6 KPIs Beyond Denial Rate for Financial Resilience
- Days in A/R: Measures how fast clinics receive payments. Target under 35 days to maintain healthy cash flow.
- Clean Claim Rate (CCR): Percentage of claims paid without corrections. Aim for 95%+ to reduce rework and speed payments.
- First Pass Yield (FPY): Claims paid on the first submission. Clinics should target 90%+ for faster reimbursements.
- Net Collection Rate (NCR): Shows how much expected revenue is actually collected. A strong rate is 95% or higher.
- Cost to Collect: Tracks the cost of managing the revenue cycle. Reduce it through automation and efficient workflows.
- A/R Over 90 Days: Indicates overdue payments. Keep below 15% to prevent cash flow issues.