Millions in savings. Measured, not modeled.
How the University of Maryland Medical System transformed bill-only operations across 11 hospitals & 1 ASC with Gallion, eliminating manual workflows and recovering millions in previously invisible revenue leakage.
About UMMS
Maryland’s largest health system.
The University of Maryland Medical System is a $5 billion system and the state’s largest healthcare provider. With 11 hospitals spanning urban, suburban, and rural communities, UMMS manages a complex, high-volume surgical operation where bill-only accuracy directly impacts margin.
The Challenge
Bill-only was a known problem nobody could see clearly.
Before Gallion, UMMS bill-only operations ran on paper forms, manual reconciliation, and institutional memory. The costs were real but nearly invisible: buried in processing delays, pricing errors, and rework that touched every department.
Missed charges, invisible errors
Paper bill sheets were reconstructed from memory after cases. Pricing discrepancies surfaced weeks later during AP reconciliation, well after the window to correct them.
Every step required a person
Bill sheets moved through email chains and phone calls. Billers, supply chain managers, and vendor reps each tracked progress in their own siloed systems, with no shared visibility.
Everyone was guessing
The OR didn’t know what supply chain saw. Finance didn’t know what billing flagged. Each team operated on partial information, making system-wide optimization impossible.
The Results
Measured outcomes across every dimension.
After 4+ years in production and 187,000+ implants processed, every number here is measured, not projected.
Drop in bill sheet processing time
Digital capture at point of use eliminates paper reconstruction and manual data entry. What took days now takes hours.
Faster bill sheet to PO
Automated validation and integrated ERP handoff cut the time from submission to purchase order in half.
Drop in bill sheet remediation
Real-time error detection catches mistakes as they happen. Corrections are made in minutes, not after weeks of downstream rework.
Annual hours saved
Time recovered from eliminating manual processes: data entry, phone calls, email chains, spreadsheet reconciliation, and audit prep.
Retained from competitive contracts
With access to product benchmarking, UMMS could see how its implant pricing compared to the market and negotiate from strength. Contract validation before PO creation then made sure those prices stuck.
Saved from invoice remediation
Reduction in discrepant invoices and the associated labor to research, correct, and reprocess them.
In potential missed charges and overcharges surfaced
Undocumented implants, missed charges, and vendor overcharges flagged at the point of care, before they ever reached the PO, the invoice, or the general ledger. Revenue that used to leak out unnoticed now gets caught and corrected.
Drop in discrepant invoices
Automated EHR comparison and contract validation dramatically reduces the errors that create rework for billers, supply chain, and AP.
Operational efficiency value
Labor hours redirected from chasing paper to higher-value work. Staff focus shifts from error correction to exception management.
Workforce Feedback
What the people using it every day actually say.
Every role in the bill-only chain uses Gallion. Here’s what they’d tell you over coffee.
With Gallion, I get to focus on my patient instead of paperwork. It catches implant documentation errors as they happen, so we fix them right there in the room. When I leave the OR, I know the case is done right, and nothing will come back to me days or weeks later.
Gallion makes our toughest bill-only cases easy to understand. Because it connects to our EHR and ERP, what was used, what was charged, and what the contract says all line up, with fewer errors and a lot less digging.
Gallion allows the billing team to consistently close all logs within 48 hours after surgery. It streamlines the team’s workflow, making reconciliation of bill-onlys with the EHR seamless, ensuring data integrity. It is without doubt that Gallion has brought such value to the team’s workflow.
Gallion’s automated validation checks catch billing issues I used to hunt down by hand. Now they’re flagged before I even go looking.
Gallion makes it easy to work with the hospital team to fix bill sheets fast. The validation checks catch issues up front, so nothing comes back for review weeks later. Open orders that used to drag on for weeks now close in a few days, so we get paid sooner
Measured across 11 hospitals & 1 ASC at the University of Maryland Medical System
Get Started
See what Gallion looks like on your data.
30 minutes with our team. We’ll walk through your current workflow and show you exactly what changes.