Even the most experienced healthcare teams make silent workflow mistakes that bleed revenue over time. In 2025, with tighter margins and higher expectations, identifying and correcting these missteps is essential.

Here are 5 common RCM workflow mistakes costing you money:

1. Delayed Eligibility Checks
   Failing to verify eligibility up front leads to denied claims and rescheduled visits—wasting time for both staff and patients.

2. Manual Prior Authorization Tracking
   Sticky notes and spreadsheets don’t cut it. Lost authorizations lead to unreimbursed services and compliance risks.

3. No Denial Analytics
   Without tracking denial reasons, patterns go unnoticed. Rework becomes constant instead of preventable.

4. Disconnected Teams & Tools
   If billing, scheduling, and clinical systems don’t talk to each other, expect gaps in documentation and delayed claims.

5. Overreliance on Paper & Fax
   Every manual process slows your cash flow and increases the odds of error.

Quick Fixes:

• Automate verification and auth workflows

• Set up shared dashboards and RCM KPIs

• Use denial data to train staff and update processes

• Eliminate paper-based systems wherever possible

Optimizing these workflows now not only improves cash flow but also strengthens staff productivity and patient trust.