Substantial improvement no matter the starting point

Our model assumes a theoretical 350-bed, $350 million net patient revenue facility that reports a 2.5% operating margin. Our analysis estimates the cost of revenue leakage across four key revenue cycle metrics: denial write-offs, bad debt, cost to collect, and contract yield. After calculating the cost of poor performance, we modeled the financial impact of lifting your facility's performance to the 50th, 75th, or 90th percentile.

As the above graphic indicates, health systems stand to capture significant margin benefits no matter the starting point. If you're an organization who performs in the median percentile for these four critical metrics, moving to the 75th percentile would boost your total margin by 7.6 percentage points. In contrast, an improvement from the 75th to the 90th percentile achieves a 6.3 percentage point improvement.

CFOs resume additional oversight

As providers grow to recognize the margin improvement opportunity, CFOs and CROs are turning their attention back to the revenue cycle.

While previous trends suggested executives were divesting oversight of these functions to VPs or directors, health system respondents who participated in this year's survey indicated increased C-suite oversight across all revenue cycle functions. In the absence of growth from traditional components of the business (new revenue streams, for example), it seems CFOs are turning to revenue cycle as a lever for organizational growth.

The bottom line (no pun intended)

Our 2019 benchmarking data confirms the power underlying strong revenue cycle performance, suggesting hospitals can achieve substantial margin lift just by focusing on tools and staff they already have in place.

Want to learn more?

Use our online tool, the Hospital Revenue Cycle Benchmark Generator. The tool offers percentile breakdowns of more than 80 different metrics that span the breadth of the revenue cycle. If you submitted data to our survey, you'll be able to view your organization's data in the tool alongside the national benchmarks. Metrics can be viewed by clicking the menu on the left side of the screen. To customize a cohort, click the "modify cohort" menu item inside the tool, located above the chart panel.