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.

30 KPIs

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

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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

Prior Authorization Cycle Time

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?