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Daily Brief

Tuesday, June 9

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.

Your EXI Team

G

GEORGE

Finance · Conservative

Days Cash on Hand

61.4days

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 GEORGE
M

MARGARET

Revenue Cycle · Conservative

Net Days in A/R

48.7days

2.1 vs 30 day averageFlagged

Prior-auth denials from Payer X are up 18% this week, concentrated in two service lines.

Open MARGARET
H

HUDSON

Operations · Balanced

OR Utilization

73%

4 pts vs target

Two ORs are running below 70% on Tuesdays; block release at T-48h could recover ~6 hours.

Open HUDSON
I

IRENE

Insurance · Conservative

Underpayment Rate

2.4%

0.3 pts

Contracted rates for Payer Y appear under-adjudicated on 3 CPT groups versus the fee schedule.

Open IRENE

Across your team

What each EXI is flagging onto another EXI's desk. Every dispatch carries its chain of truth.

Dispatch 01

GGEORGEFinance
OperationsHUDSONH

The Tuesday OR under utilization is about $48k a month of contribution margin left on the table.

Dispatch 02

MMARGARETRevenue Cycle
FinanceGEORGEG

The Payer X denial spike puts about $310k of cash at risk this cycle, which compounds the days cash on hand picture.

Dispatch 03

IIRENEInsurance
Revenue CycleMARGARETM

Three CPT groups from Payer Y are paying below contract, an estimated $84k Margaret can pursue as variance disputes this quarter.

Dispatch 04

HHUDSONOperations
FinanceGEORGEG

Overtime in two units is running above plan, about $22k a month that shows up in George's cost and margin view.

Dispatch 05

GGEORGEFinance
InsuranceIRENEI

Payer concentration sits at 54 percent from the top payer, a contract risk Irene should weigh in the renewal model.