Our Performance Metrics
We follow - MGMA standards are a set of metrics used to determine the overall performance of medical practice in the United States. These metrics are actually the key indicators for practice performance success. The interpretation of these MGMA benchmarks is essential to assess the overall practice performance.
MGMA DataDive is an industry-wide data set that includes thousands of metrics that you can use to benchmark almost any area of your practice.
| Departments |
Metrics |
Benchmarks |
| Billing |
Rejection % |
2% - 3% |
| Charge Lag |
2% |
| Rejection TAT |
2 Days |
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| Payments |
Collections % |
100% |
| Denials % |
4% of total charges billed in month |
| Payment posting TAT |
2 Days |
| Departments |
Metrics |
Benchmarks |
| AR |
AR Pat % |
3% of Total Outstanding AR |
| AR Ins 0-30 Days |
40% |
| AR Ins 31-90 Days |
20% |
| AR Ins 91-120 Days |
15% |
| AR Ins 121-151 Days |
10% |
| AR Ins 151-180 Days |
8% |
| AR Ins 181-365 Days |
5% |
| AR Ins 365+ Days |
2% |
| Departments |
Metrics |
Benchmarks |
| Resolution % |
Resolution > 60 days |
60% |
| Appeal % |
16% of 90+ AR |
| Clean Claim % |
80% of total charges billed for the month |
| Correspondence |
5 Days from the date of receipt |
| Call Center |
ASA |
5 - 10 min |
| Abandoned % |
3% |
| Departments |
Metrics |
Benchmarks |
| Credit Balance |
CB % |
0.50% of total outstanding AR |
| CB $ Pat |
10% |
| Refunds $ |
0% |
| CB 0-60 days |
80% |
| CB 61-90 days |
10% |
| CB 90+ days |
5% |
| Departments |
Metrics |
Benchmarks |
| Overall |
GCR % |
40% |
| NCR % |
87% |
| DSO |
30 days |
