Why Cost Per Successful Payment Should Replace Denial Rate
In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s
Don’t make high-stakes decisions for your healthcare organization with incomplete, and often misleading, data. Traditional metrics like AR > 90 and Clean Claim Pass Rate barely scratch the surface. Meanwhile, 62% of touches are wasted, a third of denials are preventable, and your team is burning time—and margin—on work that never should’ve happened. If you’re not measuring individual employee touches, you have no idea what’s costing you—or who’s accountable.
Using Effective Intelligence® by MedEvolve, you can generate and track new revenue cycle benchmarks that focus on understanding where in the process avoidable touches are happening and effectiveness of staff. The ability to measure against these new benchmarks is key for a sustainable business today. Without it, you’re losing money due to:
Effective Intelligence combines Patient Financial Clearance Automation, Medical Billing Workflow Automation, and Real-Time RCM Analytics in a cloud-based platform designed to integration with your current EMR/PM technology to measure the effectiveness of your RCM staff.
Review and assess your practice’s financial status in 5 min or less and know exact where you are losing money and why. Measure the work effort of every revenue cycle employee, incentivize and retain your top performers, and help employees that need improvement.
You can prevent most common denials, rejections and write-offs during the scheduling and pre-registration process in advance of the appointment. Configure checkpoints and use central task management to quickly clear patients and keep your front office staffing needs at a minimum.
As team members log in to the web-based application and record each “touch” of a claim, outcome, and next task, key data points are recorded like who completed the task and when, outcome, task notes, internal / external messages sent, collection success and other data points that feed into our real-time analytics.
Reduce RCM labor dependence with financial clearance, insurance A/R, & patient A/R automation modules with real-time analytics.
Increase productivity and simplify front & back office processes while keeping your staff focused with our flagship PM system.
In this guide, we break down why denial rate stops being useful once a team is already hitting it and what to track instead. You’ll see how a claim that’s
A team can spend 40 hours resolving 200 claims, watch 180 of them pay, and still report a comfortable 8 percent denial rate. That number doesn’t tell you what it
Hospitals and health systems spend an estimated $40 billion a year on billing and collections. A system replacement changes the interface, not necessarily the economics.
In this guide, MedEvolve breaks
Most AI vendor pitches are built around task-completion metrics: claims processed, calls placed, codes assigned, denials ‘worked.’ These numbers are easy to demo and easy to report. They are also,
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