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AI & Intelligence

KPI Reporting

The metrics that actually run a practice — days in A/R, clean claim rate, net collection rate — live on one dashboard, reviewed monthly.

The executive scorecard

Every number that runs a practice, on one screen

EXECUTIVE SCORECARD · JUNE 2026 · SAMPLE DATA

LIVE

Claims submitted

4,212

this month

Claims paid

3,987

94.7% of submitted

Gross collection rate

62.4%

of gross charges

Net collection rate

97.2%

target >96%

First-pass acceptance

98.4%

target >95%

Denial rate

3.8%

target <5%

Avg reimbursement

16 days

submission → payment

Days in A/R

31

target <35

Collections trend · trailing 12 months

Specialty performance · net collection rate

Internal medicine97.4%
Cardiology96.1%
Physical therapy98.2%
Behavioral health94.0%

Behavioral health flagged — auth-related denials, remediation in progress.

86

MIPS composite

projected · exceptional range

78

HEDIS gaps closed

measurement year to date

A/R aging

0–30 days58%
31–60 days22%
61–90 days11%
90+ days9%

AI insights & recommendations

  • ▲ ACT — Payer X reimbursement slowed 9 days; escalation opened.
  • ▲ OPPORTUNITY — 118 patients AWV-eligible this quarter; recall list generated.
  • ▲ WATCH — MIPS Cost category trending 4pts below target; mid-year review scheduled.

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Business outcomes

What this changes for your organization

KPI Reporting · performance standards

measured continuously

core KPIs tracked continuously

8

dashboard refresh cadence

Daily

narrated reviews per year

12

Performance standards we operate to. Actual results vary by specialty, payer mix, and starting position — your free assessment establishes your own baseline.

One screen, the whole revenue cycle

Claims submitted and paid, collection rates, denial percentage, aging, reimbursement speed — every number that runs a practice, refreshed daily.

Benchmarked, so numbers mean something

97.2% net collection is excellent for one specialty and mediocre for another. MGMA overlays tell you which — for every metric, every month.

Provider and specialty drill-downs

Group-level averages hide problems. Per-provider and per-service-line views show exactly where performance diverges and why.

AI recommendations in the same view

The dashboard doesn't just report — the AI layer annotates it with what changed, why it likely changed, and what we're doing about it.

Our solution

You can't manage a revenue cycle you can't see. Our KPI program tracks the metrics that matter — days in A/R, first-pass clean claim rate, net and gross collection rate, denial rate, charge lag, and A/R aging buckets — on a live dashboard benchmarked against MGMA data for your specialty.

Every month, your account manager walks you through the movement: what improved, what slipped, why, and what we're doing about it. Numbers with narrative, not spreadsheets in your inbox.

What's included

  • Live KPI dashboard, updated daily
  • Days in A/R, clean claim, and collection rates
  • Denial rate and overturn tracking
  • A/R aging distribution monitoring
  • MGMA specialty benchmark overlays
  • Monthly narrated performance review

In the field

How organizations like yours use it

USE CASE 01

An administrator caught a payer slowdown in week one

Average-reimbursement-time by payer flagged a 9-day slip at a major carrier. Early escalation and clean resubmission timing kept cash flow level while peers absorbed the delay.

USE CASE 02

A managing partner ended monthly-report archaeology

Board meetings moved from six spreadsheets to one live scorecard — MIPS projection, collections, denials, and aging in a view the whole partnership can read.

USE CASE 03

A behavioral network spotted a location-level problem instantly

Site-level KPI splits showed one clinic's denial rate triple the network average. Root cause: a new front-desk hire skipping eligibility checks. Fixed with training, visible within a week.

Scenarios drawn from typical engagement patterns; identifying details anonymized to protect client confidentiality.

Common questions

KPI Reporting, answered

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Ready to fix kpi reporting for good?

Start with a free consultation and billing health check. A senior consultant will look at your numbers and give you a straight answer about what we can improve — and by how much.