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CRIS

FOR REVENUE CYCLE LEADERS

Stop managing the revenue cycle through scattered reports, inboxes and follow-up meetings.

Revenue cycle leaders are expected to keep claims moving, reduce denials, control A/R, improve collections and make sure teams follow through.

CRIS gives revenue cycle leaders one clearer operating view of the work. See what is moving. See what is stuck. See what needs attention. See who owns it. And see whether it was actually completed.

Revenue Cycle Command Center
Today · 9:40 AM
Open Work4,862+126 since Monday
Overdue327↑ 9.4% this week
90+ Day A/R$1.31M31% of outstanding A/R
Denials Needing Action18442 high priority
Backlog movement8 weeks
5k4.5k4k3.5k Jul 27Aug 10Aug 24Sep 7
+1,082 itemsBacklog has grown for six consecutive weeks.
01WorkWhat needs to be done?
02PriorityWhat should be worked first?
03TimeWhat is ageing or approaching deadline?
04OwnershipWho is responsible?
05OutcomeWhat happened after the work was performed?
06ImprovementWhat keeps happening and needs a permanent response?

SEE THE OPERATING SIGNAL

You should know where the revenue cycle is slowing down before the month ends.

A revenue-cycle problem does not always appear as one dramatic event. Claims wait longer before submission. A work queue starts growing. Denials repeat. Follow-ups remain open. Older A/R continues to accumulate.

CRIS helps revenue cycle leaders see these operating signals earlier, before delay becomes backlog and backlog becomes a financial problem.

A busy team is not always a healthy revenue cycle.Your staff can be working hard while the backlog is still growing.
Queue healthIncoming work is outpacing completion
Last 6 weeks
ReceivedCompleted
W1980 / 955
W21,030 / 968
W31,075 / 979
W41,120 / 991
W51,148 / 1,002
W61,196 / 1,018
Received6,549
Completed5,913
Net backlog growth+636

NEEDS ATTENTION

See the work, not just the totals.

Everything cannot have the same priority. CRIS helps bring forward what is overdue, ageing, high impact, repeated, escalated or waiting on someone else.

OVERDUE WORK

327 items should already have been addressed.

Affected value$2.08M
1–3 days118
4–7 days94
8–14 days71
15+ days44
Largest concentrationCommercial payer follow-up
What changedOverdue work increased 9.4% this week.
Management questionAre teams completing work fast enough to keep the operation under control?

CLAIM PROGRESSION

Follow the claim through the process. See exactly where it stopped moving.

A claim should not disappear into a system after submission. CRIS helps leadership see the progression from created to closure and the operating context when the journey stalls.

ClaimCLM-284391
PatientEmily Carter
PayerHorizon Health
Amount$18,420
1
CreatedAug 12 · 9:08 AM
2
SubmittedAug 13 · 2:14 PM
3
Payer responseDenied · Aug 20
4
Denial reviewedMissing documentation
5
Follow-up stalled12 days overdue
Needs action
6
ResolutionNot reached
Current ownerJordan Blake · Denials Team
Next actionObtain supporting documentation and submit appeal
DueOverdue since Sep 6

DENIAL OPERATIONS

Stop treating every denial as the same problem.

A denial count tells you that something went wrong. It does not tell you enough to fix it.

CRIS helps leaders see which denials increased, which payers are involved, how much revenue is affected, whether teams are appealing them, and whether the same causes are returning after corrective action.

The goal is not simply to count denials. It is to understand and manage them.
Denial pressureRecurring reasons by affected value
6.8% denial rate
Missing documentation$284K
Authorization$228K
Coding$161K
Eligibility$115K
Timely filing$74K
Largest payer contributionHorizon Health · 38%
Repeat issueDocumentation denials ↑ 31%
ActionRoot-cause review assigned
Team executionWorkload before redistribution
Open / overdue / high priority
Jordan BlakeDenials
486 / 4
Olivia MartinezA/R follow-up
13731 / 18
Marcus ReedAppeals
623 / 7
Sophia NguyenBilling review
798 / 6
Manager signal:One A/R queue is carrying materially more overdue and high-priority work than the rest of the team.

TEAM EXECUTION

See workload before redistributing it.

Revenue cycle leaders need visibility without turning the system into employee surveillance. The useful question is not simply who did the most work. It is whether the work is being managed effectively.

  • Assigned workload and open workload
  • Ageing and overdue items
  • High-priority and escalated work
  • Average completion time and repeated rework
  • Work genuinely waiting on an external party

The context matters. A staff member handling difficult high-value appeals should not be judged solely by the number of items closed.

TIME & FOLLOW-UP

Make deadlines visible before they are missed.

Claims, denials, appeals and follow-ups may all have time-sensitive requirements. CRIS can help track expected turnaround times and service commitments so work does not become urgent only after the deadline has passed.

Due todayDue this weekOverdueEscalatedCompleted on time
SLA performanceWhere expected turnaround is slipping
Current month
Denial review88% on time
Appeal submission74% on time
A/R follow-up69% on time
Payment variance review93% on time
A missed SLA should lead to a question, not just a red number.Where does work wait, which teams are overloaded, and which delays depend on external parties?

IMPROVEMENT

The same problem should not be solved from scratch every month.

Repeated denials, recurring payer issues and persistent queue delays should become visible as patterns, not disappear inside daily activity.

One-off issueIsolated eventMonitor and resolve the case.
Repeat issueSame problem againUnderstand why it returned.
Growing issueFrequency or impact is increasingManagement review required.
Widespread issueMultiple areas affectedInvestigate common cause.
Controlled issueCorrective action is workingContinue monitoring.
Persistent issueProblem continues after actionChange the response.

See the cause behind the queue.

A queue is an outcome. The management question is why the queue is there.

Higher volumeStaffing pressureIncomplete informationEligibility issuesAuthorizationPayer response delayApproval delaysSystem issuesRepeated reworkPoor prioritisation

FROM SIGNAL TO COMPLETED ACTION

Move from morning huddle to accountable action.

CRIS is designed around a simple management path that keeps the operating signal connected to the work and the outcome.

01See the problemWhat is wrong?
02Find where it is happeningQueue, payer, facility or team.
03Understand the causeWhat appears to be driving it?
04Assign the responseWho owns the action?
05Track the deadlineWhen should it be done?
06Confirm the outcomeWas the issue actually resolved?
07Learn from what happenedIs it improving, recurring or growing?

SEE CRIS FROM YOUR PERSPECTIVE

Bring one operational question to a demonstration.

CRIS should show how that question moves from an operating signal to the underlying work and the action required.

Signal90+ day A/R increased 18% this period.
ContextLakeview Hospital and Horizon Health account for most of the increase.
Underlying work87 follow-ups are overdue and 31 items are waiting on payer response.
ActionAged A/R review assigned to the A/R manager with payer-level follow-up due Sep 22.

FINAL CTA

Keep work moving before delay becomes backlog and backlog becomes lost revenue.

CRIS gives revenue cycle leaders a clearer way to manage claims, denials, A/R, work queues, deadlines, follow-up and team execution from one connected operating view.

See what is stuck. Understand why. Know who owns the next action.