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January 24, 2022 - Assess Your Revenue Cycle like you assess your patient’s Spine by Brandy Brimhall


January 24, 2022 Puzzle Piece

Assess Your Revenue Cycle like you assess your patient’s Spine by Brandy Brimhall,  CPC, CMCO, CCCPC, CPCO, CPMA

 Did you know that your Revenue Cycle System is part of the foundation to your practice?  Just the same as a structure that’s being built, ensuring a solid foundation is critical to the life of the building being constructed.  After all, additional stories or features may not be possible if the foundation is unstable, cracked or weak. 

Healthcare providers often find through trial and error that managing the revenue cycle is an entire piece to the puzzle all of its own, requiring additional time, training and attention.  And taking time from their patients to manage this element of the practice is counterproductive to achieving the overall mission – to care for more patients and make a great living doing it. 

And CAs, even seasoned and experienced CAs, may find themselves overwhelmed and short on time to adequately tend to the many functions of the revenue cycle system in addition to other necessary job duties that often require immediate attention.  Though more often than not, CA’s aren’t fully trained on revenue cycle management and may not even initially know upon hire that these tasks were going to be part of their role.  Of course, there is a cause and effect to all of this - -
  • Increasing Accounts Receivables
  • Claims delays/rejections/denials
  • Insurance verifications that aren’t consistent with claims processing data (or perhaps, no time to complete insurance verifications at all)
  • Over-the-counter collections slipping through the cracks, and thus, growing patient balances
  • Cumbersome or ineffective patient invoicing systems
  • Mistakes in coding (yes, even for your self-pay patients!)
  • Revenue cycle management on a touch-and-go basis
  • Confusion, frustration and uncertainty among team members along with the spinning of wheels over practice challenges
  • And the list goes on…
In practice, not only do we want to be efficient and profitable, we also want to be in the best position to keep the money we’ve made.  Each of those items described in the bullets above (among others), increase this risk and vulnerability for practices as well as cost valuable time and money.
Now, when establishing any foundation, for a structure or a business, those necessary essential components simply must not be overlooked.With the revenue cycle, this means improved over-the-counter collections, a healthy and manageable Accounts Receivable, sufficient time and attention to the entire revenue cycle system, improved practice/patient relationships, and so much more.
If some of the obstacles discussed in this article are feeling familiar to you, the great news is that there is a solution.  First, a practice must be proactive in taking necessary action steps now – before time and money is list or vulnerability increases.  Options for you to consider on your path forward:
  1. Evaluate your entire revenue cycle system (assessment checklist attached).  Next, work together with your team to identify and prioritize necessary steps forward.  Seek qualified training to strengthen your team and confidence in your practice systems.  Be accountable as a leader and hold those same expectations for your team members. 
  1. Consider your practice strengths and weaknesses as it relates to the revenue cycle system.  Consider your practice history in this respect as well as your future goals and expectations.  If you find that critical functions of the revenue cycle system have been an ongoing struggle and repair of this seems overwhelming, perhaps outsourcing your billing (even temporarily if you wish) may be the best next step to consider for your practice.  After all, we hire an accountant for accounting needs, an attorney for legal needs and other professionals for their efficiency and training in their skill set.  Your practice revenue cycle is no different at all!
In closing, take a few minutes to complete the Revenue Cycle Assessment Checklist attached!  This will help you to measure the health of your own practice foundation.  If your practice is seeking training, materials and general support for your revenue cycle system or if you decide that you’d like to learn more about outsourced billing, I’d love to help!
Reach out to learn more at [email protected]!


Brandy Brimhall,  CPC, CMCO, CCCPC, CPCO, CPMA

Yours in Health and Wellness,
John W Brimhall, DC, BA, BS, FIAMA, DIBAK

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