Margin Recovery
Find the Margin Your Practice Is Losing
Revenue rarely disappears in one obvious place. It leaks through payer contracts, denials, underpayments, scheduling gaps, authorization failures, vendor costs, unused capacity, and inefficient workflows. We use your actual operating data to find the leaks, quantify their financial impact, and prioritize what is worth fixing.
Where the margin goes
Margin commonly leaks through these parts of the practice.
Revenue Cycle
Billing errors, delayed submissions, denial patterns nobody is tracking, and A/R aging that has been drifting for months. Usually the largest single source of recoverable margin.
Operations and Workflow
Redundant steps, manual handoffs, and process gaps that slow throughput and add cost without adding value. Most practices have never mapped these end to end.
Staffing and Scheduling
Suboptimal templates, overtime patterns, and scheduling friction that reduce capacity and increase cost at the same time. The fix is usually structural, not a headcount decision.
Technology and Vendor Spend
Software contracts on auto-renewal, redundant systems, and IT spend that has never been benchmarked. Illustrative example: a practice paying for three overlapping scheduling tools at $1,200/month each could identify roughly $28,800 in annual savings by consolidating to one, before accounting for migration cost.
Payer Contracts
Rates that have not been renegotiated in years, carve-outs that were never addressed, and contract terms quietly costing you on every claim.
How the engagement runs
Find it. Quantify it. Fix what matters.
Stage 1
Weeks 1 to 3
Diagnose
We establish the baseline using your actual operating data across revenue cycle, payer performance, access, capacity, staffing, and operating expense.
Deliverable: Operating Baseline
Stage 2
Weeks 4 to 10
Quantify
We translate operating problems into measurable financial opportunity and prioritize the issues that matter most.
Deliverable: Prioritized Opportunity List
Stage 3
Weeks 10 to 16
Execute
We work with practice leadership and staff to implement targeted changes, establish accountability, and measure results.
Deliverable: Operating Cadence
Financial opportunities identified during an engagement are estimates based on available practice data and assumptions agreed upon with client leadership. Actual results depend on implementation, payer behavior, patient volume, staffing, market conditions, and other factors outside Edison Breakwater's control.
What we need from you
Financial and Revenue
- • Trailing 12-month P&L (monthly detail)
- • A/R aging and denials by category
- • Collections by payer and payer mix
- • Provider productivity metrics
Contracts and Vendor Spend
- • EHR, MSP, telecom, and software agreements
- • Any vendor agreement over $25K annually
- • Auto-renewal clauses and subscription inventory
Operational and Throughput
- • Appointment templates and staffing roster (FTE)
- • Authorization backlog
- • Volume and cycle time data
- • Call center metrics (if applicable)