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MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
Guidance for understanding and communicating about the price of health care.
Transformation toward value-based healthcare is reshaping the delivery of care, patient expectations, and payment structures.
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
Purpose:Identifies opportunity to maximize slot utilization and improve practice productivity
Value:Measures available capacity in a patient schedule
Calculation:N: Number of patient hours occupiedD: Number of patient hours available
Purpose:Provides opportunity to increase collections, decrease collection costs, and accelerate cash flow
Value:Identifies opportunity for increased POS collections
Calculation:N: Total POS collectionsD: Total patient cash collected – all self-pay
Purpose:Measures charge capture workflow efficiency and identifies delays in cash
Value:Accelerates cash flow
Calculation:N: Σ days from revenue recognition date (posting date) less date of service date (by CPT code)D: Σ CPT codes billed
Purpose:Tracks payer denials and impact on cash flow and trends payment opportunity and process improvement
Value:Drives root cause accountability in the revenue cycle processes
Calculation:N: Σ CPT (units of service) codes deniedD: Σ CPT codes billed
Purpose:Trending indicator of receivable aging and collectibility by payer group
Value:Indicates payment delays or revenue cycle’s ability to liquidate A/R by payer group
Calculation:N: Billed payer group by aging (0-30, >30, >60, >90, >120 days)D: Outstanding A/R by payer group
Purpose:Trending indicator of receivable aging and collectibility
Value:Indicates payment delays or revenue cycle’s ability to liquidate A/R
Calculation:N: 0-30, >30, >60, >90, >120 daysD: Total outstanding A/R
Purpose:Measures the financial performance of a primary physician entity on an accrual basis
Value:Determines the state of financial health and sustainability of current practice operations
Calculation:N: Net income from primary practice operationsD: Primary practice operating revenue
Purpose:Measures the financial performance of a specialty physician entity on an accrual basis
Calculation:N: Net income from specialty operationsD: Specialty operating revenue
Purpose:Measures the average profit or loss of Primary FTE physician on an accrual basis
Value:Determines the financial health on a physician FTE level; can be used for tracking and trending the profitability of the entity based on a physician level; supports the need for strategy development to minimize losses
Calculation:N: Net income from operationsD: Number of FTE physicians
Purpose:Measures the average profit or loss of specialty FTE physician on an accrual basis
Purpose:Demonstrates an ability to afford primary physician compensation in relation to the revenue of the physician enterprise
ValuePredicts reasonableness of primary physician compensation relative to revenue (direct contribution of a physician)
Calculation:N: Total primary physician compensationD: Total net primary patient service revenue
Purpose:Demonstrates an ability to afford specialty physician compensation in relation to the revenue of the physician enterprise>
Value:Predicts reasonableness of specialty physician compensation relative to revenue (direct contribution of a physician)
Calculation:N: Total specialty physician compensationD: Total net specialty patient service revenue
Purpose:Calculates the average number of days it takes to collect payment on services rendered; measures revenue cycle effectiveness and efficiency
Value:Used as a potential proxy for DCOH (“Cash Inventory”); determines the effectiveness of patient care collections and can be used for budgeting and cash flow projections
Calculation:N: Net patient service A/RD: Average daily net patient service revenue
Purpose:Measures revenue cycle efficiency, supports the valuation of current accounts receivable, and predicts income
Value:Provides an opportunity to increase cash flow and forecasts accuracy of expected revenues
Calculation:N: Actual patient service cash collectionsD: Net patient service revenue
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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