AI Revenue Leakage Detection

The charges that fall between care and billing. Found before invoicing.

Likely missed charges surfaced before the invoice is finalised. Each invoice backed by historical patterns, ready to validate or dismiss.

Leakage caught while there's still time to act.

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What gets used in theatre, doesn’t always reach billing.

A procedure ends. Not every consumable used makes it to billing before the window closes.

At scale, this adds up. And then the leakage doesn't show up until a finance review. By then, the invoice has gone.

Billing intelligence that works quickly before the invoice leaves, not after the review finds the gap.

Revenue leakage reduced without additional headcount or workflow disruption. Leakage patterns visible across departments, with the governance data to support decisions.

For the teams capturing every cent of revenue.

Leakage found before issuing invoices.

A baseline view of what should be billed.

Precise charge expectations built from historical billing data for each surgeon and procedure type.
When actual billing falls short of what's expected, the discrepancy is visible before finalisation.
Expectations are specific to each surgeon and procedure, not averaged across the department.

Clinician sits at a computer smiling as she types.

Flags the gap before it closes.

Real-time comparison between what was billed and what was expected, surfaced for each case before finalisation.
Likely missing items flagged with confidence scores, so billing teams validate rather than investigate from scratch.
Caught at the case level, not flagged in a finance review months later.

Clinician in scrubs and mask sits at a computer working.

Fine tunes with every procedure.

Every case processed deepens the model's understanding of expected billing patterns.
Detection starts with high-value consumables and expands across billing categories as accuracy builds.
Revenue impact grows as coverage expands, without additional configuration.

Fits inside existing workflows.

Alerts and prompts delivered within existing Amalga billing processes, without new systems or additional steps.
Theatre teams don't change how they work. The intelligence runs in the background.
Finance teams see billing activity in real time, not in a report that's already out of date.

Runs inside these modules...

See Amalga AI in action.

Book a 30-minute walkthrough with our AI and implementation specialists.

We'll show you how our AI safely connects to the billing workflow and processes your teams already use. Bill every cent of care with less manual work and fewer unknowns from day one.