INSIGHTS
LEVERAGING A BUSINESS OPERATIONS PLATFORM TO BOOST REVENUE INTEGRITY
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very year, thousands, if not hundreds of thousands of revenue dollars are lost due to operational inefficiencies that lead to errors or missed revenue capture opportunities. Many practices and centers may not even realize what they’re missing – they’re just too busy keeping their head above water. Even the most financially stable of institutions may experience diminished or sub-optimal financial health: they have trouble acquiring or keeping staff to support growing demand; their devices age, leading to more downtime or delays in upgrading their modalities; and administrative tasks backlog faster than staff can keep up. So, it’s no surprise that when an organization’s operations struggle, so does its revenue integrity. Similarly, when revenue integrity is improved, organizations experience boosts in their operational and financial health. COMPLEXITIES LEAD TO REVENUE LEAKAGE Maintaining a high degree of revenue integrity is a complex matter. Tasks include accurate procedure documentation, timely and precise coding, charge capture for both technical and professional components, reimbursement alignment with payer requirements, and compliance with CMS and other regulatory bodies. Gaps in any of these can impact an administrator’s ability to ensure accurate, efficient, and compliant billing. Furthermore, the risk of revenue leakage increases when these tasks are handled manually. Many RCM teams are challenged with maintaining optimal processes because they either don’t have the staff or the capacity to keep up. TECHNOLOGY DRIVES OPERATIONAL EFFICIENCIES There are several key advantages to using a technology
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ICEMAGAZINE | AUGUST 2025
platform, such as a business operations platform, to boost operational efficiency and reduce revenue leakage. For example, a business operations platform can quickly process data about charge capture, RVUs and revenue. It personalizes the presentation of it for individual staff roles, and presents it as near real-time, interactive analytics. It’s simply not possible to deliver this information as rapidly when managing data manually; e.g., by the time a person completes a report, it will already be outdated. At the center of any business operations platform is data. More specifically, a core function is its ability to quickly process and prepare data through automation – it converts a sea of varied information and organizes it into meaningful data sets. Sure, a spreadsheet can hold and calculate data, but it can take hours upon hours for a person to do this. A business operations platform can automatically pull from a variety of systems and collate information, freeing up the time of staff to work on other clinical tasks. A business operations platform can also personalize analytics for specific roles. All staff – whether they’re CFOs, practice admins, supervisors, etc. – need information that is relevant to what they do. Table time analytics matter to a practice admin while billed charges analytics matter to a RCM manager. A business operations platform delivers specific information to a specific role, eliminating the need to chase it down or comb through irrelevant data. This valuable process efficiency doesn’t just slightly improve staff productivity – it boosts it! Whether it be a practice, imaging center, or department, organizations are competing in a market that demands increasingly faster output. Appointments, table times, and TATs are just a few examples. So, staff need real-time information to make real-time decisions, and a business
ADVANCING THE IMAGING PROFESSIONAL