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AS I SEE IT


Tracking these key performance indicators (KPIs) is particularly impor- tant as health care transitions to value- based care. Ernst & Young’s “US Health Sector Report 2015–16” estimates that 75 percent of reimbursements are expected to be outcomes-based by 2020. Understanding a specific facility’s KPIs will allow physician owners to make the right strategic decisions to reduce costs and optimize revenue while improving clinical results.


Putting it All Together: Revenue Cycle Dashboards Data is helpful, but without the right user interface, it can seem like white noise. For many outpatient facilities, a dash- board accessible by computer, tablet or mobile device can consolidate all rele- vant, real-time data into one place, pro- viding a snapshot of the big picture, as


well as smaller details that may fore- shadow financial trouble. For example, A/R aging is a pri-


mary concern for all outpatient facili- ties, as it directly affects cash flow and the ability of a center to pay its bills. It is, however, frequently difficult to diagnose—and even more challeng- ing to fix—the longer it goes on. Why exactly aren’t bills being paid on time? Without the right data and proper con- text, i.e., a dashboard, it can be difficult to identify and fix the culprit. A customized dashboard can also


help physician owners detect issues at any point of the revenue cycle process. Take payment posting errors, a common reason why ASCs are underperforming. If a facility is not tracking every step of its revenue cycle closely, incorrect payment posting can have a ripple effect that


disrupts a center’s financial performance, as well as its ability to track it. Creating actionable, real-time dash- boards also builds accountability within an organization. Cash-per-case, when combined with total cost-per-case, is the most critical metric to track for a facility as it allows team members to track profitability for every patient who walks through the door. Working with trusted advisers, physician owners can refine these metrics around a specific facility so actionable information can guide the decision-making process, spot trends and provide clarity around isolated operations issues before they become systemic problems.


Nader Samii is the chief executive officer of National Medical Billing Services in St. Louis, Missouri. Write him at Nader. Samii@nationalascbilling.com.


10 ASC FOCUS OCTOBER 2016


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