The claim denial calculator is an interesting one to work through for you to be able to communicate the cost of working claims denials.

So it's a tool that you can go and fill out. So for this one, for example, fill a number of claim denials.

So let's say in a year I have 1500 claim denials, and let's say my average reimbursement for by claim is $250. This tells me what my cost is per week, per month, and per year for working those denials with that average reimbursement.

So let's say that you're short staffed and you're trying to make a justification to add a staff member to help with denials. This would help give you the business case in order to support bringing in another FTE, because I'm pretty sure it would not cost you three hundred and seventy five thousand dollars to hire someone to work on your denials. Okay.

If you want to determine what it costs you to rework claims. So let's say that I am determining, okay, if I am going to be working fifteen hundred claims that are denied, okay, and it costs me an average to rework a single claim, this is where you would have to say, okay, how much FTE time does it take? How many denials can someone work in an hour?

If I'm able to work four denials in an hour and I'm making twenty five dollars an hour, I would take the twenty five divided by two, I mean, divided by four. And that would give me my average cost. This one is saying that my average cost is twenty five dollars per claim.

Number of physicians, let's say that I have one doctor.

Again, it's giving me this calculation of how much it would cost. Let's say it was ten doctors, same amount. Regardless of the number of doctors, what's driving this is the number of denials and what your average expected reimbursement is per claim that is denied.