Collections per unit drifting below expectation is rarely one failure. It is usually under-coding in one service, a mispriced payer contract in another, and a denial pattern nobody traced back to the documentation gap that caused it.
We audit charge capture against the anesthesia record, re-price every payer contract against billed base units, model the payer mix, and follow denial reason codes to their origin rather than their symptom.
What comes back is a list of specific, correctable causes with the revenue attached to each — separated into what a process change fixes and what needs a contract reopened.
Who asks for this
A finance lead watching collections per unit drift, a group whose billing vendor cannot explain the denial pattern, or a hospital that has been treating a revenue problem as a subsidy problem. The stipend grows because the collections did not. Those are different repairs.
The work is anesthesia-specific: base units, concurrency modifiers, medical direction, and the documentation gap that becomes a denial weeks later. A general revenue-cycle review does not see them.
What you leave with
A list of causes with the revenue attached to each, split into what a process change fixes and what requires a payer contract to be reopened. Charge capture is checked against the anesthesia record, not against the claim the biller happened to send.
Closing that gap often does more for the subsidy than a fight about the stipend. We say so when that is the case, including when the group’s collections problem is real and the hospital’s ask to “just pay less” is not.
Related reading
Where this starts
Tell us the situation and we will come back on what this would involve at your facility — and on what it would not.
Key Deliverables
- Denial Analysis
- Payer Mix Modeling
- Charge Capture Audit
- Process Optimization