Pacific Viking Consulting

Revenue Guide

Revenue Cycle Leak Audit Guide

Find where authorized census stops converting to cash — upstream authorization failures, UR gaps, billing errors, and collections breakdowns.

Audit Revenue Leaks

Leak Categories

Revenue leaks cluster in predictable behavioral health patterns — most originate before the claim is submitted.

  • Verification of benefits errors at intake
  • Missing or expired authorizations
  • UR downgrades not communicated to billing
  • Coding and level-of-care mismatches
  • Denial appeals abandoned too early
  • Credentialing gaps blocking in-network billing

How to Run a Leak Audit

Sample admissions, authorizations, charts, and claims from the same patient journey — trace where revenue drops off.

  • 30-day admission cohort trace
  • Denial reason code trending
  • AR aging by payer
  • Clean claim rate by level of care

Reporting Cadence

Weekly revenue meetings with admissions, clinical, UR, and billing present — reviewing the same metrics until root causes are fixed.

Free Resource

Download the Revenue Cycle Leak Audit Checklist

Get the operator-built template Pacific Viking uses in assessments — then book a call if you want help implementing it.

Download the Checklist

Next Step

Audit Revenue Leaks

Schedule a discovery call for operator-led revenue cycle assessment support.

Audit Revenue Leaks