Medical Billing Software Tracks Revenue Cycle & KPIs

The revenue cycle is the result of the clinical effort & business routines of the healthcare industry. Medical Billing Software refers to the entire chain of clinical operations from scheduling an appointment to receiving reimbursements. KPIs show the essential data and make decisions based on its data. It records the clinical performance, documentation, cash flow cycle, and guidelines compliance.

Regardless of the increased usage of digital healthcare tools, word-of-mouth referrals are still powerful than any other marketing tool. The Medical Billing Software gives an option to individual patients to write reviews on the internet for increasing the hospital's credibility.  It’s similar to conversations happening instead of in line at the grocery store.

Today almost 60% of patients use online reviews to find the best physician in their locality. Whether you are new to the practice or have been in business for many years, you must maintain online conversations.

KPIs Are Important To Improve Revenue – Medical Billing Software

It doesn’t matter whether you practice individually or run a hospital, you must adhere to the KPIs to keep the revenue cycle in control. Medical Billing Software is the tool to measure and monitor KPIs, to extract the most from our revenue cycle.

POS Cash Collections

The cash must be collected from the time of admission or during service or after seven days of post-discharge. Also, it includes self-pays and co-pays. The software measures the POS cash collections to find the efficiency of your systems or staff accounting skills. When something is not up to the mark then it immediately identifies and troubleshoots it.

DNFB

Discharged Not Finally Billed is used to compare the ratio of multiple hospitals in any selected area. The ratio can be calculated by dividing the unbilled amount by discharged patients. The answer gives the average daily revenue. It is important to maintain this KPI to industry standards to know the revenue statistics.

Claim Rate

If the dashboard of Medical Billing Software shows the denial rate between 5% - 10%, then it is acceptable. Above 10% is high risk and below 5% is healthy financial flow. When the overall claim goes beyond 10%, the software automatically shows you to analyze eligibility verification, ICD-10 codes, and credentialing functions.

The claim rate is the percentage of reimbursed claims upon the first submission. When the claim is rejected, the software shows the common pattern in rejected claims to rectify the future bills. The second time claim is achieved faster because of the perfect checklist created by the tool specifically for individual hospitals.

Revenue per encounter can be identified by dividing the net collections by the number of patients visited in a month. Running a hospital is important as financially maintaining the bills and documents for a perfect claim. Medical Billing Software is a data-driven process to find a way to improve your revenue collections.