Healthcare Leaders Spotlights San Antonio-based MR3 Health

Over the years, one of the most gratifying aspects of our monthly networking events has been learning about new San Antonio-based companies and meeting the visionary entrepreneurs behind them. San Antonians are justly proud of our city’s reputation for innovation and leadership in the healthcare industry so occasionally we like to highlight and celebrate these companies. This month, we shine our spotlight on MR3 Health.

MR3 Health is an innovative remote patient monitoring company focused on preventing the costly and life-altering complications associated with the foot ulcers associated with diabetic neuropathy. And, as most of us are aware, both the San Antonio and South Texas population in general have an unusually high prevalence of diabetes. The company integrates advanced medical devices, daily monitoring protocols and clinical oversight to identify early physiologic changes before they can escalate into acute events.

The company’s flagship monitoring device, TempTouch™, was likewise developed here in San Antonio by a distinguished group of local clinicians and engineers. An FDA-cleared dermal thermometer, the efficacy of the device was clinically proven in the field in partnership with the Veterans Health System and additional researchers associated with the University of Texas at San Antonio Health Science Center. Results of the clinical trials were documented in three peer-reviewed journal articles available on the company’s website. The company possesses proprietary patient management software and maintains a number of strategic industry partnerships that position it, according to MR3 president, Stan Marrett, as a credible and scalable partner for podiatrists, physician practices and health systems.

Given the ongoing prevalence of diabetes, the toll in human suffering in terms of repeated surgeries and amputations, and the staggering medical costs, estimated to be in the billions, that could be prevented by preventive monitoring for the range of chronic conditions including, not only diabetes, but hypertension and COPD as well, MR3’s business model and mission align closely with national public health priorities.

Another example of a San Antonio company helping people while setting the pace for its competition.

Right Health Systems hosts DreamHealth: Community Health Fair

Right Health Systems is proud to host the upcoming Dreamhealth: Community Health Fair, a collaborative initiative created to improve access to quality healthcare resources while promoting education, prevention, and overall well-being within our community. Phoenix Management International is honored to support and promote the DreamHealth initiative, a cornerstone of the annual DreamWeek San Antonio Summit. This initiative unites healthcare providers, wellness advocates, local businesses, educational institutions, and community-focused organizations around a shared mission to expand access to essential health resources for individuals and families at every stage of life. By bringing services and support directly to the community, DreamHealth strengthens collective well-being, fosters meaningful collaboration, and advances long-term health equity throughout San Antonio and surrounding communities.

Event Details:
Date: January 24, 2026
Time: 12:00 NN – 4:00 PM
Location: San Antonio Botanical Gardens
555 Funston Pl. San Antonio, TX 78209

We invite you to come and join us for an afternoon of connection, education, and community empowerment as we work together to build healthier futures for all.

Add your support as a sponsor! Download the sponsor prospectus here. And then fill out the form to be a sponsor, or an exhibitor, here!

Right Health Systems, a 501(c), licensed health care system forged on the pillars of
Advocacy, Collaboration, and Education. EIN: 39-4092536
RIGHT HEALTH SYSTEMS:
MARQUEE COMMUNITY HEALTH FAIR
A Dreamhealth feature

 

 

Medical Funding for Service and Healthcare Providers.

12/2025 By August Trevino commercial strategist

Introduction:

Nature of Transaction: Funding is a debt (a loan), while factoring is considered the sale of an asset.

 Medical Receivable funding (MRF) is designed as a quick funding solution for service companies that bill healthcare providers directly. Examples would be staffing, transcription, hospice, supplies/devices, etc.

Medical factoring (MF) is designed as a quick funding solution for healthcare providers that bill insurance directly (Insurance Companies, Medicare/Medicaid, etc.). Examples would be physician medical practices, hospitals, rehabilitation centers, nursing / assisted living facilities, etc.

Let’s start with Medical Receivable Funding. (MRF) has emerged as a vital financial tool for service companies that bill healthcare providers directly. In industries where cash flow is often strained by delayed reimbursements, MRF offers a streamlined solution to bridge the gap between invoicing and payment.

The challenge of delayed working with payments for healthcare providers, including hospitals, clinics, and long-term  care facilities, is that they operate within complex reimbursement structures. Payments may be delayed due to insurance verification, compliance checks, or administrative bottlenecks. For service companies that support these providers, such delays can create significant financial stress. Payroll obligations, vendor payments, and operational expenses continue regardless of when invoices are settled. Without reliable cash flow, even well-established businesses can struggle to maintain stability.

