Calculators
Revenue Cycle KPI Calculator
Calculate key healthcare revenue cycle metrics: net collection rate, denial rate, clean claim rate, days in A/R and A/R over 90 days.
- Runs in your browser
- Nothing uploaded
The tool
Enter your numbers below. Results update as you type, and nothing leaves your browser.
Everything you enter stays on your own machine. Nothing is sent to us or to anyone else, which you can confirm in your browser network tab.
What people use it for
- Monthly revenue cycle reporting
- Billing team performance reviews
- Evaluating billing vendors
- Practice due diligence
About this tool
What the Revenue Cycle KPI Calculator does
Revenue cycle performance is tracked with a handful of KPIs. Net collection rate shows how much collectible revenue is actually collected; denial and clean claim rates show claim quality; days in A/R and the share over 90 days show how quickly money arrives.
It also works as a healthcare revenue cycle KPI dashboard calculator.
Formula
- Net collection rate = payments ÷ (charges − contractual adjustments)
- Denial rate = denied ÷ submitted claims
- Days in A/R = A/R ÷ average daily charges
Worked example
Using the starting values in the calculator above:
| Input | Value |
|---|---|
| Gross charges this month | $520,000 |
| Contractual adjustments | $210,000 |
| Payments received | $296,000 |
| Claims submitted | 2,400 |
| Claims denied | 190 |
| Claims paid on first submission | 2,050 |
| Total A/R | $610,000 |
| A/R over 90 days | $96,000 |
| Result | Value |
|---|---|
| Net collection rate | 95.5% |
| Days in A/R | 35.2 |
| Denial rate | 7.9% |
| Clean claim rate | 85.4% |
| A/R over 90 days | 15.7% |
How to read the result
Most denials are preventable at registration and eligibility checks; track denial reasons, not just the rate.
Use a consistent period (for example the trailing three months) for daily charges in days in A/R.
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Questions
Questions about this tool
The things clients actually want to know — costs, timelines, ownership and what happens after launch.
Often 95% or higher.
Below about 5% is a common target.
Many practices target under 30 to 40 days.
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