Epic produces more revenue-cycle data than any practice owner has time to read. The trick is not reading more of it; it is knowing which six numbers to ask for every month, what each one is telling you, and what question to ask when it moves. You do not need to run the reports yourself. You do need to know them well enough to notice when your billing team’s answer is vague.
1. Days in A/R
What it is: total outstanding receivables divided by average daily charges. It tells you how long, on average, money takes to come in after you earn it.
Where it lives: Epic’s standard A/R dashboards and the aging reports available to your reporting security class, filtered to your department or service area.
What to ask: what is the trend over the last six months, and what is driving it: a payer, a provider, a billing backlog? A single month’s number is context; the trend is the signal. Our A/R guide has a 15-minute health check that uses this report and the next one.
2. A/R over 90 days
What it is: the share of outstanding receivables older than 90 days. This is the money most at risk of never arriving.
Where it lives: the aging buckets on the same A/R reports: 0–30, 31–60, 61–90, 91–120, over 120. Add the last two and divide by total A/R.
What to ask: which five payers hold most of it, and what are the top three reasons it is unpaid? If the answer is “we are working on it,” ask to see the follow-up workqueue sorted by dollar amount.
3. Denial rate and denial categories
What it is: the share of claims denied on first submission, and the reasons, grouped by remark and adjustment codes.
Where it lives: Epic’s denial and remittance reporting, and the denial workqueues themselves, which can be grouped by payer and by category.
What to ask: which categories are preventable at the front end (eligibility, authorization, registration) and which are coding or payer behavior? A good team feeds preventable denials back to the front desk and providers so they stop recurring; a weak team just appeals them again next month.
4. Charge lag
What it is: the days between date of service and the date the charge is entered or the claim drops. Every day of lag is a day of delayed cash that your A/R reports cannot show you, because the receivable does not exist until the charge is in.
Where it lives: charge-entry and claim-submission timing reports; in Epic the charge review and claim edit workqueues show what is stuck and for how long.
What to ask: are charges waiting on providers (unsigned notes, missing diagnoses) or on billing (edits nobody has cleared)? The fix is different for each.
5. Clean-claim rate
What it is: the share of claims that pass clearinghouse and payer front-end edits on first submission without a rejection. (Denials after adjudication are a separate measure, which is why you track number 3 as well.)
Where it lives: clearinghouse acceptance reports combined with Epic’s claim status; your billing team should be able to show both.
What to ask: what are the top rejection reasons at the clearinghouse, and are they being fixed in Epic’s edit rules or just corrected claim by claim? Rules fix the problem once; manual correction fixes it forever, every day.
6. Net collection rate
What it is: payments collected divided by what your payer contracts say you should have collected, after contractual adjustments. It is the number that tells you whether money is leaking through underpayments and write-offs that nobody questioned.
Where it lives: payment and adjustment reporting; it is most useful when fee schedules or contract terms are loaded so expected reimbursement can be checked line by line.
What to ask: what share of adjustments are contractual versus “other,” and who reviews the other category? Unexplained adjustments are where underpayments hide.
What a good billing team does with these
A good team brings the six numbers to you, unprompted, every month, with a one-line reason for anything that moved and one thing they changed because of it. It reports from your Epic instance, not from its own spreadsheet, so you can check the figure yourself. And it can answer the question that matters most: “What is currently preventing us from getting paid faster?” with a payer, a procedure or an enrollment issue, not a shrug.
If you want to put your own team or vendor to the test, the guide to knowing whether your billing company is doing a good job turns these six numbers into five questions you can ask by email. For industry reference points on each metric, see our 2026 benchmark report.
AMS Solutions works inside clients’ own Epic instances and builds its monthly review on Epic’s own reports. To see your six numbers with a second set of eyes, request a free review of your Resolute A/R or call 866-973-2221.
Epic, Resolute, MyChart and Community Connect are trademarks of Epic Systems Corporation. AMS Solutions is an independent medical billing company and is not affiliated with or endorsed by Epic.
