Why does the model assume 65% denial recoverability?

That is the median first-pass-denial recovery rate across the Medonix client base over the last 12 months. CO-16 (information missing) recovers higher; CO-50 (medical necessity) recovers lower. Specialty mix shifts the number, but 65% is a defensible blended assumption.

What is the 4.5% outsourced cost based on?

Median engagement size across the Medonix book of business, blended across solo, group, and multi-site practices. Specialty, payer mix, and complexity move the actual rate; this is the directional number used in early-stage modeling.

Should I use this to make a vendor decision?

No, this is a sizing tool, not a procurement substitute. Use the output to decide whether a deeper engagement diagnostic is worth scheduling. The actual savings depend on your payer mix, specialty, current process maturity, and contract specifics.

Are my inputs sent to Medonix?

No. The calculator runs entirely in your browser. Inputs are never transmitted to Medonix unless you explicitly opt in to email yourself a copy of the report.

Free tool

Medical Billing ROI Calculator

Name: Medonix MSO
Address: 300 Delaware Ave Suite 210, Wilmington, DE, 19801, US
Telephone: +1-302-520-5413
Price range: $$

See your projected revenue lift in 60 seconds. This calculator is free, requires no signup, and runs entirely in your browser. Medonix never receives your inputs unless you opt in to receive a personalized report by email.

Result

Annual lift

$429.8k

Combined: denial recovery + faster A/R + lower billing cost.

Lift vs. net collections

7.2%

Practices in our cohort typically realize 4–9% lift in year one.

Denial recovery

$214.5k

Reducing 10% → 4.5% denial rate, 65% recoverable.

Cost reduction

$210.0k

In-house 8% → Medonix 4.5% of net collections.

Aligned to MGMA top-performer and HFMA best-in-class benchmarks, Medonix engagements target sub-5% denial rates, sub-30-day A/R, and billing operating cost in the 4–5% of net collections range. Your projected annual lift is $429.8k.

Methodology

Denial recovery: 10.0% denial rate × 65% historically-recoverable share, applied against the difference between current and target denial rates.

A/R carry cost: 0.01% per day proxy for opportunity cost on outstanding A/R, scaled to the gap between current and target days.

Cost reduction: direct difference between current in-house billing operating cost and a typical Medonix engagement (4.5% of net collections, blended across specialties).

Frequently asked

About the Medical Billing ROI Calculator.

The model uses three independent levers (denial recovery, A/R acceleration, and billing operating cost), each anchored to published benchmarks (MGMA, HFMA) and supplemented with anonymized observations from Medonix's founding client cohort. Outputs are directional, not a guarantee, but the underlying multipliers reflect what we see in production engagements.

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Medical Billing ROI Calculator

About the Medical Billing ROI Calculator.

01How accurate is the ROI calculator?

02Why does the model assume 65% denial recoverability?

03What is the 4.5% outsourced cost based on?

04Should I use this to make a vendor decision?

05Are my inputs sent to Medonix?

Ready to recover every dollar your practice earns?