Healthcare Revenue Cycle Workflow with Graph Analytics

Run the Healthcare Revenue Cycle Workflow with Graph Analytics MicroSim Fullscreen

About This MicroSim

This flowchart condenses the hospital revenue cycle from patient scheduling through payment reconciliation, with the steps powered by graph-database queries shown in green. Real-time eligibility checks, medical-necessity validation, denial-pattern detection, and payment-variance analysis all run as graph traversals, reducing revenue leakage and accelerating cash flow. Decision gates route claims through scrubbing rework, denial management, and patient collections.

How to Use

Hover over any step to see what happens there; the green steps are the graph-database queries that optimize the cycle. Trace the "No" branches to follow a dirty claim back to coding, a denied claim into denial management, and a non-correctable denial into patient collections, while the "Yes" path runs straight through to payment and reconciliation.

Iframe Embed Code

You can add this MicroSim to any web page by adding this to your HTML:

<iframe src="https://dmccreary.github.io/modeling-healthcare-data/sims/healthcare-revenue-cycle-workflow-graph-analytics/main.html"
        height="450px"
        width="100%"
        scrolling="no"></iframe>

Lesson Plan

Grade Level

9-12 (High School Geometry)

Duration

10-15 minutes

Prerequisites

TODO: List prerequisites.

Activities

1. Exploration (5 min): TODO
2. Guided Practice (5 min): TODO
3. Assessment (5 min): TODO

Assessment

TODO: List assessment criteria.

References

1. TODO: Add references.