Medicare reimbursement for anesthesia services is currently dependent on a complex set of rules which include the rank of the anesthesia provider and the number of concurrent rooms supervised. Initial analyses show that Medicare non-compliance can result in a ~5% loss of gross revenue in the anesthesia department. Mayo Clinic investigators have developed a tool that tracks operating rooms in real-time to optimize staffing ratios in order to best comply with Medicare reimbursement requirements. This tool includes the capability to create “what if” scenarios to aid the anesthesia care team in making staffing decisions with the lowest financial impact. This system has the capabilities to be implemented on a variety of platforms and to apply changes in Medicare rules in real-time. Use of this tool can minimize Medicare non-conformance penalties and ease the process of anesthesia scheduling.