Should I trust the dollar leak number?

It is directional, not diagnostic. Use it to size whether a deeper audit is worth doing. The actual leak depends on your specialty, payer mix, and which specific items are unchecked. Eligibility gaps recover faster than coding gaps.

What is the next step after the audit?

Pick the two highest-weight unchecked items and close them in 30 days. For most practices that is eligibility verification and denial follow-up cadence. Book a discovery call if you want a credentialed-coder review tailored to your workflow and payer mix.

Free tool

Practice Revenue Leak Audit

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

Surface where your revenue is leaking, for free. 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.

Your numbers

Monthly net collections

Process checklist

Eligibility verified before every visitUp-front eligibility eliminates the largest single denial category (CO-27).+18Prior authorization tracked to a deadlinePA lapse and missing PA are top denial drivers for procedures and DME.+14Coding reviewed by a credentialed coderAAPC/AHIMA review catches downcoding and missed modifiers.+14Denials worked within 14 daysPast 14 days, recovery rates fall sharply; past 30, they collapse.+12A/R aging buckets reviewed weekly60+ day buckets need a worked-list cadence to avoid silent write-off.+10Patient statements sent on a scheduled cadenceStatement timing drives patient-pay collection rate more than design.+8Contractual underpayments tracked vs. fee scheduleMost practices write off underpayments without realizing it.+8Monthly KPI dashboard reviewed by leadershipDays in A/R, denial rate, and clean-claim rate at a minimum.+8Fee schedules reviewed at contract renewalA 2-year-old fee schedule is almost always under-rate-current.+8

Calculations run in your browser. Inputs are not transmitted to Medonix.

Result

Process score

0 / 100

85+ healthy, 65–84 fixable, <65 material risk.

Estimated revenue leak

15.0%

Of net collections, based on the unchecked-process gap.

Annual leak ($)

$900.0k

Applied to your monthly collections × 12.

Items to close

Unchecked process items above.

Material leak risk. The unchecked items collectively cover the four highest-cost denial categories (CO-16, CO-27, CO-50, CO-97).

Methodology

Process score: sum of the weights for checked items, on a 100-point scale. Weights reflect the relative impact of each gap on revenue leak across the Medonix client cohort.

Estimated leak: (100 − score) × 0.15, capped between 0 and 15%. The 15% ceiling matches the worst-decile leak observed during onboarding audits before remediation.

For a credentialed-coder review of your specific workflow, book a discovery call.

Frequently asked

About the Practice Revenue Leak Audit.

Each item carries a weight that reflects its observed impact on revenue leak, based on MGMA / HFMA published denial-driver studies cross-referenced with onboarding audits from Medonix's founding cohort. Eligibility verification (18) and prior-authorization tracking (14) carry the most weight because they map to the largest single denial categories (CO-27, CO-15, CO-197).

Talk to RCM

Ready to recover every dollar your practice earns?

See your projected revenue lift in 60 seconds, or talk to a senior RCM strategist now. No commitment. Same-day slots available.

30-day parallel-run guarantee
Targets written into the contract
HIPAA · SOC 2 Type II · HITRUST

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Practice Revenue Leak Audit

About the Practice Revenue Leak Audit.

01How is the process score weighted?

02How is the leak percentage calculated?

03Should I trust the dollar leak number?

04What is the next step after the audit?

Ready to recover every dollar your practice earns?