Bill Sample / December 9, 2018 / Inez Nielsen
This lag time roughly averages across all payers making DAR an effective comparison metric between payers for individual provider but invalidating it across multiple providers. One obvious advantage of DAR metric is its independence of charges. The averaging feature of this metric eliminates sensitivity to specific day or CPT but also hides the behavior shape of the accounts receivable curve. First-Pass Pay (FPP Rate) and Denial Rate FPP is the percentage of claims paid in full the first time upon submission (subject to federal or state timely payment regulations: 15 days for electronic submission and 30 days - for paper). Denial rate is the complementary metric to FPP rate. It counts the percent of claims that require followup and therefore cost more to process.
If you are like most people then you may have been considering ways to help cut back on the amount that you pay. Have you considered getting a free food sample of some of your favorite grocery items? We are not talking about the food samples that they give out in the store for you to taste right there. However we are talking about the countless food samples that you can order online and receive them directly in the mail. These samples can really help you to get the products that you are already using for free. You might even be surprised at the sizes that you would receive. In some cases you could actually get the same size of the item that you would have bought in the store. Once you receive the item you can scratch it off of your shopping list that week.
Days in Accounts Receivable (DAR) A growing number of days in accounts receivable are symptomatic of a faulty billing process. One way to determine DAR is to count days from the date of service to the date of payment for every claim and then average across all claims. A simpler way to compute average number of days in accounts receivable by taking a ratio of accounts receivable to average daily charges or Number of days in accounts receivable = (Accounts Receivable / Average Charge) x 365 This metric too depends on medical specialty patient demographics payer mix and CPT sample. Another downside is that this metric is sensitive to provider as it counts the lag time of unsubmitted claims for services already delivered.