Reference no: EM133283564
OBJECTIVE - First Pass Resolution Rate
FPRR shows the number of claims paid in the first pass when they are submitted to BCBS
Shows the effectiveness of the revenue cycle management
FPRR calculation - Number of claims paid on the first pass/total number of claims submitted
FPRR must be greater than 90% or higher for high performance
Use the SMART object to answer questions
Is your objective specific?
What are the reasons, purpose, or benefits of accomplishing the objective? Who are the stakeholders?
Is your objective measurable?
What indicators will you look for to measure progress and success?
Is your objective attainable?
Do you have sufficient financial capacity to accomplish your objective?
Is your objective result-oriented and relevant?
Does this align with other efforts/needs?
Is your objective time bound?
When will we undertake activities to achieve our objective?