What is RCM analytics and why does it matter?

RCM analytics measures revenue cycle performance through KPIs. It provides real-time dashboards for claim status, denial rates, and financial insights.

What KPIs should healthcare providers track?

Key KPIs include claim acceptance rates, denial rates, days sales outstanding, collections ratio, accounts receivable aging, and net collection rates.

How does RCM dashboard improve revenue performance?

Real-time KPI dashboards identify bottlenecks, track claim progress, and enable data-driven decisions to reduce denials and accelerate reimbursement.

What metrics does Plutus Health dashboard provide?

Claim status tracking, denial analytics, aging A/R reports, collection metrics, clean claim percentage, and performance benchmarking dashboards available.

How can RCM analytics reduce claim denials?

Analytics identify denial patterns, root causes, and trends enabling providers to implement targeted improvements and prevent future claim rejections effectively.

RCM Analytics & KPI's | Plutus Health

Boost Your Bottom Line with Game-Changing RCM Analytics

Plutus Health empowers your business growth with cutting-edge predictive analytics, in-process performance measures, KPI Dashboards, RCM growth rate charts, and more. We help you harness deep data-driven insights to evaluate workflows and drive long-term growth through revenue cycle analytics. Our comprehensive RCM Analytics offering includes:

Harness the power of AI/ML solutions for data-driven insights

Custom robotic process automation for streamlined operations

Uncover future trends with predictive analytics

Visualize your success with dynamic KPI dashboards

Access a wealth of knowledge through our extensive database

Tackle revenue denials head-on with advanced denial analytics

Plutus Health RCM Key Performance Indicators

Billing and Collections KPIs

Claims Rejection Rate
Average Time to Payment
Collection Efficiency
Clean Claim ratio of 95%

Denial Management KPIs

Claim Denial Rate
Top Denial Reasons

Revenue Metrics KPIs

Total Revenue
Net Revenue
Revenue Growth Rate

Benchmarking KPIs

Comparison to Industry Benchmarks
Peer Group Comparisons

Plutus Health RCM Key Performance Indicators

RCM KPI’s	Formula	Industry Benchmark	Plutus Health Benchmark
No-show or cancellation rate - The no-show or cancellation rate is the rate at which your patients cancel or don't show up for appointments, typically measured per month	No-show rate = Missed appointments / Total number of booked appointments	10%	<10%
Net Collections Ratio - The net collections ratio (NRC) is expressed as a percentage. The NCR percentage shows how much you collected vs. what you should have collected. This is the true reflection of business effectiveness.	NCR = (Payments – refunds) / (Charges – contractual adjustments)	98%	Avg. Contracted Value Collection Increase to 98%
Clean Claim Ratio - The clean claim ratio is the percentage of claims the insurance payer accepts without rejection.	Clean claim ratio = Number of claims accepted by insurance without changes / Total number of claims	>95%	Boost 97% Clean Claim Percentage
Initial Denial Percentage - The initial denial is the number of denials received from the overall claims submitted to the insurance, expressed as a percentage.	Initial denial percentage = Number of denials received for the first time / Total number of claims submitted	5-8%	Effectively Decrease Denials to 5%
AR in the 90+ Days This figure is calculated based on the date of service (DOS) and is easy to calculate.	AR in 90+ days = AR in the 90+ days aging (bucket) / Total AR outstanding	< 15% for physician practices and 20% for hospitals.	Effectively reduce A/R to <12%

Discover More KPI's

Our happy clients

The Analytics dashboard provided by Plutus Health has been instrumental in guiding our current strategies. We are delighted to have partnered with them and their knowledgeable and professional staff, who have provided us with data-driven insights. These insights have helped us streamline our processes to meet industry standards and achieve higher percentages.

Billing Manager

Texas

As a result of partnering with Plutus Health, our business benchmarks have significantly improved with their KPI standards. We were able to analyze all our KPIs in one dashboard and gain insights into our business, which has positively impacted our performance. These analytics have also helped our employees learn and implement strategies accordingly.