The economics

What open hours and late notes cost

Every unbooked hour is revenue a practice never sees, and every evening spent charting is time a clinician doesn't get back. Run the model on your own practice.

The economics

Open hours booked are worth about $110K a year to a ten-clinician practice

Answering and booking every new inquiry fills the hours clinicians have open, and drafted notes give them their evenings back. Althio is paid for directly, so nothing depends on billing codes.

  • $110Ka year from 920 open hours booked
  • 1,150hours of note-writing given back to clinicians a year
  • $300Klost to no-shows each year today
  • 0billing or reimbursement codes required

Ten clinicians with 4 open hours a week each, 50% of them filled, a $120 fee and 30 minutes of notes saved a day. Change any of them in the calculator.

The method

How the estimate is made

Open hours booked: the number of clinicians times the hours each has open a week, the share of those hours new patients fill, and the weeks a year the practice sees patients. The fee per session turns them into revenue.

Note time given back: the minutes of note-writing each clinician saves a day, over five days a week and the working weeks. Our starting figure of 30 minutes a day is the time saved in a University of Washington randomized trial of an AI scribe.

No-shows: booked sessions a week times the no-show rate and the working weeks. Outpatient behavioral-health no-show rates are reported between 18 and 30 percent.

Our starting figures are 10 clinicians with 4 open hours a week each, 50% of them filled, 25 booked sessions a week, a 22% no-show rate, 46 working weeks and a$120 fee. They give $110,400 from920 open hours booked, 1,150 hours of notes given back, and $303,600 lost to 2,530 no-shows a year. Your own numbers are the ones that matter, so use them below.

Calculator

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$110,400a year from 920 open hours booked
1,150 hoursof note-writing given back to clinicians each year
$303,600in session fees lost to 2,530 no-shows each year, today

Booked open hours multiply clinicians, open hours a week, the share filled and working weeks, then the fee. Note time multiplies minutes saved a day by five days and the working weeks. No-shows multiply booked sessions by the no-show rate. None of it counts patients who stay in care longer.

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