This session explores how Revenue Cycle Key Performance Indicators (KPI) Dashboards can optimize financial health and efficiency for rural healthcare providers. Attendees will learn how to define, develop, and implement KPI Dashboards using clean, reliable data for real-time performance monitoring. Be among the first to experience the latest RCM-KPI Dashboard and gain actionable strategies for improving revenue cycle performance and operational decision-making.
At the end of this session, attendees will be able to:
- Define Revenue Cycle KPIs: Understand key performance indicators and their role in effective dashboard development for rural healthcare providers.
- Develop and Implement KPI Dashboards: Learn best practices for designing and integrating KPI Dashboards using clean, reliable data to enhance financial and operational visibility.
- Experience the RCM-KPI Dashboard in Action: Get an exclusive first look at the RCM-KPI Dashboard and apply its insights to monitor, analyze, and improve revenue cycle performance in real time.
Q&A
- Engage leadership and RCM to help define broad goals, such as increased cash collections and reducing claim denials.
- Focus on 3-5 top metrics that would provide overall direction, such as Days in AR, clean claim percentage, and percent of claims denied.
- Document how each metric will be calculated and slowly create a baseline over 3-5 months.
- Review each step within the RCM process, and document the steps and workflow.
- Engage front line employees on challenges they face and what minor improvements might make a significant difference.
- Review metrics over a longer timeframe to see if any deterioration or improvement is visible.
- Consider reviewing AR through a different lens (by provider or business line instead of payer or vice versa).
DNFB (Discharged Not Final Billed) refers to accounts in the revenue cycle where a patient has been discharged, but the claim has not yet been submitted to the payer due to incomplete coding, documentation, or billing processes. It represents delayed revenue and is a key KPI to monitor for inefficiencies in claim processing. Lower DNFB days indicate a healthier revenue cycle.
DNFC refers to accounts in the revenue cycle where a patient has been discharged, but the medical coding process is incomplete, preventing billing. It measures delays in coding specifically, impacting claim submission and revenue realization. DNFC is a subset of DNFB, focusing solely on coding delays, while DNFB covers broader reasons for unbilled accounts, such as missing documentation or charge capture issues.
CDI refers to Clinical Documenation Integrity – the process of enhancing the quality and accuracy of clinical documentation in patient records to ensure it fully reflects the care provided. This supports accurate coding, appropriate reimbursement, and compliance with payer requirements. CDI programs involve collaboration between clinicians, coders, and multiple members across the organization to capture complete and specific diagnoses, procedures, and medical necessity to enhance payments.
