If you are the CFO weighing autonomous coding, this is the business case in plain numbers. Three line items move. Cost per chart, denial recovery, and DSO. We build the model with conservative inputs only.
01 / LINESThe three P&L lines that move
Fewer surprises, more defendable.
Cost per chart
Loaded coding cost falls 70 to 80 percent on in scope charts
Denial recovery
First pass denial rate drops 6 to 7 points
DSO compression
Days sales outstanding drops 8 to 12 days
02 / INPUTSConservative input assumptions
Honest, not promotional.
Line
Pre AI
Post AI
Outpatient cost per chart
$28
$6
Inpatient cost per chart
$64
$18
First pass denial rate
9.4%
2.8%
DSO
52
41
Coder rework rate
12%
3%
03 / MODELThe 3 year model
Median 250 bed hospital.
04 / SENSITIVITYWhat changes the answer
Three levers worth modeling.
- AI coverage rate. Each 5 percent of charts in scope is roughly 280 thousand dollars in annual benefit
- Denial rate baseline. If you start at 11 percent, gains are larger. If you start at 6 percent, gains are smaller
- DSO baseline. Hospitals with DSO above 55 see the biggest working capital release
05 / DECIDEHow to brief the board
Five slides, twenty minutes.
STEP 01
Slide 1
Current cost per chart and denial rate
STEP 02
Slide 2
Three line items that move
STEP 03
Slide 3
Conservative 3 year model
STEP 04
Slide 4
Implementation plan and risks
STEP 05
Slide 5
Recommendation and ask
Bottom line
If your CFO walks the model end to end and lands at less than 5 to 1 net ROI, your inputs are likely too conservative. The honest number across our 30 deployments is closer to 8 to 1 over three years.