Revenue cycle metrics · Definition
Clean claim rate: Definition
The share of claims paid on first submission without rework.
This is a short definition only. The full explanation lives on dermatology revenue cycle KPIs, which is the page to read if you are dealing with this on live claims.
Definition
Also known as: First-pass acceptance
It is the earliest available warning that something upstream has changed — a payer edit, a new provider's documentation habits, an eligibility process that stopped running.
For worked examples, payer rules and documentation requirements, read dermatology revenue cycle KPIs. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.