Practice Cash Flow Review

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A practical cash-flow diagnostic for medical practices. Use it to identify where cash is trapped, when pressure is likely to hit, how long it may last, and whether the problem should be solved operationally, with liquidity, or with both.

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No PHI required. Do not enter patient names, dates of birth, claim numbers, diagnoses, or other protected health information. Use aggregate payer categories, balances, aging buckets, expenses and timing data.

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1. Start Here: The 10-Minute Snapshot

Input	Your practice
Practice / Group	Enter here
Specialty	Enter here
Review Date	Enter here
Current Cash Balance	$
Average Weekly Payroll	$
Average Monthly Collections	$
Minimum Cash Buffer	$

Immediate pressure check

[ ] Payroll is due before a meaningful block of expected reimbursements arrives.
[ ] AR over 90 days is rising or materially concentrated in one payer.
[ ] A large denial, prior-authorization or resubmission backlog is delaying expected cash.
[ ] The practice cannot state its lowest expected cash balance over the next 13 weeks.
[ ] A major expense is coming within 60 days: taxes, insurance, equipment, debt, buildout or hiring.
[ ] The practice would need to borrow reactively if reimbursements slowed by two weeks.

If you checked 2 or more, complete the full review. If you checked 4 or more, treat this as an active liquidity-management issue rather than a bookkeeping exercise.

2. Practice Cash Flow Scorecard

Score each statement: YES = 2, SOME = 1, NO = 0. Maximum score: 50.

A. Cash Visibility

[ ] We maintain a rolling 13-week cash forecast.
[ ] We know the practice's minimum acceptable cash buffer.
[ ] We can identify the lowest projected cash week.
[ ] We separate booked revenue from expected cash collections.