Medical Money Matters with Jill Arena

Episode 158: Before You Cut Costs, Fix This: The 5 Biggest Revenue Leaks in Medical Practices


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If you’re running a medical practice in 2025, chances are—without even realizing it—you’re leaving real money on the table. And I don’t mean pennies—I mean tens or even hundreds of thousands or millions of dollars a year.

Here’s the thing: most practices aren’t bleeding cash from one major hole. They’re leaking it quietly, invisibly, in ways that seem small until they snowball. A missed code here. A denied claim that never got appealed. A payer contract that hasn’t been touched in five years. And the result? Margins shrink. Stress rises. And groups that should be financially strong start treading water. There’s no hemorrhage. Instead, it’s death by a thousand paper cuts.

The good news is that these problems are almost always fixable. But first, you have to see them. So today, we’re going to walk through five of the most common ways medical groups lose money unnecessarily—and, just as importantly, what you can do about each one.

If you recognize yourself in any of these, know this: you’re not alone. These are common, especially in busy practices where the day-to-day crises take priority. But the practices that tighten these up are the ones that thrive—no matter what the market throws at them.

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Medical Money Matters with Jill ArenaBy Jill Arena