RCM KPIs Every BH Practice Should Track 2026

15 RCM KPIs Every BH Practice Should Track — 2026 Benchmarks

Front-End KPIs (5)

  1. Eligibility verification rate — Target: 100% before first appointment
  2. Prior auth approval rate — Target: 90%+ on first submission
  3. Patient collections at time of service — Target: 80%+ of copay + deductible
  4. No-show rate — Target: under 10%
  5. Appointment scheduling density — Target: 80-90% utilization

Mid-Cycle KPIs (5)

  1. Claim submission rate — Target: 100% within 48 hours of DOS
  2. Clean claim rate — Target: 95%+
  3. First-pass acceptance rate — Target: 95%+
  4. Denial rate — Target: under 7% (BH-specific)
  5. Days in AR — Target: under 40 days

Back-End KPIs (5)

  1. Net collection rate — Target: 96-98%
  2. Cost to collect — Target: under 5% of collections
  3. Bad debt write-off rate — Target: under 3%
  4. Aging AR (60+ days) — Target: under 15% of total AR
  5. Appeals overturn rate — Target: 60%+ on legitimate appeals

How Revenant Care Reports These

Every Revenant Care client gets a monthly RCM dashboard covering all 15 KPIs with month-over-month trend, payer breakdown, and specific action items to improve underperforming metrics.

Free 30-day RCM audit · Revenant Care

– KD, Revenant Care