Our KPIs follow MGMA Standards
MGMA Standards
Your MGMA-Aligned Partner in Medical Billing & Revenue Cycle Management
At MedexVenture, we measure our billing and revenue cycle performance against benchmarks published by the Medical Group Management Association (MGMA), so every practice we support knows exactly where their numbers stand and where they should be heading.
We track core measures such as days in A/R, claim denial rate, net collection percentage, and charge lag, and manage each one toward an MGMA-aligned operating target — adjusted for your specialty, payer mix, and practice size.
Dedicated to Measurable Revenue Cycle Performance
Data-Driven Benchmarking
We track the same core KPIs MGMA identifies as indicators of a well-run practice, giving your team a clear, evidence-based view of billing performance.
Specialty-Adjusted Targets
MGMA benchmarks vary by specialty, size, and payer mix, so we set operating targets that reflect your practice's specific circumstances rather than a generic number.
Ongoing Dashboard Visibility
Every practice receives a monthly performance dashboard tracking results against MGMA-aligned targets, so nothing about your revenue cycle is left to guesswork.
MGMA Standards
Setting the Standard for Revenue Cycle Performance
MGMA DataDive is one of the most widely referenced benchmarking resources in U.S. healthcare — but it isn't a single universal pass/fail standard. Results vary by specialty, practice size, ownership, and payer mix. We use MGMA's published findings to build MedexVenture's own operating targets, giving every client a dependable reference point rather than a generic industry claim.
Our MGMA-Aligned KPI Targets
| KPI | MedexVenture Target | Why It Matters |
|---|---|---|
| Days in A/R | < 40 days | Faster cash flow |
| A/R > 90 Days | < 15% | Reduces revenue leakage |
| A/R > 120 Days | < 10% | Protects collectible revenue |
| Claim Denial Rate | < 5% | Prevents avoidable rework |
| Clean Claim / First-Pass Acceptance | ≥ 95% | Improves first-pass payment |
| Net Collection Rate | ≥ 95% | Maximizes earned revenue |
| Charge / Claim Lag | ≤ 3 days | Accelerates reimbursement |
| Denial Follow-Up | 100% work queue coverage | Prevents missed recovery |
| Denial Overturn / Recovery | ≥ 60% on appealable denials | Recovers preventable losses |
| Patient Responsibility Collection | ≥ 50% at point of service | Improves patient A/R |
Example Monthly Provider Dashboard
| Metric | Our KPIs | MGMA Standard | Status |
|---|---|---|---|
| Days in A/R | 32 days | < 40 | On Target |
| Denial Rate | 3.8% | < 5% | On Target |
| Clean Claim Rate | 96.4% | ≥ 95% | On Target |
| Net Collection Rate | 97.1% | ≥ 95% | On Target |
| A/R > 90 Days | 11.2% | < 15% | On Target |
| A/R > 120 Days | 7.4% | < 10% | On Target |
| Charge Lag | 1.8 days | ≤ 3 | On Target |
MGMA Standards
Our Commitment to Performance
Meeting these targets isn't a one-time exercise — it's built into how we manage claims, denials, and collections every day. Our team monitors days in A/R, denial rate, first-pass acceptance, net collection, A/R aging, charge lag, and denial recovery on an ongoing basis. Our goal is simple: keep every practice performing at or better than its appropriate MGMA-aligned benchmark, with specialty- and payer-specific adjustments applied wherever they matter. Benchmarks referenced above are drawn from MGMA DataDive and MGMA Stat publications. Targets marked as operational targets are MedexVenture management goals rather than official MGMA thresholds and should not be represented as an MGMA certification or guarantee.
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