MRF is designed to address this challenge by converting outstanding receivables into immediate cash. Instead of waiting weeks or months for healthcare providers to pay invoices, service companies can sell or finance their receivables through specialized funding firms. These firms advance a percentage of the invoice value—often within 24 to 48 hours—providing the company with quick liquidity. Once the healthcare provider pays the invoice, the funding firm collects repayment, deducts its fees, and remits any remaining balance to the service company. This process is similar to commercial factoring but tailored specifically to the healthcare ecosystem. By focusing on receivables tied to medical providers, MRF firms understand the unique payment cycles and compliance requirements of the industry.

The advantages of MRF are multifaceted:

  • Immediate Cash Flow: Companies gain access to funds quickly, ensuring they can cover payroll, purchase supplies, and manage day-to-day operations without disruption.
  • Operational Stability: Predictable funding allows businesses to plan growth strategies, expand services, and invest in new technologies.
  • Reduced Financial Stress: By eliminating the uncertainty of delayed payments, MRF helps companies focus on service delivery rather than collections.

This next section deals with medical factoring (MF).

Healthcare providers operate in a financial environment unlike most other industries. Physician practices, hospitals, rehabilitation centers, and nursing or assisted living facilities often deliver services upfront but must wait weeks—or even months—for reimbursement from insurance companies, Medicare, or Medicaid. This lag in payment can create significant cash flow challenges. Medical factoring (MF) has emerged as a practical solution, offering immediate liquidity by turning receivables into cash.

What Is Medical Factoring?

Medical factoring is a financial transaction in which healthcare providers sell their insurance receivables to a factoring company. Instead of waiting for insurers or government programs to process claims, providers receive a cash advance—often within 24 to 48 hours. The factoring company then collects the payment directly from the insurer when it becomes due. Importantly, this arrangement is not a loan. Funding through traditional debt instruments adds liabilities to the balance sheet, while factoring is considered the sale of an asset. This distinction makes MF an attractive option for providers seeking liquidity without incurring debt.

Why Healthcare Providers Use MF

Healthcare organizations face high operating costs, from payroll and medical supplies to rent and compliance expenses. Delayed reimbursements can disrupt operations, even for financially stable practices. Medical factoring addresses these challenges by:

  • Accelerating cash flow: Providers gain immediate access to funds tied up in insurance claims.
  • Avoiding debt obligations: Factoring does not involve interest payments or loan covenants.
  • Reducing administrative burden: Factoring companies often manage collections, freeing staff to focus on patient care.
  • Supporting growth: Reliable cash flow enables providers to expand services, hire staff, or invest in new equipment.

Who Benefits from Medical Factoring?

Medical factoring is particularly useful for organizations that bill insurance directly. Examples include:

Physician practices: Smaller clinics often struggle with reimbursement delays. Factoring ensures they can cover payroll and operating costs.

  • Hospitals: Large institutions face significant overhead. Factoring stabilizes cash flow during periods of high patient volume.
  • Rehabilitation centers: Extended treatment programs rely heavily on insurance payments. Factoring provides predictable funding.
  • Nursing and assisted living facilities: With ongoing care needs and high staffing costs, these organizations benefit from faster access to receivable funds.

How the Process Works

  1. Claim submission: The provider submits insurance claims as usual.
  2. Sale of receivables: The factoring company purchases the claims, typically advancing 70–90% of their value immediately.
  3. Collection: The factoring company collects payment from the insurer.
  4. Settlement: Once payment is received, the factoring company remits the remaining balance to the provider, minus a small fee.

Advantages and Considerations for these types of funding.

Medical factoring and funding offers clear advantages: speed, flexibility, and reduced financial stress. However, providers should carefully evaluate these companies. Fees vary, and transparency in contract terms is essential. As example disclosures, some companies alter the client that you are factoring and some companies will keep this confidential. While factoring improves cash flow, it does not increase reimbursement rates or eliminate systemic delays in insurance processing. It is always advised to seek advice from a professional with experience in this field.

