Winning Data
Revenue cycle KPIs that count
If you’re used to looking at NextGen, Allscripts, or eClinicalWorks RCM KPIs - get ready. Traditional, high-level metrics and benchmarks just don’t cut it.
We’re ushering in a new way to manage your revenue cycle with modern revenue cycle KPIs. Get to know your data in context and the intricacies of each metric.
Viewgol Your DataMetric:
Days in A/R
Why it fails:
Can be manipulated by writing off balances that might otherwise be collectible. Fluctuations in charge volumes and outstanding credit balances that are not taken into consideration can have a negative impact.
Can be manipulated by writing off balances that might otherwise be collectible. Fluctuations in charge volumes and outstanding credit balances that are not taken into consideration can have a negative impact.
Metric:
Gross Collection Rate (GCR)
Why it fails:
Variances between fee schedules, modifications, and time periods can skew results.
Variances between fee schedules, modifications, and time periods can skew results.
Example:
- Medical practice A:
$85 (allowable) / $150 (office charge)=57% - Medical practice B:
$95 (allowable) / $250 (office charge)=35%
Metric:
Net Collection Rate (NCR)
Why it fails:
Fails to measure contractual adjustments separately or non-contractual adjustments correctly, and measures NCR with what was posted for the month or over-collection can impact NCR.
Fails to measure contractual adjustments separately or non-contractual adjustments correctly, and measures NCR with what was posted for the month or over-collection can impact NCR.
Metric:
Denial Percentage
Why it fails:
Differences in how—and when—to calculate denials, plus denial thought processes, and measuring counts versus dollars can result in various metrics.
Differences in how—and when—to calculate denials, plus denial thought processes, and measuring counts versus dollars can result in various metrics.
Dig deep(er) into your metrics
Traditional revenue cycle KPIs
- Industry-standard benchmarks
- Takes metrics at face value
- Data only skims the surface
- No opportunity to challenge the data
- Data can be skewed in a favorable direction
The Viewgol Way
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Industry-standard benchmarks + new benchmarks, all delivered in context
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Looks for nuances in metrics
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Uncovers hidden data and opportunities
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Provides you with the right questions to ask
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Data gives you a clear, realistic view of revenue cycle
