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Revenue Cycle
Real numbers, real case studies, real advice for clinic owners.
Outsourcing revenue cycle management: the math to run before you sign
Most clinics evaluate RCM companies on the fee. The fee is the least interesting number. Here is the break-even math and what to measure before you shop.
Your accountant sees bank deposits. Do they see your billing data?
At most outpatient clinics we review, the accountant has never seen the billing data. They reconcile bank deposits. That is like reading half the story.
The 12-18% gap between billing and collections that most clinics ignore
The average multi-location clinic collects 12-18% less than its contracts entitle it to. Measured against expected collectible revenue, not gross charges. At your scale, that is not a rounding error.
65% of denied claims never get resubmitted. Here is what that costs you.
The healthcare industry average is brutal: most denied claims die in a pile on someone's desk. At a 3-location clinic, that is $50K-$200K per year.
Your billing team says everything is fine. Your bank account disagrees.
Most clinic owners trust their billing team's numbers. But when billing data and bank deposits tell different stories, somebody is wrong.
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The Deductible
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