
documentation, NDC, payer
follow-up, and posting issues
|
High-value AR inventory review, payer
segmentation, documentation checks,
authorization review, and appeal
prioritization.
|
Improved biologics payment
tracking, clearer recovery
opportunity, and better visibility
into unpaid high-dollar claims.
|
|
Denial Prevention Workflow
|
Recurring denials tied to
documentation, authorization,
eligibility, coding, and payer
behavior.
|
Denial root-cause dashboard, payer
trend analysis, corrective training,
documentation feedback, and
pre-submit risk checks.
|
Reduced avoidable denials
and improved claim readiness.
|