ANSWERS · PRACTICE FINANCE

The revenue-cycle KPIs worth tracking (and their targets).

A practice can run its revenue cycle on a handful of numbers: net collection rate, days in A/R, over-90 A/R, clean-claim rate, first-pass resolution, denial rate, denial-recovery rate, and cost to collect. Track these monthly and the leaks show up early — most trouble appears as a drifting metric long before it shows up in the bank balance.

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What actually matters

  • Net collection rate — above ~95%; the single best measure of true leakage
  • Days in A/R — under ~40; rising days signal follow-up or denial problems
  • Over-90 A/R — under ~15–20% of total; where denied and underpaid claims hide
  • Clean-claim rate — above ~95%; upstream of your denial rate
  • First-pass resolution — above ~90%; paid on the first try
  • Denial rate and denial-recovery rate — under ~5–10% denials, and know how much of them you actually recover
  • Cost to collect — what you spend to bring in a dollar; the denominator most practices ignore

Common questions

Which revenue-cycle KPI matters most?

Net collection rate, because it isolates what you actually collected from what you were contractually owed. But pair it with over-90 A/R — a good collection rate with a fat over-90 bucket means recoverable money is aging toward write-off.

Where Volari fits: Two of these KPIs — over-90 A/R and denial-recovery rate — are exactly where Volari moves the number, by working the aged denied and underpaid claims that drag them down.

Related answers
How do I lower my practice's denial rate?How do I reduce days in A/R?How do I know if I'm being underpaid by insurers?In-house billing vs. outsourcing: which is right for my practice?How do I renegotiate payer contracts for better rates?How do I fix my prior-authorization workflow?

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