 

August Trevino

FRACTIONAL EXECUTIVE

COMMERCIAL STRATEGIST 

Direct: ‪(210) 951-9268

e-Mail: au.ent9@gmail.com

Webpage: linkedin.com/in/acttoday

Navigating the Complexities of Medical Billing: Coding Errors and Medicare Denials

Medical billing remains one of the most persistent administrative challenges for physicians. Coding errors and the high rate of Medicare claims denials are among the top perennial issues—and both can significantly impact practice revenue and operational efficiency.

Coding errors, whether due to outdated codes, misinterpretation of clinical documentation, or simple clerical mistakes, are a leading cause of claim rejections. Due in no small part to the complex and changing nature of the code sets. The ICD-10  updates for FY2025, for example, included 252 new codes, 36 code deletions, and 13 code revisions. These changes, along with the similarly evolving CPT codes, require ongoing education and rigorous attention to detail. Even minor discrepancies—such as mismatched procedure and diagnosis codes—can trigger denials, delay payments, or invite audits.

The need for vigilance in billing and coding is nowhere more apparent than with Medicare, the largest payer in the U.S. healthcare system. According to recent data, average Medicare denial rates for physicians can range from 5% to 10%, depending on specialty and region. Common reasons include insufficient documentation, incorrect modifiers, and lack of medical necessity. These denials not only reduce cash flow but also increase administrative burden, as practices must invest time and resources into appeals and resubmissions.

The financial implications are substantial. Rejected claims can lead to lost revenue, especially if not corrected promptly. Moreover, repeated errors may flag a provider for compliance reviews, adding legal and reputational risks.

To mitigate these challenges, many practices are turning to third-party revenue cycle management companies, certified medical coders, automated billing software, and regular audits. However, even with these tools, the human element remains critical—accurate documentation and clear communication between clinical and billing teams are essential.

In an era of value-based care and tightening reimbursement models effective medical billing skills and solutions are indispensable to sustaining your practice.

 

Editor’s note: We discovered this Linkedin post by Anoop Silva, President of Wave Online, shortly after publishing article and wanted to add it as a postscript because it resonates so closely with the things we hear at our networking events, i.e. less than optimal documentation habits, poor modifier usage and workflow inconsistencies contribute greatly to revenue loss.

Strategies for Engaging Patients Who Self-Diagnose via the Internet

Author: ProAssurance

Time pressures1 and lack of patient trust2 are factors that can contribute to physician burnout. Patients who self-diagnose based on internet research combine these factors. Expecting self-diagnosing-patients to passively receive physician-delivered medical information will likely increase the frustration of both parties. Therefore, it can be more productive with these challenging patients to integrate their internet information into patient education.

This approach can improve clinical communication, strengthen the physician-patient partnership, increase patient satisfaction, and result in better outcomes. Time management strategies can help physicians keep discussions about internet content limited to the confines of the scheduled visit. When handled correctly, there is a silver lining to patient internet use.

Internet Websites for Patient Education

There are many websites that offer health advice and information. The Medical Library Association provides guidance on finding good health information. The websites listed below can get you started on your own recommendations for patients:

References

  1. Cory Pitre, et al. “Physician Time Management.” MedEdPORTAL, February 2018.
  2. James F. Sweeney. “The Eroding Trust Between Patients and Physicians.” Medical Economics, 4/10/2018.

 

Full Article Link: https://proassurance.com/knowledge-center/strategies-for-engaging-patients-who-self-diagnose-via-the-internet

 

Read more from ProAssurance: https://proassurance.com/knowledge-center

When Healing Others Becomes a Way to Avoid Ourselves: The Quiet Cost of High Performance in Healthcare

If you work in healthcare—whether you’re a nurse, a doctor, a manager, or someone who works with data—you carry a lot of responsibility. People count on you for their health, safety, and care. And you’re probably really good at handling that pressure.

You’re used to pushing through tough days. You solve problems, stay late, and make hard decisions. You always show up. That’s what makes you great at your job.

But there’s something many people in healthcare quietly struggle with: perfectionism. The pressure to always do everything right and never make mistakes might seem like a strength. But it can also lead to something more serious—emotional fragility.

When you believe your worth depends on your performance, it can be exhausting. You might start to wonder if you’re ever doing enough. Over time, this stress can build up, and you may feel disconnected from yourself and the people around you.

Research shows that perfectionism is linked to higher risks of mental health problems, including depression and suicide. This doesn’t mean perfectionism always leads to those things—but it does mean we need to be aware of how much pressure we’re putting on ourselves.

