A Practical Guide to Revenue Optimization for O&P and CRT Practices

Insights from Jon Bishop, Head of Revenue Cycle Management at Nymbl

Revenue cycle management in O&P and CRT has never been more important. Payer rules continue to evolve, documentation requirements grow more complex, and administrative workloads keep climbing. Many practices feel the pressure but do not always have the time or resources to step back and rethink their revenue strategy.

This guide highlights the most important concepts and examples shared during our recent educational session with Jon Bishop. It is designed for anyone who wants to improve collections, reduce denials, and build a healthier revenue model.

Revenue optimization touches every part of the patient and billing journey. It is not only about billing accuracy. It starts with building a more connected system that supports better documentation, clearer processes, and more predictable financial performance.

This approach focuses on unlocking value across the entire revenue lifecycle:

• Strong documentation
• Smarter workflows
• Clear visibility into trends
• More proactive problem solving

When the full lifecycle works together, practices see fewer delays, fewer write-offs, and smoother operations overall.

These themes come up in nearly every conversation we have with practice owners and billing leaders.

Most organizations want:

• Real-time dashboards instead of static month-end reporting
• Clear denial visibility
• The ability to drill from practice-level to patient-level
• Tracking of payer performance
• Better alignment across teams
• More predictable trends and fewer surprises

Revenue optimization becomes much easier when leaders have the information they need at the exact moment they need it.

Strong revenue performance depends on understanding how sales, payments, and adjustments work together inside A/R. We refer to this as the Revenue Cycle Trifecta.

When practices monitor these areas together, they can see relationships that might otherwise be missed. Leaders can spot shifts in payer behavior, documentation gaps, and operational bottlenecks long before they become expensive problems.

Below are examples from the session that show how practices can use data to strengthen daily work. These views help teams understand where revenue is flowing, where delays occur, and where quick operational wins exist.

Sales

Payments

Payments reporting provides:

• Real-time visibility into cash inflows
• Faster reconciliation
• Better forecasting
• Cash trends broken down by payer

This helps teams stay ahead of potential revenue gaps.

A/R Reports

These views help track:

• What has been billed
• What has been paid
• What is still outstanding

Aging, adjustments, and billing activity become easier to understand and control.

Adjustments

If we leave you with one thing, it is this:



Focus on denials because they cost more than cash. They waste staff time and create friction with referral relationships and the patient experience.

Track denials and adjustments weekly. Simple patterns often lead to meaningful fixes. These steps alone can reduce avoidable denials before they occur.