The following references are now available as a NHIA member-only benefit and will redirect to our Community.
Key Performance Indicators (KPIs), goals, and trends should be based on the needs of the organization. These indicators and metrics indicate the financial health of the organization. This section provides common definitions to the various reimbursement/financial indicators for infusion.
Please contact marianne.buehler@nhia.org if you have any questions or comments about the NHIA Reimbursement Training Center.
Key Performance Indicators, goals and trending should be based on the needs of your organization. NHIA does not have benchmark data for these indicators, mainly because they can vary significantly amongst home and specialty infusion companies based on therapy mix, payer mix, contract terms, staffing, company size and structure, and other factors.
If you currently do not have Key Performance Indicators (KPIs), or metrics: determine what it is you want to measure and then:
Trending Example: Cash Posted by Aging bucket over the last 12 months
Step 1: Enter the Aging buckets across the top
Step 2: Enter the Month/Year list in a single column
Step 3: Run your system report and enter the data each month (generally after end of month close)
Trending will reflect cash collection efforts towards AR. Is only 50% of current? If so you may have a billing or payer issue. Is 90% of current yet your AR >120 isn’t coming down? Then likely there is a collection issue (staffing, payer, system, etc.)
Productivity options vary, a few options are listed below:
Productivity Tracking
Things to consider before creating Productivity Goals
Billing Productivity
Assumes the sole function of the role is Billing Primary and Secondary claims, with no collection activity
Collection Productivity
Assumes the sole function of the role is “insurance” collections or “patient” collections
Biller/Collector Productivity
Assumes the role is to both bill claims and collect on outstanding AR
Cash Posting Productivity
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