Healthcare revenue is contingent and revocable.
You are not just analysing a business; you are auditing a regulatory history.
In an asset sale, payor contracts (insurance reimbursement) often require consent to transfer. Missing a notice period can stop cash flow on Day 1.
Associates manually type "consent" or "notice" into Excel for 500 contracts. Error rates are high.
Colabra's AI extraction pulls the "assignment" and "change of control" clauses from every payor contract. You get a structured list of which payors require affirmative consent, allowing you to prioritize the integration workflow.
Employing a physician who is on the OIG exclusion list triggers massive fines and billing recoupments.
Manually typing NPI numbers into federal databases.
Colabra's entity enrichment automatically screens extracted individual names and entities against sanctions, litigation, and adverse media databases. We verify that the medical staff and the practice entities are in good standing.
A target may claim to be HIPAA compliant, but hidden audit findings or open corrective action plans (CAPs) suggest otherwise.
Searching for "audit" keywords in a disorganized folder structure.
Colabra's compliance extraction ingests HIPAA and coding audit reports to pull out specific control failures and open remediation items. We ensure the compliance history is visible, not buried, so you know exactly what regulatory baggage you are inheriting.
Case study: United States v. Tuomey Healthcare System
Tuomey Healthcare was found to have violated the Stark Law by paying physicians above fair market value to capture referrals. The government argued the contracts were disguised kickbacks. The result was a $237 million judgment.
Our AI extraction would have benchmarked physician compensation against market data, identifying the "sweetheart deals" that triggered the violation.