Your financial prep guide for ACEP Scientific Assembly 2027
ACEP27 Scientific Assembly runs October 25-28, 2027 in Boston. Emergency groups are still working through the No Surprises Act's payment-dispute process and pressure on payer rates, so the economics an ED leader walks in with matter as much as the clinical track. Sorso is not an exhibitor, sponsor, or speaker at this event. This is an independent prep guide for EM physicians and group leaders.
Going to ACEP Scientific Assembly 2027? Know your own numbers before the sessions start. The free assessment takes about four minutes; a call with Stan takes 30.
The CFO read
The emergency groups that keep their independence treat their own cost structure as a negotiating asset, not an afterthought. When a hospital reopens the stipend conversation, the group that arrives with cost per coverage hour and payer-mix trends sets the terms; the group that shrugs takes what it is offered. Before Boston, build a one-page economic picture of each contract you hold. That is the document that decides your next renewal, long before anyone walks a clinical hall.
— Stanislav Sukhinin, CFA · Founder, Sorso
Why this matters for your bottom line
Payer mix decides an emergency group's revenue more than volume does. A shift of a few points toward Medicaid or self-pay can erase a good year, and groups that do not track it monthly find out at tax time.
Hospital stipends get renegotiated, and a group that cannot show its own cost per coverage hour negotiates the subsidy from a weak position.
Coding accuracy sits directly on the bottom line in the ED. Downcoding and missed critical-care time quietly drain collections that no volume increase replaces.
Staffing with advanced practice providers changes both cost and liability. A group that has not modeled revenue per APP against physician coverage is guessing at its most expensive line.
What to look for
Payer contracting and out-of-network sessions covering the No Surprises Act dispute-resolution rulings
Documentation and coding workshops on critical-care time, observation, and downcoding recovery
Hospital stipend and contract renegotiation sessions built on cost per coverage hour
APP staffing and scope sessions tied to revenue contribution rather than coverage alone
Benchmarking content on cost per RVU and collections per encounter for independent groups
Governance and partnership-economics workshops, worth sitting in on before any acquisition conversation
Financial prep checklist
Review these before you go.
Pull collections per encounter and per RVU, split by payer, for the trailing 12 months
Trend your payer mix month by month and flag the direction of Medicaid and self-pay share
Reconcile your stipend or subsidy against your actual cost to staff the coverage it funds
Audit your coding distribution: critical-care capture, observation billing, and downcode rate
Calculate revenue per APP hour against physician hour for each site you cover
Break out your denial rate by reason code and the dollars tied up in each bucket
Before ACEP Scientific Assembly 2027, get your own numbers straight
Walk in able to check every benchmark on the slides against your own numbers. Three ways owners start with us:
Urgent Care Accounting & CFO
Built for urgent care economics
Per-visit cost, payer contracting, de novo ramp, and multi-site P&L — for urgent care owners. From $2,000/mo.
Explore your specialty →Accounting
Healthcare-specialist accounting
Books done right by people who understand clinic finance. Starts at $2,000/mo.
Explore Accounting →Free Assessment
A financial checkup before you go
Four minutes. See where your practice stands so every session is measured against your own numbers.
Take the assessment →Going to ACEP Scientific Assembly 2027?
Tell us, and we will look at coming to meet you.
Stan does not have a ticket booked for this one yet. If enough clinic owners want to sit down there, that is what decides it. Register interest and we will confirm either way well before the dates — no obligation, and we will not add you to a mailing list.
Register interest in meeting →
Founder of Sorso and a CFA charterholder. Before Sorso, Stan spent 19 years in corporate finance at institutions including UniCredit and Société Générale — managing a $450M loan portfolio and making senior partner at a major mezzanine lender by 29 — then built a fractional CFO firm exclusively for outpatient healthcare clinics.