Methodology & Transparency
We don't guess at your numbers.
We calculate them against the industry standard.
Every benchmark on this site maps to HFMA's MAP Keys — the industry-standard framework used
across hospitals, physician groups, and ambulatory practices to define revenue cycle performance
in clear, consistent terms. No invented formulas. No black box. Every figure in your report is
calculated by a named specialist, reviewed by your Account Manager, and traceable back to its source.
29 MAP Keys
Industry-standard revenue cycle KPIs defined by HFMA — our benchmarks are calculated
against this framework, not built in isolation.
Source: HFMA MAP Initiative
30–45 Days
The recognized healthy range for Days in AR — the same standard we calculate every
client's number against, every month.
Source: MGMA 2024 DataDive
$25–$118
The average cost to rework a single denied claim. It's why getting the calculation
right the first time is the whole point.
Source: HFMA / MGMA Reports
Get Your Benchmark Snapshot
No obligation. See your own numbers calculated the same way we calculate everyone's.
Our Calculation Standard
We Don't Invent Our Own Math
Reviora doesn't use proprietary or opaque formulas. Every core benchmark is calculated against
HFMA's MAP Keys — the recognized industry standard used across hospitals, physician groups, and
ambulatory providers — so you can benchmark our numbers against any credible source in the industry,
any time you want to check our work.
Clean Claim Rate
How Is Clean Claim Rate Calculated?
Clean Claims ÷ Total Claims Submitted × 100
Aligned to HFMA MAP Keys, the industry-standard revenue cycle benchmarking framework.
Reviewed monthly by your RCM Specialist and QA'd by your Account Manager before it reaches your report.
First Pass Resolution Rate
How Is First Pass Resolution Rate Calculated?
Claims Resolved on First Submission ÷ Total Claims Submitted × 100
A Reviora-tracked metric, closely aligned to industry first-pass resolution practices.
Calculated the same way, every cycle, so your trend line is always an apples-to-apples comparison.
Denial Rate
How Is Denial Rate Calculated?
Denied Claims ÷ Total Claims Submitted × 100
Definitions standardized per HFMA's Claim Integrity Task Force denial-metrics framework.
Every denial is categorized by root cause, not just counted — so the number tells you something actionable.
Days in AR
How Is Days in AR Calculated?
Net AR ÷ Average Daily Net Patient Service Revenue
Aligned to HFMA MAP Keys, the industry-standard revenue cycle benchmarking framework.
Tracked against the MGMA-recognized 30–45 day healthy range for your specialty type.
Net Revenue Recovery
How Is Net Revenue Recovery Calculated?
Total Collected ÷ Total Allowable Charges × 100
A Reviora-tracked metric, measured against payer-allowable amounts — not gross billed charges.
Reconciled monthly against remittance data, so the number reflects what was actually collectible.
Data Integrity
Every Number Traces Back to a Source You Can Check
Every figure in your report is pulled from the same systems you'd check yourself: your claims
processing tool, your EHR and clearinghouse feeds, and payer remittance files. Nothing is
estimated and nothing is modeled — if a number is on your report, it's traceable back to the
claim, the date, and the payer response behind it.
Reporting Cadence
Real Numbers, on a Schedule You Can Set Your Watch To
You're never waiting on us to find out where you stand. Here's how it reaches you.
Live Portal
Always-on dashboard access to your current numbers — check them whenever you want, not just when we send a report.
Monthly Report
A full summary reviewed and QA'd by your Account Manager before it lands in your inbox — never an auto-generated dump.
Escalation Trigger
If a number needs attention, our Benchmark Recovery Protocol kicks in automatically — you're never the one who has to notice first.
See Your Own Numbers Calculated This Way
Ready to See What Your Real Numbers Look Like?
Book a free consultation and we'll walk your current billing data through the exact same
HFMA-aligned methodology you just read about — no sales pitch, just a clear look at where
you stand today.
Schedule Your Free Consultation
No pressure. No obligation. Just clarity on where your numbers actually stand.
Or call +1 (240) 393-9664