tory track. Hold the team accountable and watch as your inventory changes and, hopefully, declines throughout the revenue cycle.”


Take Action An ASC can run many different types of revenue cycle reports, but what is most important is how an ASC responds to the information in the reports, DeConciliis says. “At the end of each day, our busi-


ness office manager runs a report that is essentially a flash report—a snap- shot—that shows where we are at with collections, how much we billed out for the day, our A/R days out, what per- centage of our claims are current and case volume,” he says. “This informa- tion goes up on a dry erase board in the business office along with basic benchmarks for these statistics.”


If you are not looking at reports and the data in them, you have no idea what is truly happening in your ASC.”


— Vicki Edelman, RN, CASC Blue Bell Surgery Center


When any of these statistics start to trend in the wrong direction, the ASC does not wait to see if they will correct themselves. “As soon as things start drifting, we immediately look to see why,” DeConciliis says. “We expect to be within benchmarked range all of the time. If we are not, we will find out why.” Vicki Edelman, RN, CASC, admin-


istrator of Blue Bell Surgery Center in Blue Bell, Pennsylvania, says the


administrator of her ASC is no longer responsible for running revenue cycle reports now that the surgery center is under new ownership. The expenditure reports that the ASC continues to run, however, provide guidance on important matters to the ASC’s bottom line. “That’s a breakdown of the ASC’s


supply costs,” she says. “When we add cases, they require different supplies, and some of the supplies may end up costing much more than anticipated. Then we weigh the pros and cons of using these new toys against exploring opportunities to reduce costs and increase revenue.” When the ASC managed its own A/R under the direction of its admin- istrator, running A/R aging reports was critical, Edelman says. “Using our software system, we would look at every single account at least weekly and what was due. We would work to deter-


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