At NPS we know how hard you work for your patients and your practice, which is why we work to get your practice paid every dollar appropriately due. Our specialized team can help accelerate payer and patient reimbursement for nephrology practices. Contact us today to learn how NPS can help your practice.

Is your nephrology practice running at maximum operational efficiency? At NPS, our goal is to help you get there. As experts in the nephrology field, we know how your business runs and have years of experience helping practices improve their operational efficiency. Below are some resources to help you determine if your practice is operating as efficiently as possible.

First, take our Revenue Cycle Management Quiz to get a general idea of where you stand. Then, to get a more accurate idea of how efficient your practice is, use our tools and formulas below to calculate your practice’s metrics. We’re here to help if you have any questions.

RCM Metrics
Operational Efficiency Metrics

RCM Metrics

Use our interactive tools to calculate and understand:

 Days in Accounts Receivable

 Denial Rate

 Revenue Realization Rate

 A/R < 120

Use our interactive RCM Metrics Tool

Operational Efficiency Metrics

Use our interactive tools to calculate and understand:

 Dialysis Rounding


Use our interactive Operational Efficiency Metrics Tool


As our healthcare environment becomes more complex, medical practices need to ensure the people doing the billing and collections are performing at their best. Regardless, if you are outsourcing your service or keeping it in house, the only way to know for sure you are receiving the best available service is to pressure test the processes and outcomes through a practice assessment. Below we have provide some common questions you might want to use to self-assess. When you’re ready to do a practice assessment, we’ll be there.


Real time reporting keeps you informed on the performance of both your practice and your billing & collections provider. If you are not receiving timely reporting, ask for them.
Physicians will always have some administrative tasks to do. They obviously can’t discontinue EHR and hospital administrative duties. However, if you are finding your physicians are spending more time managing the practice and trying to figure out billing and collections your practice might be in need of some help. Spending 10 hours a week doing administrative work equates to 65 days a year based on an 8 hour day – more than a month! That is a lot of time. Couple that with the per day earnings lost, it just might make sense to get some help to create a more efficient process that can keep you in front of your patients instead of behind a desk.
If your billing and collections are done in-house you may have experienced some of these challenges. The scenario: you hire staff, invest in training them and then they leave; repeat. It can also be costly to keep up with technology. Those extra offices could be made into exam rooms or you can reduce your lease space and save some per square footage dollars. Outsourcing doesn’t mean losing control over your practice. You are always ultimately in control. Some of the perks of outsourcing include real-time reporting, a designated account manager, certified coding professionals, and the most up-to-date technology to ensure your claims are efficiently handled.
Sometimes just making a small change can make a difference.

  • Denied claims – they cost you money to resolve and they cost you money to not resolve. Are there claims sitting in your hold bin that have not been addressed? If you are seeing an increase in denied claims you need to identify the trend and put processes in place to change it.
  • Collections – is your team/provider following up on self-pay patients? Do they have dedicated processes to collect for your services? Is it taking more than 45 days to collect on your claims?
  • Staff – do you have more than you need?
  • Payer contracts – do you know your rates?
  • MCP rounds – are your physicians making all 4 rounds? Could they be?
  • Service area – is your scheduling efficient so physicians are spending less time driving and more time with patients?
  • Administrative overload – does your physicians spend more time managing business needs then patient needs?
  • Patient wait time – are patients choosing another provider because it takes too long to see a physician at your practice?

* RPA Benchmark Survey 2014