Practice Manager — Sam

Sam is the Practice Manager. He hires and manages staff, owns the schedule template, runs financial reviews, files MIPS attestations, manages credentialing and payer enrollment, and is the practice's compliance officer in everything but title.

Pain Points

• Reports require exports to spreadsheets and manual stitching — there is no live view of net collections, days in AR, or denial rate.
• MIPS dashboards are an annual scramble to reconstruct the year's eCQM performance.
• Credentialing and payer enrollment data is scattered across emails, faxed forms, and CAQH ProView with no canonical record.

Goals within REV.health

• Live dashboards — net collections, gross collection rate, days-in-AR (target < 35), denial rate (target ≤ 5%), first-pass clean (target ≥ 98%), and cost-to-collect (target ≤ 4%).
• Native MIPS dashboards with PI, Quality, IA, and Cost categories tracked in real time, plus 27 MVPs available out of the box.
• A credentialing workspace that pulls from CAQH ProView and tracks license expirations, payer enrollment status, and DEA renewals.

Modules Touched

• RCM
• Coding / CDS
• Scheduling
• Task Management
• Payer Optimization

Day in the Life

1. Open the live financials — net collections, gross collection rate, and days-in-AR render in real time; no spreadsheet export required.
2. Drill into denial rate — 4.1% this month, trending down; the recurring-denial view links each pattern back to coding or eligibility upstream.
3. Check cost-to-collect — 3.6%, under the 4% target.

4. Open the native MIPS dashboard — PI, Quality, IA, and Cost categories tracked in real time, no year-end scramble.
5. Review MVP progress — one of 27 out-of-the-box MVPs is selected; eCQM performance is current to today's encounters.
6. One-click attestation prep — PI scoring is drawn from the same telemetry as certification conformance.

7. Open the credentialing workspace — pulls from CAQH ProView; one canonical record instead of scattered emails and faxed forms.
8. Review expirations — license, payer enrollment status, and DEA renewals all surfaced with lead-time alerts.
9. Adjust the schedule template — staffing and slot mix updated for next month.