RCM Benchmarks
8 segments · 7 metrics · HFMA / Advisory Board priors
🛡️ Public data only — no PHI permitted on this instance.
About this page
Industry P25/P50/P75 bands for the seven canonical RCM metrics (initial-denial rate, clean-claim rate, days in AR, net collection rate, write-off %, cost to collect, denial-overturn rate) segmented by facility type (community, academic, CAH, LTAC, ASC, behavioral, physician group, home health).
Scale
For each metric the P50 is the industry median and the P25/P75 are the quartile boundaries. Metrics are labelled '↓ better' when lower values are favourable (denial rate, days in AR, write-offs, cost to collect) and '↑ better' otherwise.
How to use
Use this as the benchmark file when comparing a target's actuals. A target whose days-in-AR sits above P75 for its segment is not merely 'high' — it is worse than 75% of peers, which sizes the recoverable AR opportunity.
Source: data_public/rcm_benchmarks.py::get_all_benchmarks; band values sourced from HFMA MAP 2023, Advisory Board Hospital Benchmarking Survey 2022, MGMA 2022–2023, ASCA 2023, Waystar 2020–2024, and segment-specific citations in each record's benchmark_notes field.
Industry RCM benchmarks for the seven canonical metrics, segmented by hospital / facility type. Source data pulled from HFMA MAP and Advisory Board surveys (see per-segment notes at the bottom of each section).
Segments
8
hospital / facility types
Metrics
7
per segment
Bands
21
P25/P50/P75 values per seg
Community Hospital →Academic Medical Center →Critical Access Hospital (CAH) →Long-Term Acute Care (LTAC) →Ambulatory Surgery Center (ASC) →Behavioral Health →Physician Group / Staffing →Home Health / Hospice →
CROSS-SEGMENT COMPARISONsegment medians side-by-side
Cross-segment P50 comparison · 8 segmentsXCS
| Segment | Initial Denial Rate (lo good) | Clean Claim Rate (hi good) | Days in AR (lo good) | Net Collection Rate (hi good) | Write-off % (lo good) | Cost to Collect (lo good) | Denial Overturn Rate (hi good) |
|---|---|---|---|---|---|---|---|
| Community Hospital | 11.0% | 93.0% | 50.0d | 96.0% | 6.0% | 3.2% | 60.0% |
| Academic Medical Center | 13.0% | 91.0% | 58.0d | 95.0% | 8.0% | 3.8% | 65.0% |
| Critical Access Hospital (CAH) | 12.0% | 91.0% | 52.0d | 94.0% | 8.0% | 3.8% | 55.0% |
| Long-Term Acute Care (LTAC) | 18.0% | 88.0% | 42.0d | 94.0% | 5.0% | 3.0% | 65.0% |
| Ambulatory Surgery Center (ASC) | 7.0% | 96.0% | 28.0d | 97.0% | 3.0% | 2.2% | 68.0% |
| Behavioral Health | 22.0% | 86.0% | 48.0d | 92.0% | 10.0% | 4.2% | 50.0% |
| Physician Group / Staffing | 10.0% | 94.0% | 35.0d | 96.0% | 5.0% | 7.5% | 62.0% |
| Home Health / Hospice | 9.0% | 94.0% | 32.0d | 96.0% | 4.0% | 2.8% | 58.0% |
PER-SEGMENT DETAILall 7 metrics × 3 bands per hospital type8
Per-segment P25/P50/P75 bands SEG
Community HospitalGeneral acute-care community hospitals · 100-500 beds
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 7.0% | 11.0% | 16.0% |
| Clean Claim Rate ↑ better | 89.0% | 93.0% | 97.0% |
| Days in AR ↓ better | 38.0d | 50.0d | 65.0d |
| Net Collection Rate ↑ better | 93.0% | 96.0% | 98.0% |
| Write-off % ↓ better | 4.0% | 6.0% | 9.0% |
| Cost to Collect ↓ better | 2.5% | 3.2% | 4.5% |
| Denial Overturn Rate ↑ better | 45.0% | 60.0% | 72.0% |
Source: HFMA MAP 2023; Advisory Board 2022 Hospital Benchmarking Survey
Academic Medical CenterTeaching hospitals · tertiary + quaternary care
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 9.0% | 13.0% | 19.0% |
| Clean Claim Rate ↑ better | 86.0% | 91.0% | 95.0% |
