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