Payor Relations
How many years have we successfully executed our VBC Metrics with Aetna?
3
This is the number of new TMs promoted in 2024
23
This type of request has surged by 266%, significantly impacting daily administrative workload?
Records request
This individual helped start the Senior OM pilot in May of 2024 in San Diego County
Miranda
This is the newest Senior TM.
Christy Spears
How many new contracts (including SCA) have been signed YTD 2024?
11; (plus 3 pending) 3 Soonerselect, VHP, HI administrators, 2 Holeman, Sana, KP CO, HPSJ, HPSM
In 2024, we assessed this many new Aetna clients?
159
This process, due to incomplete documentation, repeated data retrieval, and submission organization, takes 14-60 days and takes 60+ work hours a week?
Payor Audit
These 3 Senior OMs moved 925.5 weekly declined hours to accepted hours in the September/October Client CTI Sprint.
Miranda, Adrian, and Perle
This person has spent approximately 1,475 hours in CentralReach this year.
Shelley Williams
What % of current billing clients have a comprehensive auth?
30%
This is our average recommendation for assessment clients?
20.9
Spending over 241 hours, what is the total number of Goals Shelley has had to individually pull into daily notes to help us pass payor audits in 2024?
2,569
This QPI was completed 271 times in 2024 by QMs and was also the most completed QPI of the year.
Behaviors of Concern QPI
The 5 S-OMs currently reside in one of these three US states.
CA, CO, TN
What % growth has ACES seen since Nov 2021 in total client headcount?
16.25%
The average UM for a Fast Track client?
89%
This is the 2024 overall compliance percentage for client signatures on timesheets?
87.6%
This is the number of QMs that were onboarded in 2024 (currently, there are 47 QMs)
28
Supported the creation of the 60 day review process with an easy button in PASS.
Thomas Solomon
How many hours has the PM department provided high level manager clinical oversight to ACES clients from Jan – Oct 2024?
7,634.75 hours
This is the number of clients assessed as of Dec 2?
1,332
This physical clinic has the highest B2D compliance for 2024 at 95.37%
Rocklin
As of 12/02/24, this is the number of prescribed declined hours the Senior OMs + QMs have moved to accepted hours per month since mid-August 2024.
14,251
Who from RCM supports the CCS FSO audit data pull
Erin Beyrooty