Clean Claim Rate and First-Pass Resolution Rate
This lesson is part of the course
In this lesson
You measure how many claims get through the edits untouched and how many are paid on the first submission, month by month and for the half year, and count the months that meet both targets.
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Lessons in this course
- Charges vs Allowed vs Paid: the Contractual Adjustment Locked
- Clean Claim Rate and First-Pass Resolution Rate Locked
- Denial Rate by Reason and Payer with COUNTIF and a Pareto Chart Locked
- A/R Aging, A/R over 90 Days and Days in A/R Locked
- Net Collection Rate by Payer and the Gap to Target Locked
- Patient Responsibility per Claim: Deductible, Copay and Coinsurance Locked
- Cost to Collect and Write-Off Rates by Quarter Locked
- RCM Dashboard: Status, Gaps and Red Flags Locked