Most finance reviews begin too far downstream. They ask what was billed and what was collected. They do not begin with what should have been billable based on actual surgical activity.
The four questions that matter
- How much usable OR capacity went unmonetized due to idle windows or cancellations
- Which implant or consumable costs are not consistently reconciled to billed cases
- Where surgeon fee calculations vary from the procedure reality
- How much of the revenue issue is operational rather than purely coding related
The hospitals that recover revenue fastest are the ones that stop separating operations from finance. Once both teams review the same case-level truth, leakage becomes easier to quantify and correct.
