RCM KPIs and Metrics: Driving Success in Healthcare Billing and Coding
Revenue Cycle Management (RCM) is a critical component of healthcare operations, directly impacting an organization’s financial health, operational efficiency, and compliance. This webinar delves into the essential Key Performance Indicators (KPIs) that every billing and coding professional must know to identify trends, assess performance, and drive improvements. Participants will explore how these KPIs can uncover weaknesses, streamline workflows, and optimize revenue. From operational metrics to compliance-focused benchmarks, attendees will gain actionable insights into the best practices for tracking, analyzing, and leveraging KPIs within their departments.
The session also emphasizes the importance of communication and collaboration within RCM teams. Discover how fostering a team-driven environment and utilizing the right resources can enhance performance, promote accountability, and empower your workforce to meet industry standards and excel in their roles. Whether you’re a manager, coder, or biller, this webinar will equip you with the tools and knowledge to make data-driven decisions and succeed in 2025.
Learning Objectives
Highlight the importance of KPIs in achieving operational excellence
Share strategies for identifying and addressing departmental weaknesses
Foster effective communication and collaboration among RCM teams
Provide insights on selecting and utilizing the right resources efficiently
Encourage team empowerment and accountability
Promote the application of industry standards for sustained improvement
Areas Covered in the Session
Terminology & Acronyms
Key Categories of KPIs in Medical Practices
Understanding the Financial Health of Medical Practices through KPIs
Benchmarking
Revenue Cycle Management / Accounts Receivables
NCD/ LCD
NCCI Edits/MEU
W/O /Adjustments
Best Practices Procedures
Key Performance Indicators (KPIs)
Why Do KPIs Matter?
Financial
Operational
Compliance
Key Categories of KPIs: Financials
Collection Rate
Days in Accounts Receivable
Write Off & Adjustment
Average Revenue Per Visit
Industry Standards
Key Categories of KPIs: Operational
Denial Rate
Clean Claims
Productivity
Charge Lag
Key Categories of KPIs: Compliance
Accuracy
Overapayments
Modifier Usage
Misuse of Dx Codes
Bundling
Blind Rebills
Future Insights
Value-Based Care
Automation
Growing Emphasis on Denial Prevention
Data-Driven Decision Making
Suggested Attendees
Healthcare Administrators
Physicians and Non-Physician Providers
Physician Office Practice Managers
Medical Billing Professionals
Medical Coding Professionals
Revenue Cycle Managers
Revenue Cycle Staff
Medical Auditors
Practice Managers
Compliance Officers
Healthcare Leaders
Providers and Clinicians with RCM Oversight
Healthcare Consultants
About the Presenter
Michelle Stevens, CPCO, CPPM, CPB, is the founder of Elite Medical, a leading healthcare consulting firm specializing in credentialing and revenue cycle management. With over 30 years of experience in the medical industry and 20 years of expertise in credentialing and fee negotiations, Michelle has assisted start-ups and large multi-specialty practices nationwide. She holds a BS/BA degree in Business Management and Human Resource Management and is a Certified Professional Compliance Officer (CPCO), Certified Physician Practice Manager(CPPM), Certified Professional Biller (CPB), and Certified Professional Coder (CPC). Additionally, Michelle is an AAPC-approved instructor and the author of the eBook Empower Your Practice. Michelle is passionate about helping healthcare professionals streamline their credentialing processes, maximize reimbursement, and ensure compliance.
Additional Information
System Requirement:
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to hear clearly
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: [email protected]