Review of SystemsHealthcare Operations Advisory

Tips

Short notes on where practice revenue goes missing

The problem, the warning signs, and one question to ask your billing team.

Short payments that look like normal adjustments

Without contract rates loaded, a short payment posts cleanly and the shortfall disappears as a routine adjustment.

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Unposted cash: paid claims that still look open

Money in the bank that never reached the books makes A/R look bigger and recent months look worse.

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Why last month's numbers keep changing

Your billing system may never close the month, so every report keeps moving.

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One insurance company, three products, three fee schedules

If your system lists them as one insurance, your payer mix and underpayment checks can't be trusted.

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No man's land: the claims nobody is watching

Rejections aren't denials and aren't revenue. They sit in the middle, aging toward the filing deadline.

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Corrected claim or appeal? Picking wrong costs you twice

A corrected claim and an appeal fix different problems. Picking the wrong one burns time against your deadlines.

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Every denial should become someone's job

A denial with no owner never gets appealed. Every one should land on someone's list with a due date and a ready appeal.

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Referrals: the denial you can see coming

Held charges, expiring referrals and requests nobody follows up on. Every one is visible weeks ahead.

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Request a consultation

Start with a 30-minute conversation.

Tell us how your practice runs today: the workflows that slow you down, the billing that doesn't add up, and what you'd fix first. We'll come back with a clear scope and a fixed fee.

Email info@reviewof.systems

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