Why Fixing AR Symptoms Misses Root Causes
Revenue cycle leaders often react to rising days in AR or declining net collections by adjusting charges or exiting payer contracts. Taya Gordon explains that these surface responses frequently overlook deeper operational breakdowns in claims denial management strategy and execution and patient billing clarity.
When patients do not understand their financial responsibility or available hardship programs, performance issues compound. Addressing these root causes requires disciplined analysis, education, and communication, not reactive pricing or contract decisions.
Key Takeaway
Before changing pricing or payer strategy, revenue cycle leaders must stabilize foundational performance in patient financial engagement operations and upstream claims processes, or surface metrics will continue to deteriorate.
“Sometimes I find them kind of treating the symptoms of problems… when you dig a little bit deeper, you often find that the problem is the way the claims went out the door or the problem is the patients aren’t paying because they don’t understand why they have a responsibility.”
Taya Gordon, CEO & Founder, Atlas & Perpetual Healthcare Consulting
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