This calculator estimates your potential lost and delayed revenue based on the following inputs:
Monthly Encounters: The total number of patient visits you or your group typically see each month.
Average Reimbursement: The average dollar amount reimbursed per encounter.
Missed Charges (%): The percentage of encounters that go unbilled due to incomplete documentation, forgotten charges, or process gaps.
Denial Rate (%): The percentage of claims denied on first submission, requiring rework or resubmission.
Monthly Lost Revenue:
MonthlyEncounters×AverageReimbursement×MissedChargesMonthly Encounters × Average Reimbursement × Missed Charges %MonthlyEncounters×AverageReimbursement×MissedCharges
Monthly Delayed Revenue:
MonthlyEncounters×AverageReimbursement×DenialRateMonthly Encounters × Average Reimbursement × Denial Rate %MonthlyEncounters×AverageReimbursement×DenialRate
Monthly Collected Revenue:
TotalPotentialRevenue−(LostRevenue+DelayedRevenue)Total Potential Revenue - (Lost Revenue + Delayed Revenue)TotalPotentialRevenue−(LostRevenue+DelayedRevenue)
Potential Additional Revenue with Genesis:
Assumes that Genesis can help recover up to 85% of missed or delayed revenue through automated charge capture, real-time coding, and denial reduction.
These calculations are estimates and may vary based on payer mix, specialty, and individual workflow.
For a more precise assessment of your potential ROI, we recommend scheduling a demo and review of your billing data.
The assumptions used here are based on industry averages and MediMobile client results.