Rounds is where your ED group's billing lives: every encounter, every shift, one place.
The shift ends, the sheet gets photographed. Done: the number exists before the drive home. Keep scrolling: the list opens into the shift.
The monthly statement arrives computed by an algorithm nobody can see. Rounds shows it live: what the shifts paid, what the billings earned, where you stand against the group, anonymized. And the reject that would quietly come out of your pay is flagged while it can still be fixed.
Four levers move a group’s income: the envelope, the shadow premium, the visit premium, and what it costs to run. A rejected claim pulls two of them at once: no premium now, a smaller envelope next year. After the three-month stale-date, both losses are permanent.
All four levers run on one input: complete, accurate, adjudicated claims. Rounds moves the first three and keeps the fourth visible.
Two doctors bill the same visit: H102 on the day shift, H132 after the handover. Same assessment class, so OHIP pays one and rejects the other. Neither doctor did anything wrong; the collision only exists across them. In one place, both know before it's filed.
The treasurer closes each month on a bookkeeper’s spreadsheet and the biller’s totals, checked by hand. Rounds keeps the inputs: every claim adjudicated, every line traceable to its encounters. When a member asks to see the books, the answer takes minutes, not meetings.
The group's questions run on the same encounters Rounds already holds. Ask in plain language; the answer arrives as a chart. Every physician sees their own numbers against an anonymized group. The chief sees everyone.
Mechatronics, University of Waterloo. Apple, Tesla, UHN. Clinical AI at FluidAI, built in partnership with Cleveland Clinic and Mayo Clinic.
Mechatronics, University of Waterloo. Endor Health and Calavera Surgical: health devices shipped to market.
CPA Ontario. University of Toronto. Uber, Grafana, RBC.
And the advisors who never leave the floor: practicing emergency physicians inside Ontario ED groups, and an Ontario medical lead. Their statements, sheets, and shifts are the blueprints for every screen on this page.
It starts as billing. But once your whole group runs through one place, you can finally see it: what you earn, what you lose, what a shift is worth. That's the rest of Rounds.
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