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See what drives
your center’s performance.

Revenue cycles, payer mix and operating performance.

Illustrative surgery center reception and corridor in warm natural light.

The rooms were busy all month. The distribution still came in short.

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An ambulatory surgery center earns its margin in the revenue cycle and loses it in the gaps: a block that was held and not used, a claim that sat, a payer that pays differently than the schedule implies. Physician owners need those levers named, not a profit and loss statement handed over a month late.

Built around your reporting environment

  • EBITDA margin
  • Block utilization
  • Days in A/R
  • Denial rate
  • Case and payer mix

Where the margin actually goes

Rarely in one place. In sequence: every step between the booked case and the deposited payment can cost a little, and the total only becomes visible in the distribution.

  1. 01

    Block Released or Used

  2. 02

    Case Performed and Coded

  3. 03

    Claim Submitted

  4. 04

    Payer Response and Denials

  5. 05

    Days in A/R and the Distribution

What we do for surgery centers

The accounting foundation first, then the operating read on top of it, so the number a physician owner argues with is one we reconciled ourselves.

  • Accounting built on the revenue cycle

    A monthly close that reconciles to the billing system rather than sitting beside it, with cash posted against the cases that earned it.

  • Block and case reporting

    Utilisation reported by block and by surgeon, so a released block is a conversation at the next meeting rather than a line lost in the total.

  • Payer and A/R analysis

    Days in A/R, denial patterns and payer mix read together, so the center knows which payer and which step is holding the money.

  • Compliance and audit readiness

    Workpapers kept current year-round and a single point of contact for the external auditor, the same standard we hold in regulated school work.

The measures we work inside

  • Revenue cycle
  • Block utilization
  • Days in A/R
  • Payer mix
  • Denial rate
  • Case costing
The revenue cycle
From scheduling and coding through submission, payer response and posting. Every stage is a place cash can stall, and each one is measured separately.
Block utilization
How much of each reserved block is actually used. It is the clearest early signal of both capacity and physician scheduling behavior.
Days in A/R
How long earned revenue sits before it is cash. Trending it by payer shows whether a slow month is volume or collection.
Payer mix
The same case pays differently by payer, so case volume alone never explains a month. Mix is read alongside it, not after it.

The record behind the advice

Forecasting is only worth as much as the accounting underneath it. Ours has run on the same discipline for nearly two decades.

Serving Florida schools and organizations
Since 2006
Longest client partnership
17 Yrs
Team screening
Level 2
Professional liability and cyber liability coverage
$1M + $1M

Common questions

A bookkeeper keeps the ledger. We keep the ledger too, but the deliverable is forward-looking: forecasting, scenario modeling, and board advisory built on top of it. The accounting is the foundation, not the product.

Know which lever moved the month before the distribution does.

A focused conversation about where the month is actually lost between the booked case and the deposited payment, and what it would take to see it before the distribution does. No cost, no commitment.

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