Senior financial leadership and credentialed operational surge teams precisely when health systems face maximum vulnerability. We place veteran Interim CFOs, VP of Revenue Cycle, and PFS Directors within 7 to 10 days, paired with turnkey EHR cutover surge pods (Epic Resolute, Oracle Health Cerner, MEDITECH Expanse) to protect cash flow, defend bond covenants, and liquidate legacy dual-ledgers without operational collapse.
Migrating a multi-hospital network to Epic Resolute, Oracle Health Cerner Millennium, or MEDITECH Expanse is the single most dangerous operational event a healthcare health system CFO will ever navigate. Without experienced interim leadership and dedicated surge capacity, catastrophic cash flow freezes frequently result.
Charge lag skyrockets during cutover. Billing clerks unfamiliar with new workqueues struggle to generate clean 837 claims. Clearinghouse 277CA rejections accumulate undetected in hold queues, while electronic remittances (835) fail to post automatically. Daily hospital cash receipts drop by 40% to 70%, burning through reserves.
Internal billing staff cannot work two systems at once. Hospital leadership naturally directs all staff into the new EHR, leaving tens of millions in legacy A/R entirely untouched. As accounts sit dormant past 90 and 120 days, commercial timely-filing windows close, turning collectible revenue into permanent unrecoverable write-offs.
The immense pressure of an enterprise conversion frequently triggers sudden resignations of CFOs, VP of Revenue Cycle, or PFS Directors mid-project. Executive search firms require 6 to 9 months to complete permanent placements. Health systems cannot afford 9 months of rudderless revenue cycle operations.
Health systems have strict institutional debt covenants mandating 150+ Days Cash on Hand (DCOH) and minimum 1.25x Debt-Service Coverage Ratios (DSCR). A post-cutover cash trough can trip technical defaults, forcing credit downgrades by Moody's or Fitch and exponentially inflating capital borrowing costs.
Nova Arc provides board-ready healthcare financial executives who integrate immediately to steady hospital balance sheets, command daily operations, and establish rigorous financial accountability.
Veteran hospital Chief Financial Officers who immediately step in during unexpected vacancies or major organizational restructurings. Our interim CFOs take full fiduciary command of treasury, bondholder relations, banking syndicates, capital budgeting, and audit committees.
Operational leaders who command the entire front-to-back revenue cycle engine. Experienced across multi-hospital campuses, physician networks, and ambulatory surgical centers, our interim directors instill daily metric accountability and eradicate cross-departmental silos.
Designed for mid-sized health systems and expanding specialty hospital groups that need elite healthcare CFO intellect for high-stakes strategic initiatives without committing to a $600K+ full-time executive compensation package.
When health systems convert EHRs, Nova Arc establishes a centralized Revenue Command Center headed by our Interim RCM Director and supported by specialized on-site and remote surge pods across all four phases of transition.
Execute rigorous end-to-end simulated claim drops. Audit chargemaster (CDM) mapping to new charge routers, test clearinghouse EDI 837/835 translators, validate provider NPI crosswalks, and set baseline pre-live KPIs.
Interim Director conducts twice-daily C-suite command huddles. Credentialed super-user surge pods provide at-the-elbow support to registration, HIM coding, and billing staff across every hospital campus to prevent backlogs.
Dedicated Nova Arc surge pods take 100% ownership of the legacy EHR accounts (e.g. Cerner classic, MEDITECH 6.1, Allscripts). Systematically work and liquidate aged accounts before timely filing expires while hospital staff masters Epic.
Legacy systems cleanly decommissioned. Interim leadership finalizes documented SOPs, trains permanent managers, participates in executive board search panels for permanent leadership, and smoothly exits.
Model your health system's annual Net Patient Revenue (NPR), campus count, and target EHR conversion to calculate estimated at-risk unbilled cash, preserved Days Cash on Hand, and required surge pod staffing.
Explore how Nova Arc combines senior C-suite leadership with specialized on-site and remote operational surge pods to safeguard multi-hospital operations.
Veterans of multi-hospital health systems who step in during CFO vacancies, restructurings, or major capital campaigns. Commands treasury, debt service, banking syndicates, board reporting, and payer contract negotiations.
The Challenge: When the VP of Revenue Cycle resigned 60 days prior to a multi-hospital Epic conversion, the health system faced imminent cutover paralysis across 6 facilities with $1.4B in annual revenue and $48M in legacy Cerner receivables.
The Challenge: Unexpected CFO retirement coupled with delayed charge router reconciliation during a MEDITECH Expanse conversion triggered a cash drop that threatened a 1.20x debt-service coverage ratio violation with local bondholders.
Schedule an immediate confidential consultation with Nova Arc executive partners. We will assess your health system's leadership vacancy or upcoming EHR conversion timeline and present vetted executive options within 48 hours.
