Financial Performance And Proper Reporting & Analytics Are Correlated
A strong insurance and patient analysis system ensures cash flow.
Get Useful Insights Through Reporting & Analytics
A strong insurance analysis system ensures predictable cash flow, reduced denials, and improved profitability. Continuous monitoring of payer behavior and denial trends leads to higher collection efficiency and operational stability.
The Benefits Of Beverly Hills RCM Reporting & Analytics Services
Beverly Hills RCM services outline the most important reports that you should be checking for your practice:
Accounts Receivable (AR)
Performance/Patient Responsibility Analysis
- AR aging breakdown (0-30 /
31-60 / 61-90 / 90+ days) - Outstanding insurance balances
- High-value delayed claims
- Delayed patient collections contributing to AR>90 days
- Missed copay collection at the time of visit
- Under-collected deductible
- Write-offs due to non-collection
- Adjustments made without justification
Key Focus:
- Reducing AR over 90 days is criticalfor cash flow health.Â
- Effective patient responsibility management ensures predictable revenue at the point of service while minimizing delays caused by insurance adjudication.
Payer Mix Overview
- Commercial Insurance (Private
Plans) - HMO / PPO Networks
- Medicare
- Medicaid
- Workers’ Compensation
- Personal Injury / Liens
Key Insight:
Understanding payer mix helps
identify high-performing vs
slow-paying insurance categories
Claims Submission Performance
- Total claims submitted (monthly)
- Clean claim submission rate
(Target: 90%+) - Rejection rate at clearing house
level - Average submission turnaround
time
Key Focus:
Ensuring accurate coding, eligibility
verification, and timely submission.
Denial Analysis
Top denial categories:
- Eligibility issues
- Authorization missing
- Coding errors (ICD/CPT
mismatch) - Timely filing limits
- Medical necessity denials
Key Insight:
Denial patterns highlight gaps in
front-end verification and
documentation.
Payment & Reimbursement Trends
Average reimbursement per claim
Contracted vs actual payments
Underpayment detection
Payor performance comparison
- Total patient responsibility billed
- Outstanding patient balance
- Appeal success rate
- Turnaround time for appeals
- Root-cause correction process