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Performance Standards

Clear benchmarks. Measured results.

Apex Health RCM measures performance the same way you measure clinical outcomes — against clear benchmarks, not vague promises.

RCM PERFORMANCE BOARD APEX TARGETS
Clean Claim Rate99.99%Target
Net Collection Ratio94–97%Target
Claim Denial Rate< 5%Target
Days in AR< 35Days
Denial Triage< 48Hours
99.99%Clean claim target
<5%Denial rate target
<35Days in AR target
MonthlyPerformance dashboards
What We Measure

Revenue-cycle performance should be visible, comparable, and accountable.

We set operational targets against the same metrics practices already use to judge the health of their revenue cycle.

That means collections, clean claims, denial rates, AR days, denial response time, and prior authorization turnaround are tracked as measurable operating standards — not buried inside a generic monthly report.

Benchmarks

Industry averages versus Apex Health RCM targets.

The benchmark ranges below reflect the figures supplied for this page and are presented as operating reference points for comparing performance.

01 Collections

Net Collection Ratio

Industry Average82–87%
Apex Target94–97%
02 Claims

Clean Claim / First-Pass Rate

Industry Average82–86%
Apex Target99.99%
03 Denials

Claim Denial Rate

Industry Average11–13%
Apex TargetUnder 5%
04 AR

Days in Accounts Receivable

Industry Average45–55 days
Apex TargetUnder 35 days
05 Recovery

Denial Triage Turnaround

Industry AverageDays / Weeks
Apex TargetUnder 48 hours
06 Front-End RCM

Prior Authorization Turnaround

Industry Average3–5 days
Apex TargetUnder 24 hours
Performance Matrix

One view of the standards that matter most.

Metric Industry Average Apex Health RCM Target
Net Collection Ratio82–87%94–97%
Clean Claim / First-Pass Rate82–86%99.99%
Claim Denial Rate11–13%Under 5%
Days in Accounts Receivable45–55 daysUnder 35 days
Denial Triage TurnaroundDays / WeeksUnder 48 hours
Prior Authorization Turnaround3–5 daysUnder 24 hours
Monthly Performance Visibility

Your practice should know exactly where performance is improving — and where it is not.

Every client receives monthly dashboards tracking collections, denials, AR, and receivables against their own baseline — not just industry averages.

This keeps reporting connected to your actual trend line, so changes in collections, denial behavior, aging receivables, and operational turnaround can be reviewed in context.

MONTHLY RCM DASHBOARD
CollectionsTrackedvs baseline
DenialsTrackedvs baseline
ARTrackedvs baseline
Practice baseline → Current month → Target trajectory
How We Use These Standards

Benchmarks only matter when they drive action.

01

Establish the baseline

We measure current performance so the practice has a clear starting point.

02

Compare against standards

Core RCM metrics are reviewed against the supplied industry ranges and Apex operating targets.

03

Identify the operational gap

Denials, AR, claims, collections, and front-end turnaround are reviewed for the workflow issues behind the number.

04

Report the trend

Monthly dashboards show movement against the practice’s own baseline, not just an external benchmark.

See where your practice stands.

Turn your current numbers into a measurable performance baseline.

Start with a complimentary practice audit and identify where your revenue cycle is performing below target, where leakage exists, and which workflows deserve attention first.