Medical Practice Management
Mar 27

Is Your Physician Practice Measuring it’s First Pass Resolution Rate?

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.

About Reed Tinsley, CPA

As a top advisor to physicians, I help increase practice profits by delivering hands-on, expert medical accounting/tax support, practice counsel, and revenue-building strategies. Read more →