How does your revenue cycle compare to top-performing practices? This report covers every key metric — by specialty — so you know exactly where you stand.
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Industry average vs. top-quartile benchmarks for primary care, behavioral health, pain management, DME, dental, and orthopedics. Know the number you should be hitting.
What first-pass acceptance rates look like across specialties and payer types in 2026 — including Medicare Advantage vs. commercial vs. Medicaid benchmarks.
Average denial rates by payer category, the top 5 denial reason codes driving 80% of denials, and what the top 10% of practices achieve on denial prevention.
True cost-to-collect comparison: in-house billing (including staff, benefits, technology, turnover) vs. outsourced billing by practice size. With sample calculations.
What a best-practice net collection rate looks like by specialty and payer mix — and how much revenue the average practice is leaving uncollected.
How prior auth volumes changed in 2025, which specialties saw the biggest increase, and denial rates for auth-required services by top national payers.
| Metric | Industry Avg | Top Quartile | Top 10% |
|---|---|---|---|
| Days in AR | 42 days | 28 days | 18 days |
| Clean Claim Rate | 87% | 94% | 97%+ |
| Denial Rate | 11.6% | 6.2% | < 4% |
| Net Collection Rate | 91% | 95% | 97–98% |
| Cost to Collect | 9.4% | 5.8% | 3–4% |
Full specialty breakdowns and payer-level data are included in the complete report.
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