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Denial cost calculator

Denied claims cost you twice — lost reimbursement and the staff time to rework them. Put real numbers to both, per week, month, and year, and see the combined annual impact on your practice.

Revenue loss + rework Per week / month / year MGMA rework benchmark
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Revenue lost to denials

Reimbursement you never collect when denials aren’t worked to resolution.

Your revenue loss

Per week$4,808
Per month$20,833
Per year$250,000

Cost of reworking claims

Staff time and overhead spent chasing and resubmitting denied claims.

Your rework cost

Per week$485
Per month$2,100
Per year$25,200

Combined annual impact of denials

$275,200/year

Lost reimbursement plus rework cost. Cutting your denial rate and working denials to resolution recovers most of it. Rework benchmark (~$25/claim) per MGMA. Estimation only.

Estimation only. Actual losses depend on your payer mix, appeal success, and how many denials are truly recoverable. Use the denial-code lookup to work the specific CARC/RARC codes driving yours.

Most of that is recoverable.

Aethera lowers denial rates and works every denial to resolution. See how much of this number we could win back for your practice.

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