Articles
Practical writing on cancellation intelligence, prior auth management, OR utilization, payer contract reconciliation, and what it actually takes to build a cross-system diagnostic for multi-site specialty surgical practices.
The COO of a multi-site specialty surgical practice is trying to answer the same question: do we hire someone internally to fix our data problem, or do we bring in outside expertise? Here is a practical framework for making that decision.
Most multi-site surgical practices manage prior authorization reactively — chasing denials after the 48-hour cancellation has already happened. The fix is not more staff. It is connecting auth timelines to the surgical schedule before cancellations occur.
Most multi-site specialty surgical practices run on an EMR, an ASC platform, and a billing system. None of them communicate. The same patient has a different ID in each one. Here is why that matters and what it takes to fix it.
A 25% surgical cancellation rate is a number. It tells you how bad the situation is. It does not tell you why — or where to intervene. Here is what the decomposition reveals that the rate never can.
The diagnostic starts with a 45-minute conversation. First findings in 30 days.
