Know how you can leverage your practice performance with 6 revenue cycle metrics

December 20th, 2016 - Ango Mark   
Categories:   Benchmarks   Practice Management   Insurance   Medical Records   Medicare   Medicare Claims Processing Manual   Medicare Physician Fee Schedule (MPFSDB)  
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Are you one of those busy physicians who pay just a cursory glance at monthly collections? Then you should be prepared to lose revenue every single day like this obgyn practice in southeast Georgia. It is essential for medical practices to track financial performance metrics, as every dollar that falls through the cracks can create an adverse and irredeemable impact.

If you want to meet operational and financial goals and create a roadmap for your medical practice in a shifting landscape, start tracking these medical practice revenue KPIs.

1. The A.R. Aging Reports

Of course you know that claims are getting denied and your billing team is following up on them. But have you arranged your AR into buckets based on the number of days they’ve remained unpaid? Your largest claim summary should fall in the 30 days bucket or trying to convince payers to reimburse is going to be an uphill task. But how do you know if you are not keeping track of your unpaid claims?

A detailed aging AR report that breaks down key components such as number of claims denied, denial pattern, and payer specifics will enable you to handle backlogged revenue efficiently.

If your practice needs more information on aging A.R. divide the A.R. based on CPT® codes and insurance. Here’s a sample report you can us form tracking A.R

A.R Aging Report

Pulling such reports will help you find out the billing performance metrics and hence help you know how your billing department performs.

2. Patient payments- The most challenging job for a practice!

The responsibility of the front desk staff gets even tough when the patients don’t listen or the staff doesn’t keep a track of patient collections.  To make the patient listen to what you need them to understand, it’s better to keep a track of the collections. It becomes a support for you if you have a report handy. Let’s say a dashboard that can help you keep a track of this indicator and thus prove your productivity.

Patient Payments

3. Productivity report of each physician

This is the age of ACOs. As medical practice converge under a single umbrella to better manage costs and operational bottlenecks, it is more important than ever to analyse the productivity of every physician on board. It will help you monitor fluctuations in physician productivity metrics and make physicians who are a part of your network more accountable. This adds to the list of practice financial performance metrics you should be tracking.

productivity report

4. Net monthly collections

You are meeting patients every day, but are you getting paid for each patient visit? Monthly net collections is calculated as (Payments – Credits) / (Charges – Contractual Adjustments). It reflects the amount of dollars you’ve collected and conversely the amount of potential revenue left on the table. A concise report will help you understand the practice financial performance metrics and areas that need to be improved on.

Net Monthly Collections

A weak and staggering revenue cycle will bring the financial growth of your medical practice to a grounding halt. There are several smart reporting applications available that can enable your practice to view and analyze pertinent information, anywhere, anytime. Invest in one and take the first step towards sustainable financial growth. This allows you to have an eye on your medical practice performance metrics.

5. Medical coding efficiency reports

ICD-10 has transformed the way healthcare organizations code. It demands greater accuracy and granularity of data. A detailed medical coding report will help increase coding throughput and spot the cracks in your medical coding process.

Tracking what your top paying CPT® codes are will enable your organization to negotiate better performing contracts and increase revenue. This is one of the medical practice KPIs your billers must be using.

6. Track Payer reimbursement trends

Keeping track of the reimbursement rate of each payer is essential. Monitoring reimbursement metrics will enable medical practices reach financial goals. Getting to know how each payer reimburses your practice can help you design an effective financial plan and fix the leaks in your revenue cycle. Most practices miss out this indicator and the payer gets a chance to change its payment trends or even deny a claim without a valid reason. It is also important to monitor the reimbursement TAT of insurers

6. Track Payer reimbursement trends

The above dashboard displays the reimbursement TAT for last 12 months. You can select from the other two tabs (For 3 months and 6 months).This is also very important when considering to track the medical practice revenue KPIs

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