---
title: "RCM Calculator"
url: https://medvoiceinc.com/rcm-calculator/
updated: 2026-10-02
---

# RCM Calculator

## Get Instant RCM Performance Insights




















KPI Calculator


Enter your actual numbers — all results update instantly. No data is sent anywhere.


















Net collection rate




Gross charges billed ($)

Total charges before any adjustments





Contractual adjustments ($)

Payer write-offs, contracted discounts








Non-contractual write-offs ($)

Patient responsibility adjustments, bad debt





Payments received ($)

Actual cash collected in period








Open AR ($)

Outstanding accounts receivable









Net collection rate


—







Net collectible amount


—


Charges − adjustments − writeoffs − AR





Uncollected balance


—


Revenue left on table














Days in accounts receivable




Total AR balance ($)

All outstanding receivables today





Total charges for period ($)

Gross charges billed this period








Days in period

30 = monthly, 90 = quarterly





Specialty benchmark (days)

Your specialty's typical target









Days in AR


—







Daily charge rate


—


Charges ÷ days in period





vs. your benchmark


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Claims metrics




Total claims submitted




Accepted on first pass




Claims denied







Claims resolved on first touch

For first-pass resolution rate





Charts audited




Charts coded correctly








Clean claim rate


—







Denial rate


—







First-pass resolution


—







Coding accuracy


—
















AR aging analysis




0–30 days ($)




31–60 days ($)







61–90 days ($)




>90 days ($)
















Appeals & denial recovery




Total appeals filed




Appeals overturned (won)







Appeals upheld (lost)




Avg $ value per denied claim








Overturn rate


—







Pending / unknown


—





Revenue recovered


—


Won × avg claim value





Revenue lost


—


Lost × avg claim value















Volume inputs




Total claims submitted




Total claims denied




Claims resolved on first touch

Paid or legitimately adjusted, no follow-up needed








Denials overturned on appeal




Avg $ value per denied claim




Preventable denials (%)

% of denials that were avoidable (industry avg ~65%)









Denial rate


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First-pass resolution rate


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Preventable denial cost


—


Revenue at risk from avoidable denials





Net denial impact


—


After subtracting recovered appeals














Staff productivity




Claims processed (period)




Working days in period




Number of staff







Staff clean claim rate (%)




Total days items in queue

Sum of wait days across all accounts





Number of accounts worked








Claims per day (total)


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Claims per staff per day


—







Avg queue age (days)


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Clean claim rate


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Site: https://medvoiceinc.com/ · Overview for AI: https://medvoiceinc.com/llms.txt