Transforming Bed Management into Revenue Optimization
| Date | Patient ID | Payer | Reason | Amount | Status |
|---|---|---|---|---|---|
| 01/28/24 | P4421 | UnitedHealthcare | Medical Necessity | $43.2K | Appeal Filed |
| 01/27/24 | P4418 | Cigna | Lack of Auth | $41.8K | Under Review |
| 01/26/24 | P4415 | Aetna | Medical Necessity | $44.1K | Appeal Filed |
| 01/25/24 | P4412 | Humana | Incomplete Docs | $39.7K | Pending |
| 01/24/24 | P4409 | BCBS | Medical Necessity | $45.3K | Appeal Filed |
ICU at 93% capacity with 5 patients waiting in ED
Mary Johnson ready for discharge, awaiting transport
Robert Davis - 9 days LOS, multiple barriers to discharge
Med-Surg unit short 2 nurses for night shift
ICU Ventilator #3 requires scheduled maintenance