Expanding Margin with Next Generation Healthcare Revenue Cycle Benchmarks

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:

• Being inherently overstaffed because you can’t see the actual workload, effectiveness or productivity of your team.
• Chasing broken processes – throwing more bodies or bots at the problem without the ability to identify and resolve the root cause.
• Missing out on automation opportunities without knowing where touches are happening and reduce the waste.
• Denials become routine but because you can’t track which ones are preventable—and who’s accountable.
• Leaving margin on the table every single month, with no idea how much is leaking or where to plug the holes.