Why Preference Card Lag Turns into Billing Gaps
The OR moves fast: surgeons substitute products, reps bring in alternative implants, circulating nurses document what's actually used in OpTime. But preference cards — the source of truth for Resolute charge capture — update on a different timeline, often lagging actual practice by weeks. Stryker Synaptic tracks implant data, but without an automated reconciliation between what OpTime recorded and what Resolute billed, that data doesn't close the loop. A 12–18% gap between documented and billed supplies, across an academic medical center's OR volume, represents a significant revenue recovery opportunity.
Case-Level Reconciliation Within 24 Hours
An AI Labor Company agent extracts charge reconciliation logic from your Epic OpTime case records and Resolute billing history — learning the patterns of what gets documented, what gets billed, and where the gaps consistently appear by procedure type, service line, and product category. After each case closes, the agent compares OpTime supply documentation against Resolute billed charges within 24 hours, generates a correction list organized by case, and queues it for coding team review in time to hit the billing cycle. Waystar integration validates that corrected charges pass claim scrubbing before submission. Tableau dashboards surface the preference cards and service lines driving the most leakage so the root cause can be addressed upstream.
The Revenue Recovery Math
This is a direct revenue recovery play: charges for work already done, services already delivered, supplies already consumed. Recovering 8–12% of previously missed OR charges at an academic medical center's case volume is a material top-line improvement, not a process efficiency. Teams in this position typically see 70–90% of the manual reconciliation work automated once the agent is running. The agent is live and generating per-case correction lists in approximately 5 weeks — the shortest deployment timeline in this service category — making it realistic to see recovered revenue within the same quarter the engagement begins.
How does the agent know a charge was missed versus intentionally not billed?
It learns from your OpTime-to-Resolute reconciliation history — specifically, the patterns where documented supplies have historically mapped to billed charges. When OpTime records a supply with no corresponding Resolute charge and no documentation of an intentional write-off, that surfaces as a correction candidate. Cases with clinical notes indicating a deliberate non-bill are excluded.
Does this require changes to how OR staff document in OpTime?
No. The agent works with existing OpTime documentation as-is. Over time, it will surface preference cards where frequent corrections suggest the card itself needs updating — but that's surfaced as a recommendation to OR management, not a documentation workflow change.
How does Stryker Synaptic data factor in?
Synaptic implant tracking data provides an independent record of what was actually used in the OR. The agent cross-references Synaptic records against OpTime documentation and Resolute charges as an additional reconciliation layer, particularly for high-cost implants where missing charges have the largest individual case impact.