RCM KPI Health Check

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Total accounts receivable ($)

Average daily charges ($)

Claims submitted (this month)

Claims denied on first submission

Total charges billed ($)

Expected reimbursement ($, per contracts)

Actual payments collected ($)

Write-offs / adjustments ($)

Benchmarks used: Days in AR (good ≤40, watch 40–50, concern >50), Clean Claim Rate (good ≥90%, watch 80–90%, concern <80%), Net Collection Rate (good ≥95%, watch 90–95%, concern <90%), Denial Rate (good ≤10%, watch 10–15%, concern >15%). These are general industry ranges for planning purposes, not a substitute for a full AR audit.