In healthcare, it’s easy to tie your value to things that can be measured: how quickly you care for patients, how many tasks you complete, and how good your reviews are. But things like connection, reflection, and rest don’t show up on charts or dashboards—and yet, they’re just as important.

So we keep working. One more patient. One more meeting. One more emergency. And slowly, we lose touch with the things that bring us peace, joy, and meaning.

That’s when the real cost shows up.

We become leaders who are respected but feel alone. Healthcare workers who are great at their jobs but drained. Parents or partners who are present, but distant. We care for everyone else but forget to care for ourselves. I know this because I have been there: carrying work performance stress to my kids or not being present in meetings because I feel like I am failing at managing my house.

But here’s the truth: your value isn’t in how well you do things. It’s in who you already are.

To live a life that’s not just sustainable—but also satisfying—we need more than hard work and success. We need emotional resilience: the ability to stay grounded, connected, and strong even when life gets hard. Really, the key to emotional resilience is the ability to accept grace.

Moving from emotional fragility to emotional resilience is the key to staying well in a demanding field like healthcare. It helps you stay present in your relationships, enjoy your work more, and remember why you chose this path in the first place.

Want to know where you stand? Take our free Emotional Fragility Quiz—a simple way to check in with yourself and start building more resilience in your life.

👉 [Take the free quiz now]

You don’t have to carry everything alone. And you don’t have to be perfect to be enough.

by Dr. Uejin Kim, MD

www.uejinkim.com

 

O’Connor, R. C. (2010). The relations between perfectionism and suicidality: A systematic review. Suicide and Life‑Threatening Behavior, 37(6), 698–714. https://doi.org/10.1521/suli.2007.37.6.698 Wiley Online LibraryUniversity of Stirling

Smith, M. M., Sherry, S. B., Chen, S., Saklofske, D. H., Mushquash, C., Flett, G. L., & Hewitt, P. L. (2017). The perniciousness of perfectionism: A meta‑analytic review of the perfectionism–suicide relationship. Journal of Personality. Advance online publication. https://doi.org/10.1111/jopy.12333 ray.yorksj.ac.ukPubMed

Hewitt, P. L., Flett, G. L., & Turnbull‑Donovan, W. (1992). Perfectionism and suicide potential. Journal of Abnormal Psychology, 101(4), 602–607. (Note: Publication details match findings; but source indicates the study on psychiatric patients) PubMed

Authors, (Year). Perfectionism, prospective near‑term suicidal thoughts and behaviors: The mediation of fear of humiliation and suicide crisis syndrome. International Journal of Environmental Research and Public Health, 17(4), Article 1424. https://doi.org/10.3390/ijerph17041424 PubMedMDPI

Etherson, M. E., Smith, M. M., Hill, A. P., Sherry, S. B., Curran, T., Flett, G. L., & Hewitt, P. L. (2024). Perfectionism, feelings of not mattering, and suicide ideation: An integrated test of the Perfectionism Social Disconnection Model and the Existential Model of Perfectionism. Journal of Psychoeducational Assessment, 42(6), 725–742. https://doi.org/10.1177/07342829241237421 SAGE Journalsray.yorksj.ac.uk

 

Healthcare As We Once Knew it is Dead

The healthcare landscape has changed over the last 20-25 years.  Primary care physicians used to manage overall patient care, coordinating with specialists for care that was outside their training and expertise.  Now, it seems that the primary care physician sees the patient a few times a year and might even request labs or perform a well-exam.  These exams have been greatly watered down over the years due to government red tape, ill advice from the U.S Preventive Services Task Force and declining reimbursement.  What used to be a true 40-minute history and physical has become a 10-to-15-minute checklist of things that the patient’s insurance company will likely reimburse the physician for providing.  The list of what won’t be done is longer than the list of things that will be done.  For specialty care, I notice that patients are increasingly arranging for care on their own, which often leaves the primary care physician out of the loop.

Primary care physicians used to have a trusted network of specialists to whom they could refer for evaluation and management of concerns outside of the primary care physician’s scope of practice.  A simple phone call once served as an introductory transfer of the patient from primary to specialty care.  Progress notes and polite thank you notes followed upon returning the patient to the primary care setting.  Today, insurance regulations and paperwork have become the primary focus, while the actual diagnosis and treatment of the condition(s) have become a distant secondary focus.  Medicare starts something and commercial insurers follow their lead, whether the policy is beneficial or harmful to their beneficiaries.

