Dispatch 01
The Tuesday OR under utilization is about $48k a month of contribution margin left on the table.
Message your EXIs at any time. Only the relevant ones answer, and HELM brings them in.
HELM
I am HELM. I keep your EXIs working together. Ask me anything, or message an EXI directly and I will bring in whoever is relevant.
Cash is the headline today. George has you below the 65-day floor with an AP batch due Thursday, and Margaret's Payer X denial spike compounds it. Two moves recover most of the risk.
GEORGE Operating cash dipped below your 65 day floor. A $1.4M AP batch is scheduled Thursday, which would pull you to about 57.8.
MARGARET Prior-auth denials from Payer X are up 18% this week, concentrated in two service lines.
HUDSON Two ORs are running below 70% on Tuesdays; block release at T-48h could recover ~6 hours.
IRENE Contracted rates for Payer Y appear under-adjudicated on 3 CPT groups versus the fee schedule.
Finance · Conservative
Days Cash on Hand
3.2 vs last weekFlagged
Operating cash dipped below your 65 day floor. A $1.4M AP batch is scheduled Thursday, which would pull you to about 57.8.
Open GEORGERevenue Cycle · Conservative
Net Days in A/R
2.1 vs 30 day averageFlagged
Prior-auth denials from Payer X are up 18% this week, concentrated in two service lines.
Open MARGARETOperations · Balanced
OR Utilization
4 pts vs target
Two ORs are running below 70% on Tuesdays; block release at T-48h could recover ~6 hours.
Open HUDSONInsurance · Conservative
Underpayment Rate
0.3 pts
Contracted rates for Payer Y appear under-adjudicated on 3 CPT groups versus the fee schedule.
Open IRENEWhat each EXI is flagging onto another EXI's desk. Every dispatch carries its chain of truth.
Dispatch 01
The Tuesday OR under utilization is about $48k a month of contribution margin left on the table.
Dispatch 02
The Payer X denial spike puts about $310k of cash at risk this cycle, which compounds the days cash on hand picture.
Dispatch 03
Three CPT groups from Payer Y are paying below contract, an estimated $84k Margaret can pursue as variance disputes this quarter.
Dispatch 04
Overtime in two units is running above plan, about $22k a month that shows up in George's cost and margin view.
Dispatch 05
Payer concentration sits at 54 percent from the top payer, a contract risk Irene should weigh in the renewal model.