Bill Sample / December 7, 2018 / Mary Anthony
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.
Billing performance measurement is an integral part of medical practice billing process and a prerequisite to effective practice management. Systematic measurement becomes mission-critical with growth of billing complexity or outsourcing of the billing function. Traditional billing metrics are limited in scope and focus on claim submission process ignoring process imperfections on the insurance (payer) side. Modern computer technologies allow both productive measurement and effective action by the disciplined billing office to improve claim submission and payment processes. Using appropriate metrics helps improve policies and procedures shorten revenue cycle reduce patient complaints improve financial performance and compliance increase cash flow reduce bad debt identify areas of potential growth improve employee morale increase productivity and reduce costs.
Medical billing is a leading business related to the health care industry. Medical billing business plans help you achieve your goals in the new business sector of medical billing. Like any other businesses proper planning leads to a winning situation. To start a medical billing service either in a small office or a cooperative business with other medical services you should do a plenty of research to create a detailed business plan. Medical billing business plans guide you throughout the billing business to evaluate the medical practices that fall within your target market segment. The demand for health services is on the increase these days. Medical billing business plans describe all the objectives and the nature of services.