ROI & Financial Framework
We Aren't Automating Medical Coding.
We're Engineering Surgical Revenue From the Ground Up — and every value driver below is a formula you can run against your own numbers, not ours.
The Value Drivers
Revenue Leakage Recovery
TR = total annual revenue · L = leakage rate · E = capture efficiency
Uncaptured procedures, omitted implants, and missed secondary codes erase revenue that was earned but never billed. Recovering it is a function of how much leakage exists and how completely the platform captures it.
Working Capital Acceleration
R_daily = daily revenue · ΔDays = charge-lag days removed · C = cost of capital
Every day a claim sits between discharge and final billing is a day that cash isn't in the hospital's hands. Shrinking that lag frees working capital and the interest it would otherwise cost to carry.
Operational Savings
N = claim volume · Δ% = drop in denial rate · R = cost per rework · K = outsourced coding spend eliminated
Fewer denials mean fewer reworks, and better first-pass coding means less dependence on outsourced coding labor.
Surgical Capacity Expansion
S = surgeons · H = hours saved per surgeon per year · R_hr = revenue per surgical hour · M = margin
Time surgeons reclaim from documentation is time available for additional cases. We model this driver qualitatively below — the dollar figure depends entirely on a hospital's own surgical volume and margin, so we don't publish a generic number for it.
An Illustrative Scenario
Modeled for a hospital system processing about $5M in charges per day (~$1.825B annually) — the same order of magnitude as our active pilot partner. Every figure below is a model, not a measured result, and is labeled as such.
Understanding Immediate Liquidity
The industry benchmark for DNFB (Discharged Not Final Billed) sits at a 7.1-day median (Advisory Board benchmark, via MD Clarity). Shrinking that toward under 24 hours means roughly six fewer days that cash sits trapped between discharge and billing. For a hospital processing $5M/day, six days of accelerated billing is about $30M in freed working capital — a timing benefit, not new revenue, but real liquidity none the less.
| Value Driver | Modeled Calculation | Result |
|---|---|---|
| Leakage Recovery | $1.825B × ~1% leakage (HFMA) × modeled capture efficiency | ~$17.3M |
| Working Capital Acceleration | $30M freed × 5% modeled cost of capital | ~$1.5M |
| Denial Rework Reduction | 100,000 claims × 5% fewer denials × $57.23/rework (Premier, 2023) | ~$286K |
| Contractor Displacement | 10 outsourced coders modeled at $80K/year | ~$800K |
| Total Modeled Annual Value | ~$19.9M/year |
All figures above are modeled for illustration against a hospital of this size — not measured results, and not a projection for any specific customer. We don't publish a return-on-investment multiple against a software price here: the multiple depends entirely on your contract terms, and a generic one wouldn't mean anything applied to your numbers.
Beyond the Direct Math
- Compounding Value: The system learns from every manual correction a hospital's coders make, so baseline accuracy — and the labor savings that follow it — improves year over year.
- Lower Integration Friction: As a SMART on FHIR application that doesn't bulk-ingest full patient histories, with HIPAA controls today and SOC 2 Type II underway, NeuroFlo is built to avoid the months-long security review a heavier integration would require.
- Frictionless Physician Adoption: Surgeons export directly into the chart with one action, reclaiming time on every procedure rather than adding a new system to learn.
- Clinical Protocol Standardization: Tracking morbidity, success rates, and per-surgeon speed for procedures like aortic valve replacement gives departments a factual basis to standardize technique.
- Audit Defensibility: Completing the legal and administrative structure of a note before sign-off creates a defensible paper trail — a hedge against Medicare and Medicaid clawback audits, not just a documentation nicety.
"If it wasn't documented, it wasn't done."
CMS documentation standards leave no room for ambiguity — and neither does the revenue that depends on getting the note right the first time.