Office Hour July 20, 2026

Episode #21

Key Highlights

  • Follow the money. We discussed the importance of tracking claims through the entire revenue cycle—from claim generation to payment—to identify where revenue may be leaking.
  • Delegate, don't disappear. CEO-level leadership means empowering your team to investigate operational issues while you maintain accountability through timelines and measurable updates.
  • Revenue transparency matters. If collections decline while patient volume increases, it's important to determine whether claims are being held, denied, partially paid, or down-coded.
  • Institutional knowledge has value. We saw firsthand how experienced team members can become invaluable problem-solvers during system transitions.
  • Plan ahead for physician coverage. We explored practical strategies for securing locum coverage, understanding malpractice implications, and protecting both patient care and physician well-being.

Action Items

  • Map one claim from submission through payment to identify where visibility is lacking.
  • Review recent revenue trends by payer and compare them against visit volume.
  • Verify that payments received match the services billed, particularly for higher-level visits.
  • Set clear timelines for your billing team to provide updates on identified issues.
  • If planning time away from your practice, begin researching locum coverage early—including malpractice requirements and potential recruitment sources.