The challenge Headquartered in Dallas, Texas, and providing patient care in 14 locations, Texas Retina Associates (TRA) is a sub-specialty within ophthalmology and one of the largest of its kind in the United States. TRA’s 18 Retina Specialists treat anywhere from 40 to 100 patients daily, taking only complex cases involving ocular trauma, intravitreal injections and vitreoretinal surgery. When Bill Koch was hired as the Administrative Director, he took over all aspects of revenue cycle management. “One of the first parts of the revenue cycle I evaluated was the reporting function; in particular, how the organization managed its data,” says Koch. “The general health of an organization is tied to having a stable revenue stream. To create this stability, leadership must be able to

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