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San Joaquin General Hospital posts improved margins but warns of denial, length‑of‑stay risks
Summary
Hospital finance leaders reported improved operating results for fiscal year 2024–25 driven by coding improvements, supplemental dollars and operational gains, while flagging ongoing risks from payer denials, long inpatient stays and potential cuts to federal supplemental programs.
Sam Harland, presenting financial results for San Joaquin General Hospital, reported to the committee on Oct. 15 that emergency department visits and outpatient surgeries exceeded budget and prior year activity, while patient days and discharges were roughly level with prior year.
Harland said improvements in clinical documentation and coding have raised the hospital’s case mix index (CMI), increasing revenue capture. “Every one of those decimal points…every one of those decimal points represents hundreds of thousands of dollars,” he said, and credited the Clinical Documentation Improvement program for a steady increase that materially supported the hospital’s $28 million positive result for…
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