Profitability Rests in the Hands of Your Clinicians

Use the calculator below to estimate the impact of undercoding on your organization.

Clinician knowledge, confidence, and accuracy have a direct impact on your organization's financial health. Even for common conditions, incorrect documentation and coding can result in significant lost revenue. Many visits that should qualify as Level 4 are frequently down coded to Level 3—whether due to incomplete documentation, uncertainty, or lack of training.

This calculator will help you estimate the impact on your urgent care clinics. However, medical reimbursement is complex. Consult your billing department to verify the potential revenue at your medical practice.

Example

Estimated Revenue Increase from Rightsized Coding of Strep Pharyngitis (Pediatric Patients)
# of strep pharyngitis (pediatric patients) diagnosis annually, per center	500
Average reimbursement rate for a Level 4 visit	$272
Average reimbursement rate for a Level 3 visit	$182
Lost revenue per patient encounter undercoded	$90
Estimated percentage that are undercoded	40%
Estimated total patient encounters undercoded	200
Potential Unrealized Revenue Due to Undercoding
Per Center	$18,000
Note: The number of strep cases and the average reimbursement rates (blended rates representing all payers) are based on a large multi-center urgent care system's comparables. The estimated percentage of undercoded charts is based on a study conducted by EB Medicine.

The Multiplier Effect

Your Turn!

Calculate What You're Leaving on the Table.

Use this quick tool to estimate how much unrealized revenue your group may be missing.

Your data isn't stored. This calculator is free to use—no strings attached.

Estimated Revenue Increase from Rightsized Coding of (diagnosis)
# of diagnosis per year, per clinic Please select an option!	# of diagnosis per year, per clinic Please enter a value!
Average reimbursement for a Level 4 visit $	Average reimbursement for a Level 4 visit $ Please enter a value!
Average reimbursement for a Level 3 visit $	Average reimbursement for a Level 3 visit $ Please enter a value!
Lost revenue per patient encounter undercoded $	Lost revenue per patient encounter undercoded $
Estimated percentage that are undercoded %	Estimated percentage that are undercoded % Please enter a numeric value!
Estimated total patient encounters undercoded	Estimated total patient encounters undercoded
Potential Unrealized Revenue Due to Undercoding
Per Center$	Per Center $0
The Multiplier Effect
Enter your number of Centers	Enter your number of Centers Please enter a value!
Potential Unrealized Revenue for	Potential Unrealized Revenue for $0