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.

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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 >

Reed Tinsley, CPA