Measure:Pre-Registration Rate
Purpose:
Trending indicator that patient access processes are timely, accurate, and efficient
Value:
Indicates revenue cycle efficiency and effectiveness
Equation:
N: number of patient encounters preregistered
D: number of scheduled patient encounters
Measure:Insurance Verification Rate
Purpose:
Trending indicator that patient access functions are timely, accurate, and efficient
Value:
Indicates revenue cycle process efficiency and effectiveness
Equation:
N: total number of verified encounters
D: total number of registered encounters
Measure:Service Authorization Rate
Purpose:
Trending indicator that patient access functions are timely, accurate, and efficient
Value:
Indicates revenue cycle process efficiency and effectiveness
Equation:
N: number of encounters authorized
D: number of encounters requiring authorization
Measure:Point-of-Service (POS) Cash Collections
Purpose:
Trending indicator of point-of-service collection efforts
Value:
Indicates potential exposure to bad debt, accelerates cash collections, and can reduce collection costs
Equation:
N: POS payments
D: total patient cash collected
Measure:Conversion Rate of Uninsured Inpatient to Payer Source
Purpose:
Trending indicator of qualifying uninsured inpatients for a funding source
Value:
Indicates organization’s ability to successfully secure funding for uninsured inpatients and improve customer satisfaction
Equation:
N: total inpatient cases approved
D: total uninsured inpatient discharges