How Much Revenue Is Your Practice Losing to Denials?
Move the sliders to match your practice and see an estimate in seconds.
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- Estimate, not a guarantee
Calculate How Much Uncollected Revenue Your Practice Is Losing
Move the sliders to match your practice. This is an estimate, not a guarantee.
Get a Free Audit
How the Numbers Are Worked Out
The calculator uses three inputs and two simple assumptions.
Denied claims
Claims per month multiplied by your denial rate gives the number of denied claims each month.
Revenue at risk
Denied claims multiplied by your average claim value, over twelve months. We assume about 35% of that is never reworked or recovered.
Recoverable amount
We assume around 70% of that lost revenue could be recovered with better denial management.
This is an estimate, not a guarantee. A free audit shows your real numbers.
Common Causes of Denials
Knowing the cause is the first step to lowering your denial rate.
Eligibility errors
Coverage that has lapsed or details that do not match the payer record.
Missing prior authorization
Services that needed approval before the visit but did not get it.
Coding mistakes
Wrong or missing codes and modifiers for the service provided.
Incomplete documentation
Notes that do not support the service billed.
Late filing
Claims or appeals sent after the payer deadline.
Duplicate claims
The same service submitted more than once.
Four Ways to Reduce Denials
Verify early
Check eligibility and authorizations before the visit.
Scrub every claim
Catch errors against payer rules before submission.
Work denials fast
Appeal quickly and fix the root cause each time.
Track the trends
Use reports to spot the payers and codes that cause the most denials.
Calculator Questions
How accurate is the calculator?
It gives a reasonable estimate from the numbers you enter and two simple assumptions. Your actual results depend on your payers, specialty and processes.
What is a good denial rate?
It varies by specialty and payer mix. A free audit shows how your rate compares and where the biggest opportunities are.
Where do I find my numbers?
Your billing system or practice management reports usually show monthly claim volume, average claim value and denial rate.
Want to Know Your Real Numbers?
A free audit reviews your claims data and shows where revenue is leaking.