The Top 7 RCM KPIs Every Healthcare CFO Should Track

Revenue cycle performance can’t be improved if it isn’t measured. For healthcare CFOs, tracking the right key performance indicators (KPIs) is essential to identifying bottlenecks, reducing leakage, and improving overall financial health.

Here are the seven KPIs that matter most.

1. Clean Claim Rate

This reflects the percentage of claims accepted on the first submission. A rate below 90% signals upstream issues in charge capture, coding, or registration.

2. Denial Rate

The percentage of claims denied by payers. A denial rate above 5% indicates a need for better edits, training, or payer management.

3. Days in Accounts Receivable (AR)

How long it takes to collect payments. Best-in-class organizations maintain AR days under 40. Higher numbers suggest delays in billing or follow-up.

4. Net Collection Rate

This shows how much of the expected revenue is actually collected. Anything below 95% suggests missed opportunities or write-offs.

5. First Pass Resolution Rate (FPRR)

The percentage of claims paid without any rework. A strong FPRR indicates efficient workflows and fewer delays in revenue capture.

6. Bad Debt as a Percentage of Net Revenue

Measures how much revenue is written off as uncollectible. Tracking this helps balance collection policies with patient satisfaction and compliance.

7. Cost to Collect

Calculates the expense of revenue cycle operations per dollar collected. An increasing trend often signals inefficiencies or excessive reliance on manual processes.

Driving Strategic Action

CFOs who regularly monitor these KPIs can pinpoint where revenue is delayed, lost, or under-optimized. More importantly, they can use this insight to drive meaningful action across billing, coding, and AR teams.

Code Quick helps CFOs translate RCM metrics into strategy. Our KPI dashboards and performance audits uncover the operational levers that improve financial outcomes.