US 11,894,128 B2
Revenue cycle workforce management
Brian Streich, Kansas City, MO (US); Kelley Bergstrom, Kansas City, KS (US); Mark Sullivan, Kansas City, KS (US); and Michael D. Myers, Kansas City, KS (US)
Assigned to CERNER INNOVATION, INC., Kansas City, MO (US)
Filed by CERNER INNOVATION, INC., Kansas City, KS (US)
Filed on Dec. 31, 2019, as Appl. No. 16/731,422.
Prior Publication US 2021/0202075 A1, Jul. 1, 2021
Int. Cl. G06Q 10/00 (2023.01); G16H 40/20 (2018.01); G06N 5/04 (2023.01); G06Q 10/0639 (2023.01); G06Q 10/0631 (2023.01); G06Q 10/0637 (2023.01); G06Q 10/105 (2023.01)
CPC G16H 40/20 (2018.01) [G06N 5/04 (2013.01); G06Q 10/0637 (2013.01); G06Q 10/06398 (2013.01); G06Q 10/063112 (2013.01); G06Q 10/105 (2013.01)] 19 Claims
OG exemplary drawing
 
1. One or more non-transitory computer storage media having computer-executable instructions embodied thereon, that when executed, perform operations, the operations comprising:
tracking revenue cycle inventory for a client from 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;
analyzing, 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;
receiving, at a workforce management system, inventory input 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;
utilizing 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;
receiving, at the 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 assigning, by the workforce management system, a particular associate of the workforce to execute the particular correction for the disruption;
generating and displaying 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, generating and displaying a screen display in the interactive user interface of the client device that provides details that correspond to the disruption to the particular associate in the interactive user interface, wherein the details include 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
generating and displaying in the interactive user interface of the client device a recommendation for the particular associate to execute the particular correction for the disruption.