Denial Rate Calculator
Claims denial rate and revenue impact analysis.
Inputs
%
%
%
Results
Denied claims per month
120
Annual revenue at risk
$266,400.00
Clean claim rate92%
Monthly revenue at risk$22,200.00
Monthly recovered via appeals$6,475.00
Annual appeal costs$43,056.00
Net annual revenue lost$188,700.00
Savings from hitting target$133,200.00
Est. days in AR impact16
Annual Recovered77,700
How to Use This Calculator
- Enter Total claims per month and your Current denial rate (%) — the national average is 5–10%.
- Input Avg claim value and Appeal success rate (%) to model the revenue recoverable through the appeals process.
- Set Cost per appeal and Billing staff hourly rate to capture the true cost of working denials.
- Enter your Target denial rate (%) to project the Savings from hitting target after implementing improvement initiatives.
- Review Monthly revenue at risk and Annual revenue at risk to quantify the business impact of current denial levels.
- Use Days in AR impact and Clean claim rate to benchmark performance and set billing team improvement goals.
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