Queue order (highest ROI first)
- 0–30 days: fix rejections/missing info fast (highest ROI).
- 31–60: payer follow-ups + corrected claims.
- 61–90: denials/appeals and root-cause fixes.
- 90+: escalation + write-off review.
Touch rules (no open loops)
Rule: Every touch must end with a documented outcome and a next follow-up date.
- Use a short note format: payer + reference # + outcome + next date.
- If blocked (missing note, portal access), escalate within 24–48 hours.
KPIs that tell the truth
- AR 60+ trend
- AR 90+ trend
- Touches completed vs dollars moved
- Top blockers (so you fix the system)
Implementation checklist (copy/paste)
- Choose the KPI you want to move.
- Implement one workflow change (SOP + checklist).
- QA sample 10 items/day for 5 days.
- Publish a 1‑page weekly report: KPI, blockers, next action.
Educational resource only — not legal/medical/billing advice.