UCG SOLUTIONS
One connected revenue cycle. Fewer handoffs. Better visibility.
UCG supports the revenue lifecycle from patient access and financial clearance through coding, billing, payer adjudication, payment posting, denials, A/R, collections and reporting. The operating model connects upstream actions with downstream financial outcomes.
Scope of support
- Patient scheduling and registration support
- Eligibility and benefits verification
- Prior authorization and financial clearance workflows
- Clinical documentation and coding support
- Charge capture and charge-entry controls
- Claim creation, scrubbing, submission and rejection management
- ERA/EOB payment posting and reconciliation
- Denial management and appeals
- A/R follow-up and aged A/R recovery
- Patient balance workflows where in scope
- Revenue analytics, KPI reporting and process improvement
Common risks and triggers
- Front-end demographic or coverage errors
- Authorization gaps
- Documentation and coding defects
- Late or missed charges
- Clearinghouse rejections
- Payer denials and avoidable rework
- Contractual underpayments
- Aging A/R and stalled follow-up
- Fragmented ownership across departments
HOW THE WORK MOVES
Follow this capability through its operating steps.
Select each stage to inspect the task, the issue to watch, an example action and the accountable reviewer.
WORKFLOW EXPLORER
From access to recovery
Trace the operating dependencies that carry an encounter through adjudication and follow-up.
SELECTED STAGE
Patient access
Registration, coverage and financial-clearance work establishes the claim foundation.
Illustrative operating sequence. Final responsibilities, payer rules and automation scope are confirmed for each engagement.
Organizations served
- Hospitals & Health Systems
- Physician Groups
- Independent Practices & Clinics
- Ambulatory Surgery Centers
INTELLIA relevance
UCG INTELLIA™ supports operational visibility, prioritization and workflow automation across revenue-cycle work, with review roles defined for each process.
- Denial Intelligence: Detect patterns, surface likely root causes, prioritize work and connect recovery findings back to prevention.
- A/R Intelligence: Segment accounts by age, value, payer, denial status and recovery potential.
- Coding Intelligence: Support documentation and coding review, QA prioritization and coding-risk visibility with human review.
- Eligibility Intelligence: Surface coverage and eligibility issues early in the revenue cycle.
- Revenue Analytics: Connect operational and financial KPIs into role-relevant views.
Related services
Discuss your workflow with UCG.
Share the revenue-cycle issue, operational priority or payer challenge you are working through.
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