• MAP Keys Compliant Program for Providers

    What is HFMA’s MAP Keys Compliant Program?

    The program recognizes information technology products that capture data needed to use HFMA’s industry standard MAP Keys — the key performance indicators in revenue cycle for both hospitals and physician practices. This program helps providers identify products that support the use of MAP Keys to track, compare, and improve performance.

  • MAP Keys Compliant Products

    HFMA has scrutinized source data-capture and data-reporting capabilities and established that Navigant Solutions is MAP Keys Compliant for the below MAP Keys. Full MAP Key definitions and equations are available here.

    Patient Access

    • Point-of-Service (POS) Cash Collections (PA-7)

    Pre-Billing

    • Days in Total Discharged Not Final Billed (DNFB) (PB-1)
    • Days in Final Billed Not Submitted to Payer (FBNS) (PB-2)
    • Days in Total Discharged Not Submitted to Payer (DNSP) (PB-3)

    Claims

    • Clean Claim Rate (CL-1)
    • Late Charges as Percentage of Total Charges (CL-2)

    Account Resolution

    • Aged A/R as a Percentage of Total Billed A/R (AR-1)
    • Aged A/R as a Percentage of Billed A/R by Payer Group (AR-2)
    • Remittance Denial Rate (AR-5)
    • Denial Write-Offs as a Percentage of Net Patient Service Revenue (AR-6)
    • Bad Debt (AR-7)
    • Charity Care (AR-8)
    • Net Days in Credit Balance (AR-9)

    Financial Management

    • Net Days in Accounts Receivable (A/R) (FM-1)
    • Cash Collection as a Percentage of Net Patient Service Revenue (FM-2)
    • Uncompensated Care (FM-4)
    • Case Mix Index (FM-5)

    HFMA has scrutinized source data-capture and data-reporting capabilities and established that R1 RCM is MAP Keys Compliant for the below MAP Keys. Full MAP Key definitions and equations are available here.

    Patient Access

    • Pre-Registration Rate (PA-2)
    • Insurance Verification Rate (PA-3)
    • Service Authorization Rate - IP and/or Observation (PA-4)
    • Service Authorization Rate - Outpatient Encounter (PA-5)
    • Conversion Rate of Uninsured Patient to Third-Party Funding Source (PA-6)
    • Point of Service Cash Collections (PA-7)

    Claims

    • Clean Claim Rate (CL-1)
    • Late Charges as Percentage of Total Charges (CL-2)

    Account Resolution

    • Aged A/R as a Percentage of Total Billed A/R (AR-1)
    • Aged A/R as a Percentage of Billed A/R by Payer Group (AR-2)
    • Aged A/R as a Percentage of Total A/R (AR-3)
    • Remittance Denial Rate (AR-5)

    Financial Management

    • Case Mix Index (FM-5)
  • MAP Keys Compliant Program for Business Partners

    Why is it important for your product to become MAP Keys Compliant?

    • Revenue cycle leaders are asking for it. Hospitals adopting MAP Keys and using MAP App ask HFMA: “What products comply with the MAP Keys definitions?” The MAP Keys Compliant Program is the ideal answer for providers.
    • Providers are seeking objective benchmarks. Hospital and health system leaders will be confident that data they have received from your products can be used to track and compare performance with accuracy, consistency, and efficiency.
    • You earn an exclusive distinction. As a MAP Keys Compliant vendor partner, your product will receive prominent exposure among HFMA members, conference attendees, and customers. 

    How will your products be evaluated?

    When you submit your products for consideration, HFMA rigorously scrutinizes the source data-capture and data-reporting capabilities of the product. HFMA identifies which specific data elements — and related MAP Keys — the product can provide. Products that provide data complying with the definitions of HFMA’s MAP Keys receive the designation of MAP Keys Compliant.

    Each MAP Key requires data that constitute a specific numerator and denominator. For example, to measure performance for the MAP Key “Point-of-Service (POS) Cash Collections” requires data showing point-of-service payments (numerator) and total patient cash collected (denominator). The value indicates potential exposure to bad debt, accelerates cash collections, and can reduce collection costs. To access this data, providers rely heavily on information technology products like yours.

    As a MAP Keys Compliant vendor partner, you will:

    • Receive the program logo to place on your website and in marketing literature.
    • Obtain exposure on HFMA’s MAP website.
    • Receive one complimentary registration to HFMA's Revenue Cycle Conference (previously known as MAP Event)
    • Be recognized at HFMA's Annual Conference
    • Submit subject matter expertise that will become relevant content within MAP App such as white papers, tools, case studies, and proven practices.

    Interested in becoming MAP Keys Compliant?

    Contact Rich Lucas for details.