Clean Claim Rate Optimization

08.22.17 • Webinars • 2:00 PM CST

Presenter: Cliff Whitmore – Senior Director Professional Services, Claims Management

One of the most common operational metrics in revenue cycle is the Clean Claim Rate, often called the Validation Rate or first-pass yield among many billing professionals. HFMA defines Clean Claim Rate under its Mapkeys initiative as CL-1. It is a system-derived measure of a claim that is ready to be billed by the provider, processed by the clearinghouse and sent to the payer. But, like many systems in business, its proper function is a combination of people, process, and technology.

Join this webinar to learn how the clean claim rate is defined and measured and what it means to your organization. Learn how optimization of this measure can save your organization time, labor, and AR days. Discussions will include the governance model that is necessary to help your overall organization work together to optimize your Clean Claim Rate.

Attendees will learn:

  1. What the Clean Claim Rate measures, and how it relates to other revenue cycle system effectiveness indicators
  2. Learn the business value of a high Clean Claim Rate
  3. How to improve your organization’s Clean Claim Rate and create partnership with supporting departments

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