Results

We measure our work by your numbers

Every client gets a baseline at the start, a live dashboard, and a monthly review. These are the KPIs we report on, our current averages across clients, and examples of what changed for specific practices.

Get your baseline in a free audit Read case studies

The metrics that matter

Six numbers that tell you if your billing is working

These are the KPIs we track for every client, how each is defined, and what is generally considered strong. Our figures are trailing 12-month averages across active clients.

Revenue cycle KPIs, definitions, benchmarks, and Flow RCM client averages
KPI	What it measures	Generally strong	Flow RCM clients
Net collection rate	The share of collectible revenue you actually receive after contractual adjustments.	95%+ is generally considered strong	97%
Days in A/R	How long, on average, it takes to get paid after a claim is created.	Under 35 days is generally considered strong	28 days
First-pass claim rate	The share of claims paid on first submission, with no rework.	90%+ is generally considered strong	96%
Denial rate	The share of claims denied by payers on first submission.	Under 5 to 10% is generally considered strong	4.8%
Appeal overturn rate	The share of appealed denials that are reversed and paid.	Varies widely by payer and denial type	72%
Claim turnaround	Time from complete charge entry to claim submission.	Under 48 hours is a common standard	24 to 48 hrs

Benchmarks are commonly cited industry ranges and vary by specialty and payer mix. Client averages are calculated from active accounts; individual results depend on your starting point.

Case studies

What changed for practices like yours

Each example shows the problem, what we changed, and the before-and-after numbers. Client details are anonymized unless the client has agreed to be named.

ABA therapy

Multi-site ABA provider, 3 states

The problem. Sessions were billed past authorized units, and denials had climbed to almost one in five claims.

What we changed. Daily unit tracking against each authorization, ABA-specific claim edits, and a re-authorization calendar.

Measure	Before	After
Denial rate	18%	5%
Days in A/R	61	29
Net collections	89%	97%

Behavioral health

Outpatient behavioral health group, 3 locations

The problem. Authorization lapses were cutting paid days, and claims sat for weeks before follow-up.

What we changed. Authorization tracking tied to every client plan, concurrent reviews scheduled ahead of expiry, and weekly A/R follow-up by payer.

Measure	Before	After
Paid days	71%	94%
Authorization denials	42 / mo	6 / mo
Days in A/R	54	31

Physician practice

Independent internal medicine practice, 7 providers

The problem. Front-end eligibility errors were causing rework, and a large share of A/R had aged past 90 days.

What we changed. Eligibility checks 72 hours before each visit, clean-claim edits before submission, and a dedicated team on the aged A/R.

Measure	Before	After
First-pass rate	81%	96%
A/R over 90 days	34%	11%
Net collection rate	91%	98%

How we measure

The same rules for every number on this page

Figures come from your own practice management and clearinghouse data, not estimates.
Averages cover all active clients over the trailing 12 months, not a hand-picked few.
Case studies compare the 90 days before onboarding with a 90-day period after, unless stated otherwise.
We publish client names only with written permission.

Want to see where your practice stands?

A free revenue audit gives you a baseline for every KPI on this page, plus a plan for what to fix first.

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We sign a BAA before any patient data changes hands.