For finance teams and CFOs
Stop losing money to what you can't see.
Most private hospitals in Ghana lose 15–25% of potential revenue to operational leakage they cannot identify. ACOS makes the leakage visible.
Built around the financial control loop your CFO has been trying to operate by hand: charge capture you can audit, receivables you can age, claims you can track, and a revenue picture you can defend in front of an auditor — all live, all reconcilable, all in one place.
Where the cedis go
The four leaks that cost you the most. Every one of them quiet.
Across the hospitals we've worked with, the same four patterns recur. Most CFOs we speak to recognise three of them within thirty seconds; the fourth they've usually never measured.
Leak 01
6–12%Missed charge capture
Procedures performed, drugs dispensed, dressings applied — without a corresponding line on the bill. Largest single category of leakage in most facilities.
Leak 02
3–6%Inventory shrinkage
Medications and consumables that leave the shelf without leaving a billing trail. Sometimes expiry, sometimes leakage, often unmeasured.
Leak 03
2–4%Pricing drift
Outdated price lists, tariff changes that didn't propagate, manual overrides that became the norm. Each correct individually; in aggregate, expensive.
Leak 04
2–3%Claim cycle losses
Insurance claims that go out late, get rejected for documentation reasons, or never get resubmitted. Each rejection has a half-life; many never recover.
The control loop
What ACOS gives finance teams.
Every clinical action that's billable becomes a bill line at the moment it happens. Consultations, lab orders, procedures, medications — auto-attached, auto-priced, auditable.
Encounters with documentation but no billing. Dispensing without a corresponding charge. Procedures coded but unbilled. Surfaced in real time, not at month-end.
Self-pay, private insurance, NHIS, corporate — each with its own price book, claim format, and reconciliation flow. One system, every payor, no spreadsheets.
Every claim from generation through submission, response, and settlement. Outstanding ageing buckets, rejection reason analysis, resubmission queues.
Daily, weekly, monthly views — by department, by clinician, by service category, by payor. Drill down from any number to the individual encounters that produced it.
Who owes what. How long it's been owed. Aged buckets, by patient and by payor. The receivables conversation is no longer 'I'll get back to you.'
Encounters cannot close until orders are billed or explicitly waived. Charge capture stops being aspirational and starts being structural.
Every charge, waiver, refund, and adjustment recorded with the user, reason, and timestamp. Reviewable in seconds. Exportable for any audit.
The numbers a CFO actually wants
Reports you can take to the board.
A non-exhaustive list of the financial views ACOS produces by default — every one of them live, every one of them drillable, every one of them reconcilable.
The honest scenario
What ACOS won't fix on its own.
A finance system can only see what the operation feeds into it. Three honest caveats — because we've watched CFOs lose patience with vendors who skip them.
Honest caveat
It cannot fix a broken price book.
If your hospital's pricing is structurally underpriced — under cost, under market, or under what payors will accept — ACOS will faithfully bill the wrong amount. We'll surface it during discovery; the rebuild is your call.
Honest caveat
It cannot collect from a payor that won't pay.
Tracking insurance claim ageing makes the problem visible. Collecting on it is still a hospital function — relationship management, escalation, sometimes legal. ACOS gives your team the data they need; it doesn't replace the conversation.
Honest caveat
It cannot reverse a culture that doesn't value capture.
If your hospital's clinical culture treats billing as an inconvenience, no system fully fixes it. ACOS makes the gap visible and the workflow easier — but the leadership conversation about why charge capture matters is still yours to have.
The ask
Run the numbers. On your hospital.
A 30-minute demo built for finance teams. We open the actual reports, walk through the actual reconciliation flow, and show you the leakage you're carrying — with your hospital's real shape in mind.