Medical Economics December 6, 2022
These non-traditional KPIs have a significant impact on collections and cashflow.
In 30 years of running revenue management the usual suspects come up in a Key Performance Indicator (KPI) Dashboard such as Charges, Payments, Adjustments, Net Collection, Gross Collection, Days in AR, AR over 90 Days and Bad Debt. Then you have the breakouts for each category by payer, CPT Code, Location, or ICD Code.
There are 3 other KPIs that I track that may not be traditional KPIs, but they have a significant impact on collections and cash flow.
Denials
You probably notice the C codes related to denials such as CO 11 – Diagnosis Inconsistent with Procedure, CO 22 – Coordination of Benefits, CO 167 – Diagnosis is...
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