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THE CAPRI COLLECTIVEOPERATIONS PARTNERS

The Capri Revenue & Profitability Leakage Explorer

Where Are You Leaving Money on the Table?

The revenue you never capture. The cash you wait too long to collect. The costs quietly eroding your margins.

Your organization may be serving more patients, hiring more employees, and generating more revenue than ever before—yet your financial performance tells a different story.

The problem may not be demand. It may be the gaps between your departments, the way your resources are deployed, the economics of your payer contracts, or the processes that determine whether services ultimately become collected revenue. Explore the areas where operational inefficiencies can create financial exposure.

Because the numbers don't tell the whole story until you understand what's happening behind them.

Illustrative planning exercises only—not an assessment, verified loss estimate or forecast. Inputs stay in this browser and are not saved or sent. Do not include patient, client or employee information. Estimates can overlap and must not be added together. Capacity, cash timing and resource costs are not lost profit.

Messaging & Referral Responsiveness

Illustrative example inputs · one consistent cohort and period. Optional financial assumptions remain blank until entered.

Your comparison

Response rate

80 %

Follow-up completion rate

75 %

Qualified inquiry rate

50 %

Unanswered inquiries

20

Average first response

24 hrs

Investigate response ownership and incomplete follow-ups. No revenue is assigned to unanswered inquiries.

How we calculated this

Response, follow-up and qualification rates divide each completed count by its corresponding total. Unanswered inquiries = received − responded.

Clarify response ownership, monitor aging inquiries and build reliable follow-up routines. An unanswered inquiry is not automatically a lost client.

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Referral-to-Client Conversion

Illustrative example inputs · one consistent cohort and period. Optional financial assumptions remain blank until entered.

Your comparison

Referral → contact conversion

80 %

Referral → contact not progressing

20

Contact → intake conversion

75 %

Contact → intake not progressing

20

Intake → authorization conversion

75 %

Intake → authorization not progressing

15

Authorization → staffing conversion

77.8 %

Authorization → staffing not progressing

10

Staffing → first service conversion

85.7 %

Staffing → first service not progressing

5

Overall referral-to-service conversion

30 %

Actual first-service starts

30

Average elapsed time

25 days

Hypothetical additional monthly collections

$0

Referral → contact has the largest count drop-off (20). Investigate eligibility, family availability and access before assuming additional starts.

How we calculated this

Each transition rate = next stage ÷ prior stage; drop-off = prior − next. Overall = starts ÷ referrals. Hypothetical additional monthly collections = user-entered additional eligible starts × monthly collected revenue per client; not realized revenue.

Review drop-off reasons and access barriers before treating conversion gaps as recoverable opportunities.

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Intake Turnaround

Illustrative example inputs · one consistent cohort and period. Optional financial assumptions remain blank until entered.

Your comparison

Total average referral-to-service time

24 days

Referral → contact

1 days

Contact → intake

3 days

Intake → benefits

1 days

Benefits → submission

2 days

Submission → payer decision

10 days

Authorization → staffing

5 days

Staffing → service

2 days

Locally coordinated elapsed time

14 days

Payer-dependent waiting time

10 days

Editable aspirational target

30 days

Days beyond aspirational target

0 days

Longest stage: Submission → payer decision. A 14–30-day comparison is an aspiration for appropriate cases, not a benchmark or guaranteed start time. Family and clinical requirements may affect locally coordinated stages.

How we calculated this

Total = sum of seven non-overlapping stage durations. Payer-dependent waiting = submission-to-decision days; all other stages are locally coordinated elapsed time, not necessarily controllable. Comparison = total − editable aspirational target.

Map handoffs, track pending requirements and distinguish internal processing from payer, family and clinical waiting. These are not benchmark targets.

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Authorization Delays & Expirations

Illustrative example inputs · one consistent cohort and period. Optional financial assumptions remain blank until entered.

Your comparison

Renewal timeliness

90 %

Expiration rate

6 %

Average payer turnaround

14 days

Eligible service hours delayed

80 hrs

Hypothetical delayed-service opportunity

$4,400

Never provide services without required authorization. Delayed hours are not necessarily recoverable.

How we calculated this

Renewal timeliness = on-time renewals ÷ renewals due. Expiration rate = expired ÷ submitted cohort. Hypothetical opportunity = otherwise eligible delayed hours × assumed collected hourly rate.

Coordinate administrative tracking and clinical handoffs. Unused authorized hours are not necessarily appropriate, deliverable or collectible.

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