Billing: 7 Revenue Busters That Are Destroying Your Facility's Profits

Why This Topic Matters

ASC revenue cycle performance depends on timely, coordinated, and compliant business office processes. The article helps readers recognize operational risk areas that can contribute to denials, lost revenue, and contract problems.

Article Sections

1. Revenue Buster #1: Business office staffing isn't a priority

   Discusses staffing and training concerns in the ASC business office and the effect of inexperienced personnel on billing operations.

2. Revenue Buster #2: Poor intra-office communications are the norm

   Covers communication gaps between departments and how limited coordination can affect billing workflow.

3. Revenue Buster #3: Financial functions aren’t appropriately segregated

   Addresses separation of duties and internal control concerns within business office financial processes.

4. Revenue Buster #4: Slow claims processing

   Looks at delays in claims preparation and submission and the importance of tracking where work stalls.

5. Revenue Buster #5: No one in the business office is working denials

   Focuses on denial management activities, including review of denial patterns and common denial categories discussed by industry speakers.

6. Revenue Buster #6: Management of collections and A/R is subpar

   Reviews follow-up on unpaid claims, accounts receivable monitoring, and related oversight practices.

7. Revenue Buster #7: Insurance contracts are a mess

   Covers insurance contract management, access to current contract terms, and coordination among business office staff and leadership.