Referrals can be difficult to obtain, even for large academic medical centers.  In certain instances, the return of the patient to the primary care setting is delayed or halted altogether, with the specialist’s employer or accountable care organization assuming the role of the primary care physician.  Communication between offices has become something of a nightmare due to absent consultation notes in the patient’s chart.  In years past, referrals could be arranged quickly and easily.  The tides have changed over the last 20-25 years, with referrals becoming increasingly more difficult to obtain.  Due to insurance participation/non-participation, arranging referrals may take quite a while, and the patient’s condition might have worsened during the waiting period.

It is the author’s belief that the healthcare system is still recovering from the COVID-19 pandemic.  Preventive care was delayed to re-focus on the medically complex.  Patients who were not taking an active role in their care are now of higher acuity and require more resources to return to a more optimal state of functioning.  Referrals to specialists in large healthcare systems are still being impacted to due continued care for those medically complex patients who never fully recovered during the pandemic.

Referrals can be hard to come by, even in large cities with more than one major healthcare system.  Timeframes to obtain referrals varied for the author: 2 weeks for urology; 2 months for otolaryngology; 4-6 months for pulmonary evaluation after 1 round of COVID-19 and three rounds of pneumonia; 9-12 months for cardiology; and 24-36 months for a routine colonoscopy with gastroenterology.  For three of the above referral requests, the author was told there just weren’t enough good providers in San Antonio to see all the patients.  That waters down the prospects of finding a great provider to treat one’s medical conditions.

Is this the best we can do?  Is the status quo good enough?  While I share the same sentiment as my cardiologist and pulmonologist, “Healthcare as we once knew it is dead,” I say that we can do better, and the status quo isn’t something we should brag about.  While I’m grateful for the providers on my care team, I am disappointed that the healthcare system has changed for the worse.  I see patients being treated like numbers rather than human beings, band-aids being applied until the next care episode arrives, less emphasis on preventive care and fewer people taking part in their own care plans.  Will healthcare return to the glory days of 20-25 years ago?  Probably not.  However, I believe that if enough patients and providers start protesting the state of the current system, we could return to a better state within the next 5-7 years.

By Scott J. Grandjean, LFACHE

 

Your Profit Margin is in the Details: Focusing on Patient Care and Your Books

What if you could focus solely on patient care, knowing that your financial operations are not only in order but also optimized for growth and sustainability? 

If you’re running a healthcare business, chances are your focus is on patient care or patient products and not profit margins, cost classifications, or what’s buried in your books. But your numbers hold powerful clues about what’s working, what’s leaking money, and what’s keeping you from scaling.

Here are a few simple places to start:

  • Review your Chart of Accounts – Are expenses lumped together in vague categories like “Miscellaneous” or “Office Supplies”? Clean categorization gives you clarity and control.
  • Separate Owner Spending – Mixing personal and business expenses doesn’t just create tax issues; it clouds your decision-making.
  • Check for Duplicates – Subscriptions, services, or staff hours might be charged twice and go unnoticed without regular reviews.
  • Reclassify Costs Correctly – Mislabeling a cost of goods sold as an overhead expense can distort your profitability.
  • Request Reports You Understand – If your current P&L or balance sheet leaves you guessing, it’s time to ask for insights.

Safeguarding your profit isn’t about taking shortcuts; it’s about paying close attention to the details.

If you are curious about what your reports are really saying, I recommend starting with the items listed above.

Respectfully,

Lillia Sanders,  CEO|CFO|Advisor
Let’s Connect! LinkedIn

 

 

 

 

 

 

 

 

 

www.skilliabusiness.com
Monday: CLOSED
Tuesday – Friday 9:00 a.m. – 4:00 p.m. CST

Click Here to schedule your 10-minute complementary call or to schedule your one-on-one 60-minute consultation!

 

 

 

 

 

Streamline Your Revenue Cycle with Wave Online’s Expert RCM Services

 

 

 

 

 

Streamline Your Revenue Cycle with Wave Online’s Expert RCM Services

By August Trevino 02-2025

In today’s complex healthcare landscape, optimizing your revenue cycle is crucial for financial stability and growth. Lagging payments, denied claims, and inefficient processes can significantly impact your bottom line. Wave Online, your trusted RCM partner with 25 years of excellence, understands these challenges and offers comprehensive Revenue Cycle Management (RCM) services designed to maximize your practice’s profitability.   

