Denials ROI Calculator

Power your revenue cycle to succeed.

With denials and underpayments on the rise, it’s important to eliminate manual, inefficient identification and appeal processes. Cognizant can help transform your denials management strategy.

Let's start with some details.

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Get started.

Tell us about your organization.

How many billable providers do you have?

Does 252 working days per year sound right? If not, enter your annual working days below.

Tell us about your revenue.

How many total provider encounters do you have per day?

What is your estimated average reimbursement per claim?

$ {{inputs.ROIcalc_Denials_AvgReimbursementPerClaim}}

What's my projected revenue?

Here’s your projected revenue.

That’s about {{encounters_yrly.toLocaleString()}} yearly encounters for a projected revenue of approximately ${{annual_proj_income.toLocaleString()}}.

Guess how much revenue you are losing to denials.

What’s my denial loss?

Revenue lost to denials.

On average, 12% of claims are denied.* That’s about {{denials_daily_round.toLocaleString()}} denied claims per day representing ${{annual_denail_loss_predicted.toLocaleString()}} annually.

Are you appealing ALL your denied claims?

Yes No

${{number}}{{number}}

*Source: American Medical Association

Most offices don’t appeal denials daily.

On average, only 1 of 10 denials is appealed.* For your organization, that’s appealing about {{appeals_predicted}} of your estimated {{denials_daily_round.toLocaleString()}} daily {{denials_daily.toLocaleString() == 1 ? 'denial' : ' denials'}}. Does that sound about right? If not, update your daily appeals below.

Let’s see how much that amounts to for your organization.

*Source: Harvard Research

Most offices don’t appeal denials daily.

On average, only 1 of 10 denials is appealed* yet 63% are recoverable.
Still, manually appealing claims costs between $25 and $118 per claim.

Reduce the manual effort of appealing claims.
Denials management technology from Cognizant can simplify the process.
Our technology can power your revenue cycle to succeed by enabling you to:

Automate the discovery of denials and underpayments
Streamline appeals
Analyze contract performance
Optimize operations

Identify and appeal your denied revenue with just a few clicks. Ready to learn more?

Request your full ROI

Source: Harvard Resource

Here’s what you are leaving behind.

Daily

${{denial_loss_daily.toLocaleString()}}

Monthly

${{denial_loss_monthly.toLocaleString()}}

Annually

${{denial_loss_annually.toLocaleString()}}

Cognizant’s Denials and Contract Management solutions offer a cost-effective way to discover and appeal revenue.
Let us show you.

Recovering all your denials potentially raises your profit by

{{number}}%

Our technology can power your revenue cycle to succeed by enabling you to:

Automate the discovery of denials and underpayments
Streamline appeals
Analyze contract performance
Optimize operations

With just a few clicks you can identify and appeal your denied revenue.

Disclaimer: This calculator is intended for illustrative purposes only by TriZetto Provider Solutions, LLC (TPS) and makes use of preliminary data intended for hypothetical and demonstrational purposes only. Actual results and performance using live data in a production environment may vary for the available solutions by TPS and its suppliers. Your use of this calculator is on an “AS-IS” basis and at your own risk. No representations, guarantees, warranties or commitments are made or implied by TPS, or its suppliers, regarding use or results of the TPS solutions. Output results from the calculator may vary with each use and with the passage of time. The calculator makes certain assumptions for illustrative purposes only. TPS and its suppliers shall continue at all times to own the technology and information contained in the calculator; no license, access rights, or intellectual property rights are conveyed to you whatsoever. You shall not copy, replicate, reverse engineer, decompile, or create derivative works with this calculator. Your use of any TPS solution is subject to executing a standard TPS agreement for services. For information on how TPS’s solutions can benefit your business’s actual needs, contact a TPS Sales Representative.

Take a proactive stance to payer recoveries.

Let us help you transform your denials management strategy.

Read our recent article, 5 Steps to a More Effective Denials Management Process, for easy action items to help build a robust denials management strategy for your practice.

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Our intuitive technology streamlines the process and can help identify, appeal and avoid the most costly and impactful denials and underpayments.

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