From days of spreadsheets to minutes of clarity
How a 7-center ASC network in Southern California discovered $216K+ in hidden revenue at risk and replaced days of manual reconciliation with automated intelligence.
The problem: a monthly data nightmare
The data existed. The insights were locked inside messy files, manual processes, and institutional memory.
Days of Manual Reconciliation
Every month, the billing lead pulled 12+ reports from their practice management system, then spent days stitching them into a 615-row Excel dashboard by hand.
Authorization Rules Lived in Someone's Head
Which payers require authorization? Which are exempt? This tribal knowledge existed only as institutional memory — one resignation away from lost revenue.
Revenue Leaks No One Could See
Cases where costs exceeded contract fees, CPT mismatches creating silent denial risk, aging AR with no early warning — all invisible without systematic detection.
Cross-Center Blind Spots
Seven centers running the same procedures at different cost profiles, but comparing them required manual extraction and side-by-side spreadsheet analysis.
“The real cost wasn’t the hours spent — it was what they couldn’t see.”
What LyzeData delivered
From messy file uploads to automated revenue intelligence — in under two weeks.
12 Automated Anomaly Rules
Cases losing money, staffing cost outliers, CPT mismatches, missing authorizations, and 8 more — each flagged with severity and dollar impact. Replaced manual eyeballing entirely.
Authorization Rules Engine
Auth rules described in plain English — "HMO always needs auth. PPO Blue Cross doesn't." — codified permanently into the system. No more denials from lost institutional knowledge.
Dollar-Quantified KPIs
Authorization Compliance at 82% ($164,500 at risk). CPT Mismatch Rate at 7.4% ($52,325 at risk). Every gap priced, every metric benchmarked against industry data.
9-Metric Operational Dashboard
Case-level profitability, revenue by provider, cost per case, cancellation rates, OR utilization, cross-center benchmarking — all calculated automatically with drill-down.
Full Formula Transparency
Every anomaly and KPI shows its logic in three layers: clickable formula view, plain-English description, and exact SQL query. No black boxes.
The impact
The timeline
Days of manual work
12+ reports pulled, cleaned, stitched into a 615-row spreadsheet. Anomalies caught by eyeballing. Cross-center comparison by hand.
Data onboarding
Files uploaded, columns mapped to healthcare concepts, datasets classified. Encrypted and HIPAA-compliant from first upload.
First findings
12 anomaly rules running. $216K+ in revenue at risk surfaced. Auth rules codified. KPIs configured and benchmarked.
Minutes, not days
Upload monthly files. Review automated findings. Track improvement over time. One-click reports with cross-center intelligence.
“Data quality gaps have a price.
LyzeData makes that price visible — so you can stop paying it.”
Your data has the same story hiding in it.
30-minute onboarding call. We load your data. You see your first findings.