We’re not just meeting industry benchmarks – we’re exceeding them. 

Our advanced processes, cutting-edge technology, and dedicated team consistently outperform industry metrics, delivering superior results for our clients.   

A No-Obligation Consultation: Your First Step to RCM Success

We’re so confident in our ability to improve your revenue cycle that we’re offering a no-cost, no-obligation consultation and analysis. This comprehensive review will help you:

  • Identify reasons for your Billing and Collections Lag: Pinpoint the bottlenecks in your current system that are slowing down your cash flow.
  • Analyze the reasons for Denial and Rejections: Understand the root causes of denied claims and implement strategies to prevent them.
  • Capture differences in Contracted vs. Actual Payments: Ensure you’re receiving the full reimbursement you’re entitled to for your services.
  • Evaluate your Front-End Operations, A/R, and Processes: Optimize your front-end processes to improve efficiency and reduce errors.

This consultation is a risk-free opportunity to gain valuable insights into your current RCM performance and discover how Wave Online can help you achieve your financial goals. Let us show you how we can transform your revenue cycle and improve the efficiency and profitability of your practice.

The Wave Online Advantage: Exceeding Industry Standards

At Wave Online, we’re committed to providing best-in-class RCM services that deliver tangible results. Here’s how we compare to National MGMA benchmarks:

  • Faster Claims Processing: Our average claims processing time is just 35 days, significantly faster than the MGMA standard of 40 days. This means quicker revenue for your practice.   
  • Higher First-Pass Resolution Rate: We achieve an impressive 92% first-pass resolution rate, surpassing the MGMA benchmark. This reduces denials, minimizes rework, and boosts your cash flow.   
  • Lower A/R Days: Our clients enjoy an average A/R day of 38, considerably better than the MGMA standard of 40 days. This demonstrates our efficiency in collecting outstanding balances.

Controlling Your Accounts Receivable

Effective management of Accounts Receivable (A/R) is essential for a healthy revenue cycle. According to MGMA, the median percentage of A/R over 90 days is 21%, with the top tenth percentile at 14%. At Wave Online, we empower our clients to achieve top-tier performance. Based on the best practices of our high-performing clients, we strive to help providers achieve an A/R > 90 days of less than 15% of the total, significantly improving their financial health.   

Partner with Wave Online for RCM Excellence

Choosing the right RCM partner is a critical decision. With Wave Online, you’re not just getting a service provider; you’re gaining a dedicated partner committed to your success. Our 25 years of experience, combined with our advanced technology and expert team, allows us to deliver exceptional results that set new standards in the healthcare industry. 

Visit our website at https://wavehca.com/practice-performance | to learn more and schedule your no-obligation consultation today. Let Wave Online help you unlock the full potential of your revenue cycle.  

Orchestra Health: Reinventing Surgery Coordination

 

One of the great things about HLSA is the opportunity to learn about new business ventures in our area, one of the most exciting of which recently has been Orchestra Health. A digital platform and service solution for improving pre-surgical coordination and managing PAT remotely. Orchestra Health was co-founded by Stuart Solomon MD, an anesthesiologist with a background in perioperative medicine and digital health, alongside Austin Lopez-Gomez, an experienced logistics software engineer with a career in operations heavy industries. 

Most of us who have been involved in the delivery of healthcare, from both practice management and hospital settings, are very familiar with the frequently chaotic path patients must navigate once they are told they need surgery.  Assembling the numerous blood samples, tests and images to complete their clearance packet offers many opportunities for missed appointments, lost reports and changes in overall health status that can lead to cancelled procedures. When these happen last minute- the day before or even the morning of-it leads to frustration for both the patient and their surgeon.

Orchestra Health provides a streamlined, digital, one-stop shop to change all this with coordinated preop tracking, unified communications, efficiency insights and telehealth medical clearance. By managing the process from day one,  provides up to a 15 percent increase in utilization along with a 30 to 50 percent reduction in PAT costs.  

If your practice or surgery center would benefit from more reliable coordination and increased revenues, contact Orchestra today at 210-802-7551, or email hello@tryorchestra.com