Patient Access & Pre-Service Revenue Assurance

Revenue cycle breakdowns that manifest as denials, bad debt, and write-offs almost always originate upstream — in scheduling, registration, eligibility verification, and prior authorization workflows that occur before a single clinical service is rendered. This dashboard gives patient access directors and revenue integrity leaders visibility into the pre-service revenue assurance pipeline as a predictive instrument.

Last Updated: Dec 28, 2024 8:45 AM
North Star Metric
87.3%
Pre-Service Net Revenue Assurance Rate
Scheduled encounters with confirmed eligibility, verified benefits, obtained authorization, and estimated patient liability communicated before date of service
+3.8%
Registration Accuracy
94.7%
+2.1%
Eligibility Verified
91.2%
+4.5%
Prior Auth Approval
88.9%
-1.3%
Pre-Service Collection
62.8%
+5.7%
Patient Liability Est.
83.4%
+3.2%
Insurance Discovery
76.5%
+8.1%
Schedule-to-Reg Conv.
89.3%
-0.6%
RT Eligibility Error
2.1%
+0.4%
No-Show Rate
6.7%
-1.2%
Revenue-at-Risk
$2.8M
-12%

Registration Accuracy Trend (90 Days)

Eligibility Verification Completion by Channel

Prior Authorization Performance by Service Type

Access Point Performance Detail

Access Point Scheduled Registered Conv. Rate Accuracy Elig. Verified Pre-Collect Revenue Risk
Central Scheduling 4,823 4,512 93.5% 96.2% 94.8% 68.3% $312K
Clinic Registration 3,156 2,889 91.5% 93.1% 89.7% 59.2% $467K
Patient Portal 2,234 2,087 93.4% 97.8% 95.6% 72.1% $189K
Physician Referral 1,892 1,623 85.8% 91.4% 87.2% 54.6% $623K
ED Registration 1,567 1,489 95.0% 89.3% 82.1% 38.7% $891K
Specialty Clinic 1,423 1,267 89.0% 95.7% 92.3% 64.8% $278K
TOTAL 15,095 13,867 91.9% 94.7% 91.2% 62.8% $2.76M

Revenue Cycle KPI Dashboard — Patient Access & Pre-Service Revenue Assurance | Data as of December 28, 2024