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MANUAL QA COST-BENEFIT CALCULATOR

Can't get Automated QA just yet? Don't let that stop you!

Here is a tool to help you estimate and cost-justify creating a MANUAL QA process at your hospital. First step... let's do the math. Change the assumptions below to match your situation and auditing goals (see highlighted fields) and calculate the COST and BENEFIT of doing manual QA at your facility. Note this assumes only ONE area of hard savings (Denials Prevention)... there are many more.

Then print this page and give to your CFO or revenue cycle committee to begin a discussion. We can also send you FREE MANUAL QA TOOLS to help you get started. We want to be your QA resource to help you transform Patient Access into a powerhouse for your hospital!

To customize the estimated ROI, enter values for your facility in the highlighted fields below:

COST: Manual Registration QA Enter average registrations per year:    Enter average gross charges per account: $ Enter the percentage of total accounts you wish to manually audit:   % Enter the depth of the audit (number of error types to look for)    Enter annual salary (incl Ben+OH) per FTE: $ FTE investment required:    Total Cost in Salaries: $ BENEFIT: Denials Prevention (write-offs due to denied claims) Estimate your current fatal error rate:   % Claims with fatal errors (at risk of denial):    Claims with fatal errors x average charge per claim:    Enter your avg ratio of reimbursement to charges   % Revenue at Risk: $ Write-off rate (percentage of non-reimbursable fatal errors):   % Potential Write-offs Avoided from a Registration QA Process: $