Cymetrix Solutions is
MAP Keys Compliant.
HFMA has scrutinized source data-capture and
data-reporting capabilities and established that
Cymetrix Solutions is MAP Keys Compliant for
the following MAP Keys:
What does it mean to be
MAP Keys Compliant?
HFMA’s MAP Keys set common, industrystandard metrics for revenue cycle performance
across healthcare institutions and physician
practices. Cymetrix Solutions incorporates these
metrics for key data elements, enabling providers
to track, compare, and evaluate performance
improvements using the MAP Keys.
MAP Key Title
Compliant Numerator
Calculation
Compliant Denominator
Calculation
MAP Key Category
MAP Key Title
Compliant Numerator
Calculation
Compliant Denominator
Calculation
MAP Key Category
Point-of-Service (POS)
Cash Collections
POS payments
Total patient cash
collected
Patient Access
Denial Write-Offs as a
Percent of Net Revenue
Net dollars written
off as denials
Average monthly
net revenue
Claims Adjudication
Days in Total Discharged
Not Final Billed (DNFB)
Gross dollars in A/R
(not final billed)
Average daily
gross revenue
Revenue Integrity
Aged A/R as a
Percent of Billed
A/R by Payer Group
Billed payer group by
aging (0-30, >30, >60,
>90, >120 days)
Total billed A/R by
payer group
Claims Adjudication
Days in Total Discharged
Not Submitted to Payer
(DNSP)
Gross dollars in DNFB +
Gross dollars in FBNS
Average daily
gross revenue
Revenue Integrity
Net Days in A/R
Net A/R
Average daily net
patient
service revenue
Management
Late Charges as Percent
of Total Charges
Charges with post date
greater than 3 days from
service date
Total gross charges
Revenue Integrity
Management
Net Days in
Credit Balance
Dollars in credit balance
Average daily net
patient service revenue
Days in Final Billed
Not Submitted to Payer
(FBNS)
Gross dollars in FBNS
UB04 (837I) Clean
Claim Rate
Why is it important?
Providers today face tremendous pressures
to improve the revenue cycle. They need
common metrics to track performance and
evaluate improvement efforts. Cymetrix
Solutions automatically ensures that your
data are consistent with the industry-standard
definitions of these key data elements, giving you
comparisons you can trust with your peers and
institutions across the industry.
To find out more about the
MAP Keys Compliant Program, contact:
Aged A/R as a
Percentage of Billed A/R
0-30, >30, >60,
>90, >120 days
Total billed A/R
Revenue Integrity
Cash Collection as a
Percent of Adjusted Net
Patient Services Revenue
Total cash collected
Average monthly
net revenue
Management
Average daily
gross revenue
Claims Adjudication
Bad Debt
Bad debt
Gross patient
service revenue
Management
Number of claims that
pass edits requiring no
manual intervention
Total claims accepted into
claims scrubber tool for
billing prior to submission
Claims Adjudication
Charity Care
Charity care
Gross patient
service revenue
Management
Denial Rate Zero Pay
Number of zero
paid claims denied
Number of total
claims remitted
Claims Adjudication
Charity as a Percent of
Uncompensated Care
Charity care
Total uncompensated
care (bad debt + charity
care)
Management
Denial Rate Partial Pay
Number of partially
paid claims denied
Number of total
claims remitted
Claims Adjudication
Case Mix Index
CMI (average RW/
patient) = sum of relative
weights for all inpatients
Number of inpatients
in the month
Management
Denials Overturned
by Appeal
Number of appealed
claims paid
Total number of claims
appealed and finalized
or closed
Claims Adjudication
Paul Bielat
HFMA’s MAP Team Leader
877.720.4MAP (4627)
[email protected]
Visit hfma.org/mapkeys for more information.
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HFMA’s MAP is a comprehensive suite for
improving revenue cycle performance in the
health care industry. Based on the industrystandard MAP Keys, HFMA’s MAP is the trusted
source of credible metrics, data, and strategies
for hospitals and health systems individually and
for the industry as a whole.
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Indicators of Revenue Cycle Excellence
Created by and for healthcare finance leaders led
by HFMA, the MAP Keys are a comprehensive
set of industry-standard metrics to measure
and compare revenue cycle performance. The
MAP Keys cover hospitals, health systems, and
physician practices, and are continually updated
by an advisory board of industry leaders called the
MAP Keys Task Force.
The Web-Based Platform for
Revenue Cycle Excellence
MAP App is the premier, web-based platform
that helps hospitals and physician practices
improve performance throughout the revenue
cycle. Based on the industry-standard MAP Keys,
MAP App tracks performance, provides peer
group benchmarking drawn from more than 500
facilities, offers evidence-based improvement
strategies, and includes an ROI Calculator to
guide investment decisions – all with outstanding
support from HFMA.
Recognition for Revenue Cycle Excellence
HFMA’s MAP Award for High Performance
in Revenue Cycle recognizes hospitals, health
systems, and physician practices whose
innovative and effective strategies have
enabled them to achieve excellence in revenue
cycle performance. Winners excel in meeting
industry-standard MAP Keys, implementing
the patient-centered recommendations
and best practices embodied in HFMA’s
Healthcare Dollars & Sense™ initiatives, and
achieving outstanding patient satisfaction.
Award recipients are acknowledged as industry
leaders and share proven strategies with HFMA
members and other professionals.
The Revenue Cycle Conference
MAP Event is developed for employees of
provider organizations focused on improving
the revenue cycle including executives, key staff
from patient access and patient financial services;
revenue cycle leaders, directors and managers;
chief financial officers and VP’s of finance;
physician integration project leaders; physician
office revenue cycle professionals; health
information professionals; clinical documentation
professionals; billing, coding and finance
professionals; claims adjudicators; and managed
care contract liaisons.