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Examine the Profitability of Your Practice
             A Special Thank
                                                                              with Healthcare KPIs
              You to the April

                                               You may believe your medical
            2018 Host of the                 practice is profitable, but how do you                    that can have the greatest impact on profitability. If your
                                                                                                       practice has multiple locations or physicians, collect and
                                             really know? Even if you know how                         measure this data at the lowest possible levels: per provider,
               South Florida                 much money you’re making, you                             office location or specialty.
                                             likely don’t know how much you’re                           Healthcare KPIs can be broken into five main categories:
                 Healthcare                  leaving on the table.                                       1. High-level profitability KPIs - gross margin, operating
                                               Most providers spend the majority                       margin, net margin, etc.
                                                                                                         2. Revenue cycle KPIs – reimbursement rate, denial rate,
           Networking Group                  of their time focusing on the clinical                    resubmission rate, approval rate per denials, date of service
                                             side of the practice. However, paying
                                             attention to the business side is criti-                  to date of submission, etc.
                                             cal to ensuring a healthy, profitable                       3. Cost KPIs – total overhead expenses as percentage of
                                             practice.                                                 revenue, total vendor fees as a percentage of revenue,
                                               To fully understand your practice’s                     salaries to net patient revenue per provider, etc.
                                             operations and financial condition,  BY KEVIN N. FINE, MHA  4. Liquidity KPIs – A/R distribution, cash conversion,
                                             you’ll need to go beyond top-line key                     current ratio, average daily collections, etc.
                   FLORIDA                   performance indicators (KPIs) to measure and examine metrics  5. Productivity KPIs – charges by provider, receipts by
                                             on a more granular level.                              provider, ratio of claims collected to fees incurred, etc.
                   MEDICAL                     Imagine having the information you need to answer ques-  Metrics in the first category can give you a big-picture view
                    CENTER                   tions such as:                                         of your business. As you move into the other areas, you can
                                               • “How much profit is our new ultrasound machine generat-  start to see a more comprehensive view of practice performance
                                             ing?”                                                  and profitability.
              For information about            • “If we lose a payer relationship, how much would that  There’s no question that healthcare is one of the most dynam-
                                             affect our practice?”                                  ic and challenging industries. To survive and thrive, it’s impor-
               our next meeting of             • “Which of our office locations is least profitable?”  tant to be nimble and build a sustainable, scalable practice. The
                     SFHNG,                    Looking more closely at your business metrics can arm you  good news is you already have plenty of data that can help you
                                             with the information to make strategic decisions and enable  do that – you just have to know where and how to look.
                    please email             you to identify inefficiencies in areas such as revenue cycle
                     charles@                management, which can significantly impact your bottom line.  Kevin N. Fine, MHA, is a director of healthcare advisory services
                                               While there are endless metrics you can track, you should  in the Miami office of Kaufman Rossin, one of the top accounting
             southfloridahospitalnews.com    start by deciding on a reasonable number of specific measures  firms in the U.S. He can be reached at kfine@kaufmanrossin.com.




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         6                         May 2018                                                                  southfloridahospitalnews.com                                                                       South Florida Hospital News
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