KPI Calculator
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Net collection rate
Total charges before any adjustments
Payer write-offs, contracted discounts
Patient responsibility adjustments, bad debt
Actual cash collected in period
Outstanding accounts receivable
Net collection rate
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Net collectible amount
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Charges − adjustments − writeoffs − AR
Uncollected balance
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Revenue left on table
Days in accounts receivable
All outstanding receivables today
Gross charges billed this period
30 = monthly, 90 = quarterly
Your specialty's typical target
Days in AR
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Daily charge rate
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Charges ÷ days in period
vs. your benchmark
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Claims metrics
For first-pass resolution rate
Clean claim rate
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Denial rate
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First-pass resolution
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Coding accuracy
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AR aging analysis
Appeals & denial recovery
Overturn rate
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Pending / unknown
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Revenue recovered
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Won × avg claim value
Revenue lost
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Lost × avg claim value
Volume inputs
Paid or legitimately adjusted, no follow-up needed
% of denials that were avoidable (industry avg ~65%)
Denial rate
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First-pass resolution rate
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Preventable denial cost
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Revenue at risk from avoidable denials
Net denial impact
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After subtracting recovered appeals
Staff productivity
Sum of wait days across all accounts
Claims per day (total)
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Claims per staff per day
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Avg queue age (days)
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Clean claim rate
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