You probably have a quick answer to that question.  Maybe things are going well financially, maybe things are not so good and you need help.  Fast.

No matter the answer - how did you come to that conclusion?  Even when things are running like a well oiled machine, would you know there is a problem before it begins to affect your bottom line?  What if things are great, but could be better?

Monitoring key performance indicators is vital to the health of your practice, even when things are going well!  Keeping track of KPI's will alert you of a problem before it's a financial problem!

Unfortunately, a lot of practices don't catch it until they are seeing problems in the cash flow.  Once it's hit the revenue the clean up process is not usually a very speedy process.   

If you are already finding yourself in a troubled place start with gathering historical data that can help you find the time frame that the problem started.  From there, determine if there are any circumstances that could be a contributor - physician time off, credentialing issues, a change in billing systems or companies.  You may also look at your big payers to see if there is something unusual...perhaps guidelines changed and is now causing lower reimbursements.