RCM Reporting Services
Revenue-cycle reporting turns claim work into numbers you can manage: days in A/R, first-pass resolution, denial reasons, and net collections. Vector Medical Billing’s standard monthly pack sits inside the billing fee — from Jamaica, NY, for practices in all 50 states. Vector’s published net collection rate is 98%.
What RCM reporting is
A recurring view of how the revenue cycle is performing — not a one-time spreadsheet dump when something breaks.
Claim submission, posting, denials, and A/R follow-up create the data. Reporting packages that data into a monthly pack the practice can review with Vector: what moved, what stalled, and which denial buckets need attention.
On Vector’s services index this sits under the monthly fee — unlike MIPS / QPP reporting, which is a separate Quality Payment Program engagement.
Core KPIs in the monthly pack
Same four the services index names — plus aging context so the numbers are usable.
Days in A/R
How long charges sit before payment clears. Vector publishes under 35 days as a strong result and over 50 as a follow-up warning. Industry KPI summaries often cite roughly 30–40 days as an optimal range (MGMA Top KPIs white paper summarizing AAFP and related targets) — labeled industry context, not a Vector client average.
First-pass resolution
Share of claims that pay (or resolve) without a denial or rejection rework cycle. Tracks whether eligibility, coding, and scrubbing are feeding clean submissions — not just how hard the denial team works after the fact.
Denial reasons
Volume and dollars by denial category / CARC family so patterns show up — eligibility, authorization, coding, timely filing — instead of a single “denial rate” with no action. Detail work still lives in denial management.
Net collections
Collections relative to what was expected after contractual adjustments. Vector Medical Billing’s published net collection rate is 98%. Your monthly pack shows the practice’s period performance — not a guarantee that every month prints that number.
Aging sits next to days in A/R
One average hides a 120+ day problem. The pack should show both.
Bucket mix
0–30 through 120+ day shares of insurance A/R. MGMA treats a high 120+ share as revenue at risk — labeled industry framing.
Work queues
Reporting flags the buckets; A/R follow-up works the open claims. Numbers without a queue are decoration.
Insurance vs patient
Insurance A/R and patient A/R are split when both are in scope so PR balances are not mistaken for unpaid payer claims.
Sample monthly pack — table of contents
Illustrative outline of the standard deliverable. Exact tabs may adjust to specialty; this is not a client screenshot.
1 · Executive snapshot
Charges, payments, adjustments, net collections, days in A/R, and first-pass vs prior month.
2 · Aging & payers
Aging buckets, top payers by open dollars, and claims near timely-filing pressure.
3 · Denials
Denial reason mix, overturn / rework status summary, and prevention notes for the next month.
4 · Posting & cash
Payment posting totals vs deposits, unapplied cash aging if any, and credit / takeback notes.
5 · Actions
Agreed follow-ups for the coming period — which queues Vector owns vs what the practice must decide.
Definitions
How each KPI is calculated from the EHR for that practice so month-to-month stays comparable.
How the reporting cadence runs
Close the month. Deliver the pack. Review exceptions — then work the queues.
Close window
Month-end charges, payments, and adjustments locked for the reporting period in your EHR.
Build pack
KPI snapshot, aging, denial mix, and action list pulled from the same system of record.
Review
Walk outliers with the practice — not a silent PDF that nobody opens.
Work queues
Actions feed denial, A/R, and posting teams for the next cycle.
What RCM reporting is not
Related services stay separate so expectations match the fee.
Not MIPS / QPP
Quality Payment Program measure submission is MIPS / QPP reporting — a separate engagement, not the monthly RCM pack.
Not the follow-up work itself
Reports surface aging and denials. Working open claims is A/R follow-up and denial management.
Not a full BI rebuild
Standard monthly pack uses your EHR exports and Vector’s definitions. Custom executive dashboards or multi-location BI projects are quoted when they exceed that pack.
How reporting is scoped
Standard monthly pack is inside the billing fee. Extra design is called out in writing.
Inside the monthly fee
On Vector’s services index, RCM reporting — days in A/R, first-pass resolution, denial reasons, and net collections — is part of the monthly billing relationship, not a silent add-on you never see.
Board-level custom packs, multi-entity consolidations, or third-party BI tooling are quoted separately when needed.
What we need to start
EHR access for reporting extracts, payer list, whether patient A/R is in scope, and who at the practice receives the monthly pack and joins the review call.
Want the monthly RCM pack in writing?
Send: (1) your EHR name, (2) whether you need insurance-only or insurance + patient A/R, (3) who should receive the monthly pack. We reply with the KPI definitions we will use and how the standard pack fits the billing fee.
RCM reporting questions
Straight answers tied to the sections above.
What is included in Vector’s RCM reporting?
The standard monthly pack covers days in A/R, first-pass resolution, denial reasons, and net collections — with aging and action notes so the numbers drive work queues.
Is RCM reporting a separate fee?
The standard monthly pack is inside the monthly billing fee on Vector’s services index. Custom board packs or multi-entity BI builds are quoted separately when they exceed that pack.
What does the 98% net collection rate mean?
It is Vector Medical Billing’s published net collection rate. Your monthly pack shows your practice’s period performance; it is not a guarantee that every month equals 98%.
How is this different from MIPS reporting?
RCM reporting tracks billing operations KPIs. MIPS / QPP is CMS Quality Payment Program measure submission — a different regulatory track and a separate engagement.
Do we need a new dashboard tool?
Usually no. The standard pack is built from EHR extracts and Vector’s KPI definitions. Extra tooling is only quoted when you ask for it.
How often do we get the report?
Monthly after period close, with a review of outliers. Mid-month exception pulls can be arranged when a payer or denial spike needs earlier attention.