# DenQAI: patient centered revenue cycle mandate

File-specific companion · 2026-09-10

## Purpose

What rules keep revenue-cycle work accurate and understandable for patients?

**Who:** Owner dentist, billing manager, and qualified compliance reviewer

**Records:** Care-first policy; estimates and financial communications; adjustment/refund rules; coding and escalation procedures.

## Complete the file

1. Answer each owner_question with an observable required_rule.
2. Link the rule to a controlling_record and reviewer_role.
3. State a break_condition and track status until the process and authority support the rule.

## Definitions

- **Revenue cycle:** Administrative path from documented care and charges to adjustments, payment, and resolution.
- **Required rule:** Owner-approved process expectation that can be observed.
- **Break condition:** A signal that the process is no longer meeting the stated rule.

## Fictional example

Fictional example: RCM-M02 requires an explained estimate and an escalation contact when coverage is uncertain; the communication record becomes the control.

## Review and next action

Approve the specific operating rule and assign the control that will test it.

This mandate does not authorize coding, determine benefits, replace clinical decisions, or settle patient balances.

[Related DenQAI guide](https://denqai.com/operations)

## AI coach prompt

Help me use DenQAI’s patient centered revenue cycle mandate. My question is: What rules keep revenue-cycle work accurate and understandable for patients? Explain these terms in plain language: Revenue cycle, Required rule, Break condition. Ask one question at a time about the required records: Care-first policy; estimates and financial communications; adjustment/refund rules; coding and escalation procedures. Walk through the supplied fictional example before asking me for inputs. Treat every missing value as unknown, not zero. Do not invent source records, contract terms, legal conclusions, or clinical facts. Use only permitted fictional or aggregate, non-identifying information. Follow this boundary: This mandate does not authorize coding, determine benefits, replace clinical decisions, or settle patient balances. End with the missing evidence and this next step: Approve the specific operating rule and assign the control that will test it.

## AI review prompt

Review my permitted fictional or aggregate draft of DenQAI’s patient centered revenue cycle mandate against the file instructions. Check each required field and period, units, evidence locator, assumptions, arithmetic where formulas are actually supplied, and unresolved contradictions. Check the sequence: Answer each owner_question with an observable required_rule. Link the rule to a controlling_record and reviewer_role. State a break_condition and track status until the process and authority support the rule. Separate facts from assumptions and missing records. Do not supply unsupported numbers or make a professional decision for me. Apply this limitation: This mandate does not authorize coding, determine benefits, replace clinical decisions, or settle patient balances. Return corrections, questions for the responsible reviewer, and the next action.