Insights
How rebate money goes missing, how bill-only spend escapes contract price, and what to do about both. Written for the people who own the spreadsheets today.
14 articles, each with its sources listed beside it.
Data and AI
2 articles
AI contract abstraction for healthcare supplier agreements: where it fails, how to review
What AI extraction gets right in supplier rebate agreements, where it predictably misses, and a review protocol that ends with a back-test against a period you were already paid for.
The data you need before you can trust a rebate or price calculation
Rebate and contract price calculations fail at the join, not the math. Four data conditions to get right, and eight monthly tests that show whether your numbers can be trusted.
Bill-only and implants
4 articles
Bill-only purchase orders, explained: the workflow from surgery to paid invoice
An operating manual for bill-only purchasing: the seven steps, who owns each one, where the two records of a surgery drift apart, and the controls and metrics to run it by.
Implant price variance: how to price-check a bill-only request before it becomes a PO
Where implant price errors come from, the line-level and case-level checks that catch them before the PO is written, and what to do with a variance once you find it.
Surgical case reconciliation: matching what was implanted to what was billed
What a reconciled implant case looks like, which mismatches are worth chasing, and why manufacturer device credits are a Medicare compliance issue that starts in supply chain.
Vendor reps in the OR: credentialing, access, and the bill-only handoff
How to connect vendor rep credentialing and OR check-in to the bill-only request, with a short end-of-case handoff and a one-page policy checklist.
Finance and strategy
3 articles
Building the CFO business case for rebate and implant spend controls
A vendor-neutral method for sizing rebate and bill-only implant opportunity from your own ledger, contracts and a small sample, then presenting it in terms finance can verify.
Rebate accruals for hospital finance: booking supplier rebates you have not received yet
How a hospital can accrue tiered supplier rebates as purchases occur, credit the right cost centers, true up on payment and keep support for the Medicare cost report.
The other revenue recovery: the rebate money your supply chain already earned
Revenue recovery usually means denied claims. This is the supplier-side version: rebates and credits your purchases earned that never arrived, and how to size the gap yourself.
Rebates
5 articles
GPO rebates vs. local contract rebates: what to track separately and why
Supplier rebates on GPO contracts, GPO fee share-backs and local agreement rebates are three separate receivables. How each works, how to verify it and how it reaches the cost report.
Market-share commitments: define the numerator and the denominator before you sign
How a market-share commitment is calculated, where disagreements over each half of the fraction start, and ten clauses to settle in writing before you sign.
Rebate tier attainment: how to know where you will land before the period closes
How to read a tiered rebate ladder, project where your current purchasing pace will land, price the gap to the next tier, and decide whether closing it is worth it.
Seven ways hospitals lose supplier rebates they already earned
A lifecycle map of where earned supplier rebates disappear, from contract setup to the general ledger, with a test for each leak that you can run on your own data.
Why a rebate reads $0 and nothing errors: six silent causes
Six setup causes of a rebate that calculates to $0 with no error, in the order to check them, with worked examples and the two cases where zero is correct.
Looking for something to work from? The guides and checklists print as blank forms.
See what your contracts already owe you
Bring one supplier contract and a purchase extract. In a working session we load it, run the numbers and hand you the statement: earned, received, owed.