First-Pass Acceptance Rate
TARGETKeeping clean claims moving into the adjudication process with minimal front-end rework.
You shouldn’t have to wonder what’s happening with your claims, where revenue is getting held up, or whether your billing partner is doing what they said they would do.
We use defined revenue cycle indicators to monitor performance, identify problems, and provide greater visibility into what’s happening behind the numbers.
Keeping clean claims moving into the adjudication process with minimal front-end rework.
Working to capture eligible reimbursement after appropriate contractual adjustments.
Keeping receivables moving and identifying aging balances that need attention.
These figures are performance targets, not a guarantee of results. Monitoring is tailored to the services provided and the needs of your practice.
What is being denied, why it’s happening, and whether patterns are developing.
Front-end issues preventing claims from moving successfully into adjudication.
Where outstanding receivables are sitting and how long they’ve been there.
Claims requiring additional payer or workflow attention.
Patterns that may point to reimbursement or processing issues requiring review.
Applicable enrollment activity that may affect billing readiness or reimbursement.
For practices transitioning from an existing billing environment, the first 60–90 days may serve as a stabilization period. This is an opportunity to establish workflows, understand inherited issues, identify patterns, and develop an appropriate baseline for ongoing performance measurement.
This period isn’t a promise that every performance target will be reached within 90 days.
Review the existing billing environment, workflows, payer relationships, technology, outstanding A/R, and known concerns.
Establish consistent processes for claim submission, follow-up, communication, and reporting.
Look for recurring rejection, denial, A/R, enrollment, documentation, or workflow issues affecting the revenue cycle.
Use what we’re learning to refine processes and establish a more reliable foundation for ongoing performance.