Free tool

RCM Health Scorecard

Answer 10 questions and get your revenue cycle health score. Nothing you enter leaves your browser.

  1. We verify insurance eligibility before every visit, not only new patients.
  2. Charges are entered within 24 to 48 hours of the visit.
  3. Claims are checked against coding and payer edits before submission.
  4. We know our clean claim (first-pass) rate.
  5. Denials are tracked by reason code, and repeat causes are fixed.
  6. Appeals are filed before the payer’s appeal deadline.
  7. A/R over 90 days is under 15% of total A/R.
  8. ERA payments are compared with expected contracted rates.
  9. Provider credentialing and CAQH are current for every payer.
  10. We review collections, A/R and denial KPIs every month.

Enter your numbers to see the result.

Assumptions

  • Each answer scores 10 (yes), 5 (partly) or 0 (no). Scores are a self-assessment, not an audit.

More tools: Medical Billing ROI Calculator · RCM Cost Calculator · A/R Recovery Calculator · Clean Claim Calculator · EHR Compatibility Checker

Find out where your practice may be losing revenue

Request a free practice revenue audit. We review your billing and walk you through where revenue may be slipping. No commitment, and no patient records are required to request an initial review.