Every Revenue Synergy engagement is measured against six KPIs, baselined to your own data, tracked in a dashboard you can open any time, and scored on a monthly scorecard reviewed with our operations leadership. No vague promises. Real numbers, measured in production.
Most RCM vendors describe their performance in pitch decks and never show you the numbers again. When performance slips, there is nothing to point to and no process for fixing it.
We took a different path. We invested in dedicated pods, AI-assisted scrubbing, specialty-trained coders, and an independent quality assurance team that audits production work on a sampling schedule. Because the delivery model is measured continuously, we can afford to show you the numbers every month.
For every client, we track the six KPIs below with specific numeric targets calibrated to your specialty and baseline. You see the same scorecard we do, every month.
A standard is only as real as the numbers behind it. These are the six KPIs we hold ourselves to, baselined against your data during onboarding and scored every month.
First-pass acceptance across all payers, measured at the clearinghouse. Our multi-layer scrubbing catches demographic mismatches, NCCI conflicts, modifier issues, and payer-specific formatting errors before submission.
Average age of outstanding receivables across all payer classes. 28 days is our internal ceiling, not the goal: our clients average 24 days. Anything over 28 days signals either clean claim issues upstream or AR follow-up slippage, both inside our ownership.
Initial denials as a percentage of total submitted claims. Our AI denial predictor flags high-risk claims pre-submission; our denial team resolves and appeals anything that slips through within defined turn times.
Your specialty's MGMA and HFMA benchmark is the floor. We target 97%+ for most specialties and calibrate against your baseline data pulled in onboarding week one.
Same-business-day response to provider-office inquiries and 24-hour resolution on routine billing questions. Measured monthly against a transparent ticketing log that you can audit.
A structured 30-day and 90-day CSAT survey scored by the practice administrator, lead biller, or CFO, then repeated quarterly. Satisfaction is tracked as a first-class KPI, not an afterthought.
Every step of the measurement process is transparent from day one. Here is exactly what happens.
We pull your existing billing data, payer mix, and aging reports, benchmark them against your specialty's MGMA and HFMA medians, and set a specific numeric target for each of the six KPIs. You see every target and every baseline on the shared dashboard from day one.
Your dedicated pod takes over billing, coding, AR, and denial workflows. Performance is tracked in a shared dashboard you can access 24/7. Weekly KPI check-ins with your account manager surface any drift early, while daily huddles inside our pod catch operational issues before they hit your numbers.
At day 90, we deliver a formal KPI report card signed by your account manager and our VP of Operations. Every KPI is scored against the target set at onboarding. You get the raw data, the interpretation, and a written attestation, and the monthly scorecard cadence continues from there.
If any KPI drifts below target, a documented corrective action plan kicks in: root-cause analysis within 5 business days, a named remediation owner, a timeline, and weekly progress reviews until the metric is back on target. Quarterly business reviews keep targets calibrated as your practice grows.
The scorecard is only trustworthy if the work behind it is audited. Our quality assurance program operates independently of the production pods.
CPC-certified QA auditors sample coded encounters on a fixed schedule and verify against a 98.5% accuracy standard. Findings feed coach-backs and specialty-specific training updates.
Pre-submission scrub rules are re-validated monthly against payer behavior, and payment posting is reconciled daily so underpayments and misapplied adjustments surface immediately.
HIPAA, ISO 27001, and HITRUST CSF controls govern how work is performed and audited across every facility. Security and quality reviews follow the same discipline as the financial KPIs.
Straight answers on how our performance standards work in practice.