This is a data study of the revenue-cycle key performance indicators AMS Solutions delivers for its medical-practice clients, benchmarked against national industry references. It answers one question: how does your practice’s billing actually stack up?
Every AMS figure below reflects performance measured across our active client book — clean-claim acceptance, denial and net-collection rates, days in accounts receivable (A/R), aged A/R, and first-pass resolution. Industry reference points are drawn from published MGMA and HFMA revenue-cycle benchmarks (2025). Where a direct comparison exists, it is shown side by side.
The six benchmarks at a glance
| Metric | AMS clients | Industry reference (MGMA / HFMA, 2025) |
|---|---|---|
| Clean claim rate (accepted on first submission) | 95%+ | ~75–85% typical |
| Denial rate | <5% | ~8% (industry runs 5–10%) |
| Days in A/R | 30–40 days | Best-practice target <40 days |
| A/R over 90 days | <10% | ~13.5% (MGMA average) |
| Net collection rate | 96% | ~95% best practice |
| First-pass resolution | 90%+ | 90%+ within a week = best practice |
AMS figures reflect measured client performance; industry references are national benchmarks from MGMA and HFMA (2025).
Method: The six AMS figures on this page — clean claim rate 95%+, denial rate under 5%, days in A/R 30–40, A/R over 90 days under 10%, net collection rate 96%, and first-pass resolution 90%+ — are measured across AMS Solutions, Inc.’s active client book. Industry reference points are published MGMA and HFMA revenue-cycle benchmarks (2025). This page does not publish claim-volume totals, client-tenure statistics, or any KPI beyond these six.
1. Clean claim rate — 95%+
Share of claims accepted by the payer on the first submission, with no rework. AMS clients clear 95 or more of every 100 claims on the first pass, versus a typical industry range of about 75–85%.
When 95 of every 100 claims clear on the first pass, denials stop being a daily fire drill and become the rare exception.
2. Denial rate — under 5%
Share of claims denied by payers. The industry average sits near 8% (MGMA), with many practices running 5–10%. AMS clients hold denials below 5% — scaled to a 0–12% axis below.
Cutting denials from the industry’s ~8% to under 5% means roughly one claim in twenty needs rework instead of one in twelve.
3. Days in accounts receivable — 30–40 days
Average number of days it takes to collect payment after a service is billed. AMS keeps clients in the 30–40 day range, inside the best-practice target of under 40 days (axis scaled to 0–50 days).
Money that lands in 30 to 40 days is money you can actually run a practice on.
4. A/R over 90 days — under 10%
Share of receivables still unpaid more than 90 days out — the money most likely to be written off. The MGMA average is about 13.5%; AMS clients keep it under 10% (axis scaled to 0–20%).
Keeping aged A/R under 10% means far less revenue is quietly slipping toward write-off.
5. Net collection rate — 96%
Share of collectible revenue actually collected, after contractual adjustments. AMS clients average 96%, at or above the ~95% figure widely treated as best practice.
A 96% net collection rate says the practice is capturing nearly every dollar it is contractually owed.
6. First-pass resolution — 90%+
Share of claims fully resolved on the first pass, billed within 3–5 days of service. AMS clients hit 90% or better — the mark best-practice guidance sets for a fast, clean revenue cycle.
Billing a claim within 3 to 5 days of service is the single biggest lever on how fast you get paid.
What the gap is worth: a worked example
Consider a cardiology practice billing $250,000 a month. At the industry-typical 8% denial rate, roughly $20,000 a month is tied up in denied claims — leakage that often ages out and is written off. Cutting the denial rate to 4% recovers on the order of $120,000 a year. That is the practical difference a few percentage points of billing performance makes.
Illustrative example for scale; actual results vary by specialty, payer mix, and contract terms.
Data you can trust
AMS Solutions, Inc. is a medical billing and revenue cycle management company, physician-founded in 1992. We operate under a signed BAA with every client practice. Operations are staffed by AAPC-certified coders (CPC, CPB). The AMS figures on this page reflect measured performance across our client book; the industry reference points come from published MGMA and HFMA revenue-cycle benchmarks (2025).
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