RCM Key Performance Indicators

Posted by Continuum on Feb 23, 2016 12:01:53 PM

Implement_Incentives.jpgWith the right practice management tools, there is no limit to the data your practice can track and measure. Many of the key performance indicators (KPIs) practices should actively manage relate specifically to the revenue cycle function.

When measuring your practice performance, there are typically two industry standards used. First, compare your statistics from year to year. Flag areas of concern and areas of high performance. For example, are your charges and payments equal to, greater than or less than the previous year? If significant variances exist, look at the data on a monthly basis to see if you can identify cause and effect events.

Second, take a look at industry standards for your specialty. The Medical Group Management Association’s (MGMA) Annual Cost Survey and the National Society of Certified Healthcare Business Consultants’ Annual Statistics both track key performance indicators by physician specialty.

To learn more measuring and improving your performance, download our Health Revenue Checklist. 

Start by looking at these five key performance indicators:

Charges_and_Payments.jpg     Charges & Payments  

Collect payment at the time of service where applicable to increase collections, decrease collection costs, and accelerate cash flow. In today’s healthcare environment, many insurance plans carry high deductibles and larger copays.

Charge_Lag.jpg   Charge Lag

Measures charge capture workflow efficiency and identifies delays in cash. Holding charges delays payment on services rendered and can lead to an uncertain revenue cycle. Make optimal use of your EHR or practice management software to help facilitate the process by automating the billing cycle wherever possible.

Days_in_AR.jpg    Days in AR

Measures the average number of days it takes to collect payment on services rendered. MGMA reports an average 42 days in A/R.

Patient_Schedules.jpg    Percent of Patient Schedule Occupied 

Measures the availability in your patient schedules and identifies ways to maximize visit utilization and improve practice productivity.

Coding_Edits.jpg    Coding Edits for Correct Claims Data

Review claims for missing codes, notes and signatures before submitting to payers.

One final note: verifying patient demographics and insurance information on a regular basis helps to improve all of the items mentioned. Without accurate patient data on file, denials increase, collections become more difficult and appointment confirmations can be challenging. You can learn more by reviewing this excellent medical practice RCM KPI overview from HFMA 

If your practice is not measuring up to industry standards, consider working with a proven partner offering a full range of practice management services.

To learn more measuring and improving your RCM key performance indicators, download our Health Revenue Checklist. 

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Topics: Revenue Cycle Management, Medical Practice Key Performance Indicators, RCM

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