You review your AR days and aging report again this month — but by the time the numbers hit your desk, the damage is already done. Sound familiar?
For decades, the healthcare industry has been chained to lagging indicators like AR days, charge lag, and aging reports. These metrics tell us what already happened, not what’s happening right now — and certainly not what’s coming next.
Here’s the truth: the problem isn’t your PM or EMR system. It’s the data they were built to capture. They were designed for transactions, not human touches. And there’s only so much insight you can squeeze from limited inputs.
At MedEvolve, we’ve shifted the conversation from looking backward to looking ahead. With AI-driven workflow and analytics, leading indicators reveal performance before it impacts your financials — so you can take action early, reduce friction, and watch your lagging metrics improve naturally. When leading metrics are strong, AR days shrink, AR aging improves, and your net collection rate begins to reflect true best practice.
Reinventing revenue cycle management starts with reinventing what we measure. MedEvolve benchmarks hundreds of clients and tens of millions of touches, giving us clear AI-driven insight into where organizations land when they go live — and how they progress toward best practice over time. Your first benchmark isn’t a grade; it’s your step-on-the-scale moment. From there, improvement becomes measurable and predictable. That’s what we call the MedEvolve Target — a data-backed performance range achieved by clients approaching true RCM best practice.
Lagging Indicator | Leading Metrics | Leading Benchmark | How Leading Metrics Correct Lagging Indicators |
|---|---|---|---|
Clean Claim Rate / Bad Debt Write-Offs | Zero-Touch Rate
| >75% | A “clean claim” may still require manual work to get paid. A “zero-touch” claim sails through adjudication with zero human intervention — no follow-ups, no wasted time. Accurate financial clearance upstream eliminates rework and manual back-office processing which naturally reduces denials and bad debt downstream. |
Cost to Collect / Labor Efficiency | Avoidable Touches (Waste) | <15% | Avoidable touches capture redundant or premature follow-ups and task assignments that add no value. Configuring worklists by payer response timelines and providing additional training where necessary prevents wasted effort, improves labor efficiency and lowers overall cost to collect. |
Denial Rate / Denials as % of Revenue | Avoidable Touches (Denials) | <10% | Avoidable Touches Related to Denials reflects how efficiently staff handle preventable denials. When representatives lack the expertise or authority to resolve issues independently, they create additional tasks for others — multiplying work and delaying resolution. Tracking and reducing these touches builds expertise, speeds recovery, and lowers overall denial rates. |
Days in AR | First-Touch Payment Rate | >90% | When intervention is required, one touch should be enough. Tracking first-touch payments gives real-time visibility into where claims stall, whether it’s a representative, payer, or process breakdown and helps reduce aging. |
Staff Productivity (Claims per FTE) | Average Touches to Claim Resolution | ≈1.1 | Traditional productivity metrics only show that a claim was paid, not how much effort it took to get there. Measuring touches per claim exposes the hidden labor cost behind collections. Reducing those touches increases throughput, efficiency, and true staff productivity. |
Best practice isn’t a mystery — it’s math. When you measure touches, you expose inefficiencies that were previously invisible: where humans are intervening, where errors occur, and where processes stall. Every unnecessary touch adds cost and delay. Every eliminated touch accelerates cash flow. The less friction between claim submitted and payment received, the more your revenue cycle functions like a revenue engine — efficient, predictable, and self-improving.
MedEvolve isn’t just counting claims; we’re reshaping how healthcare organizations think about performance. Our AI-driven operational intelligence turns raw data into actionable insights — telling you where to act before financial results start to slip. With real-time visibility into human touches, you can eliminate waste, prevent denials, and elevate staff productivity. When your data, people, and processes work in sync, you don’t have to chase lagging indicators. They’ll take care of themselves.
If you’re ready to move beyond backward-looking metrics and start managing what truly drives performance, MedEvolve can help. Discover how AI-driven operational intelligence can transform your revenue cycle — from reactive to proactive.
Matt Seefeld, Chief Executive Officer at MedEvolve, brings over 24 years of management consulting experience in the healthcare industry. He has extensive expertise in the assessment, design and implementation of process improvement programs and technology development across the entire revenue cycle. Matt began his career with Stockamp & Associates, Inc. and worked for both PricewaterhouseCoopers LLP and Deloitte Consulting LLP in their healthcare and life sciences practice lines. In 2007, he developed a business intelligence solution and founded Interpoint Partners, LLC, where he served as Chairman and Chief Executive Officer. In 2011, he sold his business to Streamline Health Solutions where he then served as Chief Strategist of Revenue Cycle followed by Senior Vice President of Solutions Strategy until 2014. Matt ran global sales for NantHealth and provided consulting services for healthcare technology and service businesses nationwide, prior to joining MedEvolve full-time.
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 episode of Disruption/Interruption, Matt shares how generative AI and a focus on human accountability can help providers achieve “zero touch” claims, reduce waste, and improve access to care,
November 11, 2025 — MedEvolve, Inc., a pioneer in AI-powered revenue cycle automation and analytics, today announced its acquisition by Emergence, an enterprise backed by The Pritzker Organization.
How Rural Hospital Administrators Can Leverage Technology & Advocacy to Secure OBBBA / RHTP Funding Lobby for the families who depend on your local care The One Big Beautiful Bill
