What It Is – The first-pass resolution rate (FPRR) is the share of a practice’s claims that get paid upon first submission.
Calculation – FPRR = Total Number of Claims Paid ÷ Total Number of Claims in a given time
Benchmark – Your practice should aim for a FPRR of 90% or above.
Why It Matters – FPRR is a reflection of the effectiveness of your revenue cycle management processes – from pre-visit processes like verifying insurance eligibility, adding required authorizations, and maintaining accurate patient demographics to post-visit tasks like coding and billing. Submitting claims right the first time is critical to maximizing both efficiency and profitability, so always aspire to have the highest FPRR possible.