| Days in AR ↓ better | 45.0d | 58.0d | 75.0d |
| Net Collection Rate ↑ better | 91.0% | 95.0% | 97.0% |
| Write-off % ↓ better | 5.0% | 8.0% | 12.0% |
| Cost to Collect ↓ better | 3.0% | 3.8% | 5.5% |
| Denial Overturn Rate ↑ better | 50.0% | 65.0% | 78.0% |
Source: Advisory Board AMC-specific 2023; Experian Health denial survey 2023
Critical Access Hospital (CAH)Rural CAH · < 25 beds · Medicare-heavy
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 8.0% | 12.0% | 18.0% |
| Clean Claim Rate ↑ better | 87.0% | 91.0% | 95.0% |
| Days in AR ↓ better | 40.0d | 52.0d | 68.0d |
| Net Collection Rate ↑ better | 91.0% | 94.0% | 97.0% |
| Write-off % ↓ better | 5.0% | 8.0% | 13.0% |
| Cost to Collect ↓ better | 2.8% | 3.8% | 5.5% |
| Denial Overturn Rate ↑ better | 40.0% | 55.0% | 68.0% |
Source: MGMA CAH benchmarks 2022; MedPAC cost report analysis
Long-Term Acute Care (LTAC)Long-term acute care · complex medical patients
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 12.0% | 18.0% | 27.0% |
| Clean Claim Rate ↑ better | 82.0% | 88.0% | 93.0% |
| Days in AR ↓ better | 32.0d | 42.0d | 55.0d |
| Net Collection Rate ↑ better | 90.0% | 94.0% | 97.0% |
| Write-off % ↓ better | 3.0% | 5.0% | 8.0% |
| Cost to Collect ↓ better | 2.2% | 3.0% | 4.2% |
| Denial Overturn Rate ↑ better | 50.0% | 65.0% | 80.0% |
Source: HFMA LTAC survey 2022; Kindred/LifePoint LTAC audit reports
Ambulatory Surgery Center (ASC)Ambulatory surgery centers · outpatient only
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 4.0% | 7.0% | 11.0% |
| Clean Claim Rate ↑ better | 93.0% | 96.0% | 98.0% |
| Days in AR ↓ better | 20.0d | 28.0d | 38.0d |
| Net Collection Rate ↑ better | 95.0% | 97.0% | 99.0% |
| Write-off % ↓ better | 2.0% | 3.0% | 5.0% |
| Cost to Collect ↓ better | 1.5% | 2.2% | 3.2% |
| Denial Overturn Rate ↑ better | 55.0% | 68.0% | 82.0% |
Source: ASCA benchmarking 2023; Waystar ASC-specific denial data 2023
Behavioral HealthBehavioral health hospitals + inpatient psych
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 14.0% | 22.0% | 32.0% |
| Clean Claim Rate ↑ better | 80.0% | 86.0% | 92.0% |
| Days in AR ↓ better | 35.0d | 48.0d | 65.0d |
| Net Collection Rate ↑ better | 87.0% | 92.0% | 96.0% |
| Write-off % ↓ better | 6.0% | 10.0% | 16.0% |
| Cost to Collect ↓ better | 3.0% | 4.2% | 6.0% |
| Denial Overturn Rate ↑ better | 35.0% | 50.0% | 65.0% |
Source: NBBAP behavioral health billing survey 2022; Waystar behavioral health denial index 2023
Physician Group / StaffingPhysician practice groups · multi-specialty
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 6.0% | 10.0% | 15.0% |
| Clean Claim Rate ↑ better | 90.0% | 94.0% | 97.0% |
| Days in AR ↓ better | 25.0d | 35.0d | 48.0d |
| Net Collection Rate ↑ better | 93.0% | 96.0% | 98.0% |
| Write-off % ↓ better | 3.0% | 5.0% | 8.0% |
| Cost to Collect ↓ better | 5.5% | 7.5% | 10.0% |
| Denial Overturn Rate ↑ better | 48.0% | 62.0% | 75.0% |
Source: MGMA physician group benchmarks 2023; RBMA radiology billing survey
Home Health / HospiceHome health agencies · PDGM-era
| Metric | P25 | P50 · Median | P75 |
|---|---|---|---|
| Initial Denial Rate ↓ better | 5.0% | 9.0% | 15.0% |
| Clean Claim Rate ↑ better | 90.0% | 94.0% | 97.0% |
| Days in AR ↓ better | 22.0d | 32.0d | 45.0d |
| Net Collection Rate ↑ better | 93.0% | 96.0% | 98.0% |
| Write-off % ↓ better | 2.0% | 4.0% | 7.0% |
| Cost to Collect ↓ better | 2.0% | 2.8% | 4.0% |
| Denial Overturn Rate ↑ better | 42.0% | 58.0% | 72.0% |
Source: NHPCO/NAHC home health benchmarks 2022; Kindred at Home billing data