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Celebrating Success in AccessKeys®


NAHAM is excited to again offer the Best in Keys Award to celebrate NAHAM members who demonstrate outstanding performance through NAHAM’s AccessKeys®. This 3rd annual award will recognize three hospitals/healthcare systems for their leadership in successfully implementing AccessKeys®.


Award winners will be given a complimentary registration to the NAHAM 46th Annual Conference in Cleveland, Ohio, a one-night hotel stay at the Hilton Cleveland Downtown and recognition at the Conference Awards Ceremony & Reception. Winners will also be announced in a press release and published on the NAHAM website and in email communications. 


Applications will accepted through 11:59 pm EST on Monday, March 9, 2020.  



Application Tips and Tricks

Click here to view a recorded webinar in which NAHAM Industry Standards Committee Chair Stephanie Benintendi walks through the award criteria and application. 

Click here to download the slides from the webinar. 


Introducing the AccessKeys Data Source Guide 

The NAHAM Industry Standards Committee is pleased to provide this source guide to assist you in pulling data from your EMR system to track your performance to NAHAM's AccessKeys. This version of the Data Source Guide focuses on the KPIs included in the NAHAM Best in Keys Award. 

The systems included in this version are:

  • Cerner Millennium
  • Cerner Soarian Financials
  • Paragon
  • Epic

Please note that the Data Source Guide should be used in conjunction with the User's Guide to be sure that you understand NAHAM's definitions and variables that should be included in equations.

Award Criteria

The Best in Keys award will recognize facilities that demonstrate success with the following AccessKeys® during their most recent completed fiscal year:

  • POS Collections to Revenue (POS-1)
  • Estimate to Registration Rate (POS-6) 
  • Insurance Verification Rate (P-1) 
  • Completed Pre-Registration (P-4) 

Applicants should meet, at minimum, the 'good' benchmark for each of the above KPIs. See the NAHAM AccessKeys® 3.0 document for the benchmark information.  


All applicants will be grouped as follows:  

  • Small (Less than $500M net operating revenue)
  • Mid-Sized ($500M - $1B net operating revenue) 
  • Large (Greater than $1B net operating revenue) 

Application Requirements 

The following information will be required as part of the application.

Please note that you must complete the application entirely; you will not be able to save and return to the form. Therefore, please gather the necessary information in advance.  


Applicants will be scored on data and on narratives that support data. Please be sure to submit concise, descriptive narratives that accurately describe the processes that led to your success.  

  • Your facility's data for the above noted KPIs - you will be asked for your numerator, denominator and resulting ratio. Please see the NAHAM AccessKeys® document for the specific formulas.  
  • Demographic Information 
    • Organization Name
    • Address
    • Applying as a Healthcare System or Individual Hospital 
    • Net Operating Revenue
    • Payer Mix 
      • Medicare
      • Medicaid
      • Managed Care (HMO or PPO)
      • Commercial/Indemnity Plans
      • Worker's Compensation and other Government Programs 
      • Self-Pay
    • Pre-Arrival Services
      • Centralized: Managed by a single department for multiple hospital locations, either regionally or corporately; usually Patient Access OR have standard processes throughout the system.  
        If you are applying as a centralized system, only one application will be accepted.  
      • Decentralized: Managed by various departments; not limited to Patient Access OR have varied standards throughout the system.  
        If you are applying as a decentralized system, each submitting hospital must submit unique data and narratives.
    • Pre-Registration Tier (see the NAHAM Pre-Registration Tiers for more information) 
    • Submitter Contact Information (name, title, phone number, and email)
  • Signed attestation from CFO or Vice President of Revenue Cycle to attest to validity of data (click here to download). 
  • Narrative information:
    • For POS-1 (POS Collections to Revenue): Please describe your organization’s approach of communicating owed liabilities to your patients. Is there an expectation that each patient type has a defined minimum for collections? I.e., ER visit has set level of payment due based on ED Service Acuity level, all OPs are requested to pay $XX while IP have $XXX? There may not be an estimate generated for an ED copay, so how is the expectation of payment shared with your patients? How do you communicate POS information to patients and at what point in the process? 
    • For POS-6 (Estimate to Registration Rate): Please describe how your organization either systematically (with help from a vendor solution) or manually (through an internal processes of leveraging CPT codes, Diagnosis and Contractual rates) creates estimates. For example, how do you create an estimate for all patients even if multiple insurance coverages? How far in advance to you create an estimate? Do you post estimates in your EHR portal, etc.
    • For P – 1 (Insurance Verification Rate): Please describe how your organization verifies registrations. How do you handle the process when electronic verification procedures provide inadequate information? i.e. what other ways do you obtain this information?
    • For P – 4 (Pre-Registration Completion Rate): Describe your processes within your pre-registration tier. Please include how you reduce redundant/duplicative patient questions, complete time of registration tasks and communicate unique information about the patient to the registration staff so that the process is transparent to the patient.
    • Additional questions: 
      • What barriers did you experience and/or significant improvement opportunities did you identify while implementing AccessKeys in your facility? What lessons did you learn through those barriers and/or what improvements were you able to implement?
      • How does your organization track and report metrics? What systems do you use, how did you implement the metrics? With whom do you share metrics and are there any goals, outcomes, or other initiatives you leverage these metrics on?
      • In what ways did you struggle in tracking and reporting metrics?
  • Applicants may also attach audited financials (optional) 

Best in Keys award winners will be asked to contribute to future AccessKeys® educational opportunities, to include webinars, conference presentations and/or Access Management Journal articles.   


Frequently Asked Questions 

Click here to download an FAQs document.  

More Questions? 

Please contact NAHAM at or (202)367-1125 with any questions. 


Congratulations to the 2019 Awardees!

Small Hospital: 

St. Rose San Martion

  • St. Rose Dominican Siena in Henderson, NV       

Large System:


  • Novant Health in Winston-Salem, NC 

Click here for more information.  



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