President Lisa Marie Wark, MBA & Assoc., Las Vegas, Nevada
Examine how key performance indicators differ between insurance-based and cash-pay oral and maxillofacial surgery practices and how a hybrid model can leverage both sets of metrics to optimize performance. Participants will explore contrasts in financial, clinical and patient-experience measures such as revenue per case, self-pay mix versus payer mix, accounts-receivable days versus point-of-service collections, consult-to-treatment conversion rates, cancellation/no-show rates and review velocity. Discussions will highlight how insurance-based models emphasize coding compliance, denial management and reimbursement cycles, while cash-pay practices prioritize transparent pricing, bundled packages, expectation management and efficiency of service delivery. By comparing these frameworks side by side, attendees will learn to build dashboards that balance operational efficiency with premium service expectations and to select KPIs that truly predict growth.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Describe the key differences in KPIs between insurance-based and cash-pay OMS practices and explain how these metrics impact clinical, financial and patient-experience outcomes.
Demonstrate how to apply KPI tracking tools and dashboards to monitor performance and guide improvements in a hybrid OMS practice model.
Identify strategies to overcome barriers when integrating cash-pay KPIs with insurance-based metrics in OMS practice management.
