ROI calculator
Model the money that is already yours.
This does not estimate new revenue. It estimates revenue you have already earned and billed, that is currently being written off.
Your inputs
900
Total across all providers and locations.
180 USD
Allowed amount, not billed charges.
11%
Share of claims denied or rejected on first submission.
35%
Honest estimate of what gets written off rather than appealed.
Estimated recoverable revenue
$44,906
per year, conservatively modelled
- Monthly billed value
- $162,000
- Monthly value denied
- $17,820
- Denied and abandoned
- $6,237
- Recoverable monthly
- $3,742
The assumptions, stated
- We assume 60% of abandoned denials were ultimately payable. Industry discussion often uses a higher figure; we use a lower one deliberately.
- Underpayments, missed charges and timely-filing write-offs are excluded, so real exposure is usually larger than this number.
- This is a model, not a projection of our results. Actual recovery depends on payer mix, filing limits and documentation quality.
Next step
A model is a starting point. Your data is the answer.
An audit against your actual claims replaces every assumption on this page with a real figure.
Replace the estimate with the real number.
Send us a sample of your claims and your current aging. You get a written read on what is happening in your revenue cycle — including what is already working.