If you missed it, check out Part 1, then continue with Part 2 of this episode of Rehabbing Your Revenue Cycle, where host Robert Kowalick, Managing Member & CEO of Revenue Cycle Solutions, LLC and Ascend Solutions, LLC, shares his journey from hospital-based physical therapist to building a multi-location practice and launching a data-driven billing company. Drawing from more than 20 years in healthcare, Robert explains why many revenue cycles fail and how focusing on billing time demand, complexity, and outcomes can lead to better financial results. He introduces the core ideas behind his unique approach to revenue cycle management and outlines how turning billers into data sources helps fix problems at the root. This episode sets the foundation for healthcare providers who want to grow stronger, more efficient, and more valuable businesses.

With a background in physical therapy and a strong focus on solving business problems, Robert Kowalick brings years of hands-on experience to revenue cycle management. After starting his career in a hospital system, he launched and grew a successful seven-location practice before selling it and turning his in-house billing team into a full-service company. Motivated by the need to improve billing outcomes for other providers, Robert developed a data platform that tracks billing time and complexity to uncover root causes of poor performance. His mission is to help healthcare practices improve revenue, reduce waste, and build more scalable and profitable businesses through better use of data.

1. Why most healthcare practice revenue cycle outcomes are broken and how they impact provider income underperform expectations.
2. Why quantifying revenue cycle complexities and their impact on understanding billing time demand, billing process efficiency, and effectiveness, and time supply is the most important missing information in a healthcare practice that can improve cash flow and efficiency.
3. How and why converting the biller’s experience into billing intelligence data identifies all opportunities for revenue cycle process optimization helps reveal hidden problems in the revenue cycle.
4. How reducing revenue cycle complexities from any source y across systems, payers, and processes leads to better revenue cycle business outcomes.
5. How better revenue cycle data and metrics drive optimizations that allow you to build Why treating your billing team like a data source is key to building a more scalable and profitable practice.

[00:00] – Recap of Part 1

[00:37] – The Starting Point & The Billing Time Puzzle

[02:57] – Defining Revenue Cycle Functions and Their Impact

[05:21] – Turning Billers into Data Generators

[07:55] – The Daily Reality and Frustrations of Billers

[10:58] – The Need to Control Revenue Cycle Complexity

[12:11] – The Goal: Balance Time Demand & Supply

[16:31] – Quantifying Complexity with Data

[18:02] – 78% of Problems Originate Outside Billing

[23:40] – The 40x Time Variance in Denial...

In this launch episode of Rehabbing Your Revenue Cycle, host Robert Kowalick, Managing Member & CEO of Revenue Cycle Solutions, LLC and Ascend Solutions, LLC, introduces the purpose and vision behind the show. Robert shares his journey from running a successful seven-location physical therapy practice to building a data-driven revenue cycle management company. He explains how years of working with thousands of providers revealed a common issue in healthcare: broken revenue cycles. This episode covers how understanding billing time demand, reducing complexity, and using better data can help providers improve cash flow, increase efficiency, and grow their business with confidence.

With a background as a licensed physical therapist and over 20 years in healthcare, Robert Kowalick brings deep experience in both patient care and business operations. He began his career in a hospital system before starting and growing his own multi-location physical therapy practice. After selling that business, Robert turned his focus to revenue cycle management, building a company that helps other providers improve billing results through better data and time analytics. Stay tuned for part 2, where we’ll cover how most revenue cycles are broken and why solving billing complexity is key to creating a stronger, more profitable healthcare business.

1. Why most healthcare practice revenue cycle outcomes underperform expectations
2. Why quantifying revenue cycle complexities and their impact on billing time demand, billing process efficiency, and effectiveness is the most important missing information in a healthcare practice.
3. How capturing the biller’s experience into billing intelligence data identifies all opportunities for revenue cycle process optimization.
4. How reducing revenue cycle complexities from any source leads to better revenue cycle outcomes.
5. How better revenue cycle data and metrics drive optimizations that allow you to build a more scalable and profitable practice.

[00:00] – Teaser

[01:06] – Why This Podcast Exists and What to Expect

[04:50] – Root Causes of Billing Problems in Healthcare

[09:13] – Why Helping Other Practices Is Harder Than Expected

[17:10] – What Revenue Cycle Really Means for Providers

[19:55] – The Balance Between Time Demand and Time Supply

[26:02] – Applying the Physical Therapy Mindset to Business

[35:04] – Creating a Billing Model That Prioritizes Outcomes

Company LinkedIn:

👉 Revenue Cycle Solutions, LLC - https://www.linkedin.com/company/revenue-cycle-solutionsllc/

👉 Ascend Solutions, LLC - https://www.linkedin.com/company/ascend-solutions-llc-co/

Company Website:

👉 Revenue Cycle Solutions, LLC - https://revenuecyclesolutionsllc.com/

👉 Ascend Solutions, LLC -

Is your billing process healthy, or is it holding your practice back?

Introducing Rehabbing Your Revenue Cycle, the new podcast for PT and OT owners ready to turn data into dollars.

Join host Robert Kowalick, founder of Ascend Solutions, as he moves beyond the "billing service" mindset to introduce Billing Intelligence. Each episode reveals how to use time-based data to slash payment delays, eliminate operational risks, and maximize a practice's total value.

It’s time to stop guessing and start growing.

Rehabbing Your Revenue Cycle. Coming soon to all major podcast platforms.