Why Is My Practice's Cash Slowing Down?
Production looks fine, the schedule is full, and the bank balance still feels tight. Here is how to find where the cash is getting stuck.
Practical notes for independent practice owners. Each one starts with a real business question, explains what the data can and cannot tell you, and offers a useful next step.
Production looks fine, the schedule is full, and the bank balance still feels tight. Here is how to find where the cash is getting stuck.
You may have plenty of data and still lack the context needed to make a sound decision.
More measures can make decisions harder when no one identifies which changes deserve attention.
A senior operating hire can help, but first define the work the practice actually needs done.
Broad benchmarks can hide important differences in specialty, size, service mix, and market.
Every day in A/R is an interest-free loan you’re extending to your payers.
An 8% no-show rate can create a larger capacity loss than the headline number suggests.
Turnover carries recruiting and training costs, but the larger risk may be lost knowledge and operating disruption.
Full schedules are not productive schedules. The right metric is utilization, not booking.
Total revenue rewards growth in headcount. Revenue per provider rewards growth in productivity.
A 96% net collection rate is excellent, until you look at the 4% you’re losing.
Satisfaction trends can help explain retention, referrals, and access friction when reviewed with operating data.
Federal rate updates aren’t automatic at every payer. Here’s the 30-day playbook.
The same staffing ratio can represent useful capacity or excess cost. The surrounding measures tell you which.
A small virtual intake pilot can test whether convenience improves access without adding too much staff work.
Cadence beats intensity. The practices that compound are the ones with a steady monthly read.
Most practice owners get reports. Very few get a briefing. Here is the difference, and what a monthly practice financial briefing should actually contain.
Overhead percentage is a headline, not a diagnosis. Here is how to break practice overhead into pieces you can act on.