Overview
Simulation is what-if revenue forecasting. You apply markup or discount rules to a recent baseline and forecast the impact. It has two modes:- Items — supply-level price changes.
- Billing groups — group-level discount or uplift rules.
When to use it
- You’re considering a price change on one or more supply items and want to estimate the revenue effect.
- You’re considering a discount (or uplift) on a billing group and want to model the outcome.
- You want to compare scenarios before committing to a pricing decision.
Inputs
Shared inputs (most are optional and fall back to sensible defaults):- Mode — items or billing groups.
- Lookback window — the historical date range used as the baseline.
- Forecast horizon — how far ahead to project.
- Scope filters — narrow the simulation (for example, by payor organization, specialty, procedure, surgeon, or diagnosis).
- Items mode — one or more selected supply items, each with a markup or discount expressed as a percentage or a flat per-unit price.
- Billing-groups mode — a selected billing group with a discount or uplift rule.
Steps
Set the window and scope
Optionally set the lookback window, forecast horizon, and any scope filters.
Define the change
For items, select supplies and set a percentage or flat price change. For billing
groups, select a group and set a discount or uplift.
Outputs
The results show the projected impact broken down three ways:- Overall — totals before and after, the net impact, and the percentage change.
- By procedure — revenue before/after and share of impact per procedure.
- By payor — the same breakdown per payor.
Notes & caveats
- Simulation requires enough recent history to build a baseline forecast. If the underlying forecast model isn’t available for your scope, the simulation can’t run for that selection.
- Forecasts are estimates and come with model-quality context — treat them as scenario guidance, not guaranteed outcomes.
- Results are scoped to your organization.