Revenue Cycle Metrics
The key performance indicators (KPIs) that measure the health of the revenue cycle — what each metric means, how it is calculated, and how to read it, with authoritative sources.
- Clean claim rate
The clean claim rate is the share of claims accepted on first submission without edits or rejections — a leading measure of front-end and coding accuracy.
- Days in A/R
Days in accounts receivable is the average time to collect after care is delivered — a core measure of how quickly a practice turns services into cash.
- Denial rate
The denial rate is the share of claims a payer refuses to pay on adjudication — a core measure of revenue-cycle friction, best read by trend and by reason.
- Net collection rate
The net collection rate is the share of collectible revenue — after contractual adjustments — that a practice actually collects, measuring how completely earned revenue is captured.
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