Gold standard for clean claims at ASCs climbs to 98% — 3 insights

To keep denials low, ASCs must maintain a high clean claims rate, according to Regent RCM.

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Three insights:

1. Regent RCM recommends aiming for a clean claims rate of 98 percent. Previously, its recommendation was 97 percent.

2. Regent RCM raised the benchmark based on experience. “The ASCs Regent RCM supports have done a great job” with this metric over the past two years of tracking, the company said in a recent white paper.

3. Erin Petrie, Regent RCM’s director of revenue cycle management, said using a clearinghouse helps determine whether or not claims have all the information payers need.

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