RCM tip of the day: Review the clean claims rate regularly

To achieve maximum reimbursement, hospitals and health systems need to continually submit more clean claims and reduce denial rates.

Sara Roberts and Jessica Martin with Colburn Hill Group: Track your clean claims rate daily. Make it a part of regular communication with billing staff and with leadership. Celebrate improvements and then acknowledge problems as they arise to create an actionable plan, so the problem becomes less of an issue. In addition to logging the CCR daily, other metrics to watch include daily field errors; daily claim submission; what is returned from the clearing house; rejected claims — ones that never cleared the editor; and Medicare T-status claims and payer rejection reports.

To learn more about improving hospital collections, access this story from Becker's Hospital Review.


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