Question

Which KPI measures the health of the claims generation process?

a) Clean Claim Rate
b) Days in Accounts Receivable
c) Denial Rate
d) Charge Lag

Answer 1

The Clean Claim Rate is the KPI that measures the health of the claims generation process.

Step-by-step explanation:

The correct answer is a) Clean Claim Rate. The Clean Claim Rate is a Key Performance Indicator (KPI) that measures the percentage of claims that are processed and paid without any issues. A high clean claim rate indicates an efficient and healthy claims generation process.

For example, if a healthcare provider has a clean claim rate of 95%, it means that 95% of the claims submitted are processed and paid without any errors or delays.

The other options, b) Days in Accounts Receivable, c) Denial Rate, and d) Charge Lag, are also important KPIs in healthcare revenue cycle management, but they measure different aspects of the process.