RCM INTELLIGENCE
Know What Your Metrics Actually Mean.
Revenue-cycle metrics need context. Specialty, payer mix, organization type, service mix, technology, and operating model can materially change how a KPI should be interpreted.
01
Benchmark the Right Things
- Days in A/R
- A/R aging
- Clean claim rate
- First-pass resolution
- Denial rate
- Net collection rate
- Gross collection rate
- Cost to collect
- Underpayments
- Payer performance
02
Context Before Conclusions
A benchmark can identify a question worth investigating, but it should not automatically be treated as a universal target. We use benchmarks as one input in a broader performance assessment.
03
Build Your Own Baseline
For many organizations, the most useful benchmark is a consistent internal baseline that shows whether performance is improving, deteriorating, or varying across specialties, locations, payers, and vendors.
Frequently Asked Questions
How is RCM Advisory Partners different from a medical billing company or software vendor?
RCM Advisory Partners is an independent healthcare revenue-cycle advisory firm. Rather than selling a predetermined software platform or one-size-fits-all outsourcing contract, we evaluate your actual 837 claim and 835 remittance data, benchmark performance against HFMA MAP Keys and MGMA standards, and help leadership execute the highest-ROI path—whether that is internal optimization, hybrid workflow redesign, or vetted partner selection.
What size healthcare organizations do you typically advise?
We work primarily with complex physician groups, multi-specialty medical groups, Management Services Organizations (MSOs), Ambulatory Surgery Centers (ASCs), hospitals/health systems, and private-equity-backed healthcare platforms generating between $5M and $100M+ in annual net patient service revenue.
What happens during an initial RCM Assessment?
We review your current revenue-cycle KPIs, aging distribution, denial CARC/RARC patterns, payer contract fee-schedule variances, EHR/PM workflow configuration, and vendor SLAs to deliver a clear financial-leakage baseline and a prioritized 30/60/90-day action plan.
Next step
Start With the Numbers
Understand where performance is breaking down, what it may be costing your organization, and what should happen next.