Patent ID: 11894128
Assignee: CERNER INNOVATION, INC.
Field: IT methods for management (Electrical engineering)
Classification: CPC G | IPC G

Claim 15:
16. A computerized system comprising:
one or more data stores that are associated with a client;
a client device that is associated with a particular associate;
one or more processors; and
a non-transitory computer storage media storing computer-useable instructions that, when used by the one or more processors, cause the one or more processors to:
track revenue cycle inventory for the client from the one or more data stores associated with the client, the revenue cycle inventory including data corresponding to patients from preregistration through final payment of a balance;
analyze, at a surveillance system, a particular data point within the revenue cycle inventory to
automatically identify suppressions, edit failures, and denials as disruptions in a revenue cycle and
determine a count of claims affected by a disruption of the disruptions, a total outstanding balance due to the disruption, and a time required for an associate to execute a correction for the disruption;

receive inventory input from a revenue cycle management system of the client, the inventory input including inventory in a revenue cycle management system, types of claims in the inventory, pair agreements of the claims, and a length of time the claims have been in the inventory;
utilize the inventory input to identify and recommend one of a process design, a configuration, or a change in workflow as a particular correction to execute for the disruption;
receive, at a workforce management system, workforce input, the workforce input including experience, type of education or technical training, specialty, and outcomes corresponding to a workforce to address the disruption of the client;
automatically assign, by the workforce management system, a particular associate of the workforce to execute the particular correction for the disruption;
receive, at the workforce management system, audit information for the particular associate corresponding to performance of the particular associate within the revenue cycle management system;
in response to receiving the audit information, automatically scale up or down a portion of the inventory assigned to the particular associate based on the audit information;
generate and display in an interactive user interface of a client device a dashboard that identifies the disruption;
upon receiving an interaction by the dashboard on the client device, generate a screen display in the interactive user interface of the client device that provides information that corresponds to the disruption to the particular associate in the interactive user interface, wherein the information includes the display in the interactive user interface a user-selectable revenue cycle of the count of claims and the total outstanding balance for the disruption; and
generate and display in the interactive user interface of the client device a recommendation for the particular associate to execute the particular correction for the disruption.