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NOTICE: This document contains confidential or proprietary information which may be legally privileged. It is intended only for the named recipients, and may not be shared with vendors outside of Craneware.

p.11

Symptoms of a Significant Revenue Cycle Problem

High dollars written-off due to lack of medical necessity

Low percentage of:

Medicare APC and other payors’ reimbursement of charges

Claims that transmit electronically without biller intervention

High Percentage of :

“Return-to-provider” (RTP) Claims

Rework Claims

Multiple rejections for “duplicate claims”

Not enough staff to keep up with collections follow-up

High or growing days in A/R

Cash flow problems

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