Revenue Cycle

Understanding the Revenue Cycle Wheel

Navigate the RCW dashboard, understand the billing pipeline stages, and use the action inbox to prioritize work.

5 min read·January 18, 2025

Overview

The Revenue Cycle Wheel (RCW) is Onvelas's billing command center. It shows the current financial health of your practice across all pipeline stages — from unbilled sessions through collected payments.

Pipeline Stages

The RCW tracks claims through six stages:

  1. Draft — claims created but not yet submitted
  2. Submitted — sent to the clearinghouse / payer
  3. Denied — payer returned a denial requiring action
  4. Appealed — denial has been appealed and is under payer review
  5. Paid — payment received via ERA or manual posting
  6. Adjusted — partial payment or write-off applied

KPI Cards

At the top of the RCW, four KPI cards show:

  • Total Billed — sum of all charges submitted this period
  • Collected — payments received and posted
  • Outstanding AR — billed minus collected
  • Collection Rate — collected ÷ billed (target: >90%)

Billing Inbox

The Billing Inbox shows action items sorted by priority. Priority 1 items (red) require immediate attention:

  • Claims with scrub errors
  • Denied claims requiring appeal
  • Deposit posting errors

Priority 2 items (amber) need follow-up:

  • Clearinghouse rejections
  • Claims with no response after 30 days
  • Unposted deposit batches

Priority 3 items (green) are ready for routine action, such as claims ready to submit.

AR Aging

Below the pipeline, the AR Aging bar shows outstanding claims bucketed by age: 0–30, 31–60, 61–90, and 90+ days. Claims aging past 90 days are at risk of timely filing denial.

Tips

  • Work the Billing Inbox daily — it surfaces the highest-value actions first.
  • Use the Collection Rate Trend chart in Reports to spot month-over-month changes.
  • Click any pipeline stage to jump to a filtered claims list for that status.
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