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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.

Next Step For Your Practice

Turn these Denial Cost insights into a practice-specific review

Shocked by your annual denial rework cost? Aethera reviews denial causes and agrees prevention and follow-up targets in writing. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free. Results in 14 days after the BAA, complete intake and agreed success criteria.

Free 50-Claim Audit Pilot

Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.

Instant A/R Gap Analysis

Enter your aging totals for an instant planning report. Uploaded files are processed locally; clinical intake is arranged separately.

Scoped targets in writing Human review before submission HIPAA BAA Provided

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