Revenue Leakage

Revenue leakage is the gap between care delivered and money received, and it is distinct from bad debt. Bad debt is billed and uncollected; leakage includes work that never reached a bill at all — a consultation not charged, medicine handed over on credit and forgotten, a test reported while the bill still had a balance, a discharge cleared without the balance settled.

Why it matters in a hospital

Leakage is hard to see precisely because nothing records it: the missing charge leaves no trace, so it cannot appear on any report built from charges. That is why it is usually discovered as a vague sense that collections do not match activity, rather than as a number. It is also rarely dishonesty — it is a busy counter, an undefined follow-up rule, a patient sent straight through to a doctor. The fix is structural rather than disciplinary: make the clinical event create the financial obligation, so that not charging becomes a recorded decision rather than an absence.

How Trisvio handles it

Trisvio creates the consultation charge in the same transaction as the visit, so an encounter cannot exist without either a charge or a recorded waiver, and it records an exception with a reason whenever medicine or a test is released against an outstanding balance. Each of the four leaks is a live counter with a working queue behind it rather than a figure reconstructed at month-end.