Revenue Cycle (RCM) KPIs

Front-end, mid-cycle and back-end revenue cycle indicators — insurance verification, point-of-service collection, charge lag, discharged-not-coded days, first-pass resolution, AR aging and cost to collect — aligned with RCM best practice.

Change any number and the result updates instantly. The pre-filled values are illustrative for a 200-bed hospital.

Results not where you want them?

Measuring a KPI is the first step; redesigning the process behind it is the second. This service was developed by Dr Hesham Dabah, CEO and healthcare expert with 25+ years in healthcare transformation, medical group management and consultancy.

Revenue Cycle (RCM) KPIs

Accounts Receivable Days

Net Collection Rate

Denial Rate

Clean Claim Rate

Bad Debt Ratio

Patient Collection Rate

Cash as % of Net Revenue

Accounts Receivable Turnover

Insurance Verification Accuracy Rate

Point-of-Service (POS) Collection Rate

Charge Lag Days

Discharged But Not Coded (DNC)

First-Pass Resolution Rate (FPRR)

A/R Aging Over 90 Days

Cost to Collect

Claim Resolve Rate

Revenue Realization Rate (RRR)

Gross Collection Rate

A/R 0–60 Days Percentage

Discharged Not Submitted to Payer (DNSP)

Credit Balance as % of Total A/R

RCM Budget as % of Total Collections

Average Monthly Gross Charges

Average Monthly Gross Collections

Percentage of A/R in 0–30 Day Bucket

Percentage of A/R in 31–60 Day Bucket

Percentage of A/R in 61–90 Day Bucket

Percentage of A/R in 91–120 Day Bucket

Percentage of A/R in 121+ Day Bucket

Results not where you want them?