Revenue Cycle & Financial Performance answers the question: Are we getting paid for the work we are doing?
Understanding your revenue pipeline is crucial for cash flow planning and identifying payment delays. This section helps you forecast expected revenue, track claims release timing, and ensure you're capturing reimbursement for all billable services delivered.
Table of Contents:
- How much revenue can we expect to receive for services provided last week/month?
- How much revenue can we expect to receive for services to be provided next week/month?
- When were claims released?
How much revenue can we expect to receive for services provided last week/month?
Forecasting revenue for recently delivered services is essential for cash flow planning and helps you identify potential delays in your billing and claims submission process. This metric allows you to understand your true earned revenue before payments arrive, spot bottlenecks in getting claims out the door, and make informed financial decisions based on expected rather than just received cash.
Reports Used: Custom Reports > Leading/Lagging
Helpful Filters:
- Set the date range to the desired time frame (e.g., last week)
-
Select Completed (to see everything that has been appropriately rendered)
- Include Scheduled if it’s likely those unrendered sessions will be rendered and thus billed
How to Read the Reports:
- Scroll to the right until you see the totals
- OR Export and add up everything in Expected Revenue
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How much revenue can we expect to receive for services to be provided next week/month?
Projecting revenue for scheduled future services provides critical visibility into your revenue pipeline and helps you forecast cash flow for upcoming weeks or months. This forward-looking metric allows you to assess whether you're on track to meet financial targets, make proactive scheduling adjustments if revenue is trending low, and plan for anticipated cash needs based on your scheduled service volume.
Reports Used: Custom Reports > Leading/Lagging
Helpful Filters:
- Set the date range to the desired time frame (e.g., next week)
- Select Scheduled (to see everything that has been scheduled)
How to Read the Reports:
- Scroll to the right until you see the totals
- OR Export and add up everything in Expected Revenue
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When were claims released?
Tracking claim submission dates is critical for ensuring timely payment and avoiding timely filing denials, which can result in permanent revenue loss if claims aren't submitted within payer deadlines. Monitoring when claims are released helps you identify delays in your billing workflow, measure revenue cycle efficiency, and ensure you're converting delivered services into submitted claims as quickly as possible to optimize cash flow.
Reports Used: Custom Reports > Leading/Lagging
How to Read the Reports:
- Scroll all the way to the right
- Reference the Claim Submission Date column
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