1. Net Collection Rate
✔ Measures actual reimbursement compared to total allowed charges
✔ Helps assess revenue efficiency and payer performance
✔ Target benchmark: 95% or higher
2. Days in Accounts Receivable (A/R)
✔ Tracks how quickly payments are received
✔ Lower days mean faster cash flow
✔ Monitor both overall and payer-specific A/R aging
3. First Pass Resolution Rate (FPRR)
✔ Percentage of claims paid on first submission
✔ Indicates claim accuracy and process efficiency
✔ Goal: 90% or above
4. Denial Rate
✔ Shows the percentage of denied claims out of total submitted
✔ High denial rate signals deeper workflow issues
✔ Track by payer and denial reason monthly
5. Common Challenges & Fixes
| Challenge | Fix |
| Metrics are not updated on time | Automate monthly reports through your billing system |
| High A/R or denial rates | Investigate root causes and retrain billing staff |
| Lack of insight from raw data | Visualize trends using dashboards and charts |
| Low first pass resolution | Implement claim scrubbing before submission |
