Keane Management Accountants LLC

Are you chasing money?

1. Why it piles up unnoticed
Sometimes practices measure revenue at billing, not at collection
If you aren’t watching, A/R quietly grows

2. When AR becomes a red flag
90+ days outstanding → deserves attention
120+ days → timing out

3. What healthy looks like
Below 35 days in-A/R → great
Above 50 → warning
Above 65 → problem

Sometimes we spend years chasing the wrong thing.

Over April break I went for a challenging hike.

No emails. No meetings. Just family.

And that’s when it hit me.

Yes, thoughts that I may not make it down the mountain safely. LOL

But also that so many doctors are chasing the wrong metrics.

I spoke with a CPA this week.

He specializes in medical practices too.

We both agreed on the same thing.

Private practice requires a completely different mindset.

RVUs are not effective when you own the business.

Hospitals pay you to produce volume.

→ High RVUs ≠ money in the bank
→ You can work more and earn less

More production doesn’t mean more profit.

Pay providers on actual collections and profit.