Data & Analytics
The Medical Billing KPIs Every Practice Should Track
Jennifer Walsh9 min read
A plain-English glossary of the revenue-cycle metrics that actually predict cash — and the benchmarks to aim for.
You cannot fix what you do not measure. These are the revenue-cycle KPIs that genuinely predict financial health, with the benchmarks high-performing U.S. practices target.
The essential metrics
- Days in A/R — target ≤ 35 days
- Clean Claim Rate — target 95%+
- First-Pass Resolution Rate — target 90%+
- Denial Rate — target < 5%
- Net Collection Rate — target 96%+
- A/R > 90 days — target < 15%
- Point-of-Service Collection Rate — trend up
- Cost to Collect — trend down
Use them as a system
Review them weekly, segment by payer and provider, and tie each to an owner and an action. Metrics without accountability are just trivia.
How Aethera helps
Aethera delivers these KPIs live and benchmarks you against your specialty. Upload an aging report for an instant scorecard.
See what your revenue cycle is leaking
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