Among the main concerns of healthcare providers, this aspect of running a medical practice plays a crucial role in its success. Healthcare providers must adopt systems that make it easy to collect. Here are five common healthcare cash flow issues that many providers and practitioners face.
1. Failure to Monitor Collections
The owners and managers of most medical practices know that they must monitor and manage their monthly collections and cash flow. However, many practices fail to analyze their collection rates in relation to other relevant metrics that are relevant to the practice’s success. As a result, it’s easy not to notice how changes in collections or insurance reimbursements may affect the practice’s financial health.
For most practices, it is acceptable when the collections-to-charges ratio changes by 50 to 80 percent. When a practice carefully monitors this data on a month-to-month basis, it can determine whether a fluctuation is simply an outlier or if it is symptomatic of a systemic cash flow problem.
2. Insurance Companies Restrict Reimbursements
Healthcare provider companies have been benefiting from insurance money for a very long time. However, insurance companies are becoming stricter as a way to increase profits, and reimbursements to healthcare facilities are decreasing.
This decrease in insurance reimbursements creates cash flow problems for healthcare providers because the majority of patients rely on insurance money to pay off their healthcare bills, and many patients will take years to pay off the bills on their own.
3. Patients Cannot Pay High Medical Bills
The average out-of-pocket costs that patients pay are on the rise due to the rise in high deductibles. Many healthcare providers rely on systems that are not well-equipped to collect payments from self-paying patients and manage the cash flow for the healthcare facility. Many patients don’t expect the cost of their doctor’s appointment to be that high.
In some cases, patients are reluctant to settle their portion of the payment even when they can afford it. Other patients aim to renegotiate the pricing for the medical services they receive. These discrepancies create cash flow issues for healthcare providers.
4. Unnoticed Growth in Cost and Billing Irregularities
Slight irregularities in billing and small increases in a practice’s overhead expenses may easily escape the attention of the owner or manager of a medical practice. Over the course of months, these seemingly trivial changes may compound and create a sizable shortfall that becomes evident in the accounting summary at the end of the financial year.
Many providers neglect pertinent signs that suggest cash flow problems for their healthcare practice. For example, when cash-on-hand falls below an expected amount, the practice may interpret this as the typical fluctuations of a business cycle.
In reality, an unanticipated growth in expenses may be the cause of the diminishing liquidity. To avoid cash flow problems, practices should take steps to benchmark their billing system and seek financing options that increase cash flows for healthcare organizations.
5. Operation Costs Are On the Rise
The cost of running a healthcare facility continues to rise, partly as a result of the rising cost of new technology. Consequently, many healthcare providers have minimal profit margins or operate at a loss. Struggling medical practices are then forced to borrow money or cut staff to avoid going bankrupt. Medical healthcare providers struggle when they fail to adopt best practices that streamline operations.
One of the main operational issues that practices face is their reliance on payer contracts that are either outdated or inconsistent. These medical practices also routinely miss renegotiation opportunities that would improve their reimbursement revenues.
If you are looking to streamline healthcare cash flow to ensure liquidity and avoid the hassle of going to collections, reach out to Gain. Gain purchases accounts receivable at a suitable discount and provide the money upfront, making it easy to track costs and reinvent the way you operate your business.
Gain has created an AI-enhanced revenue cycle management service platform that helps healthcare facilities monitor cash flow, track reimbursement, and manage cases. Contact us to learn more about our services and software.
