Most independent practices don't know — and that gap is costing them $20,000–$60,000 a year. This calculator tells you where you stand and what it means.
Your Practice Data
Estimate is fine — use your most common procedure value.
Staff Time Cost
Include submissions, follow-ups, appeals, and portal logins.
Fully loaded rate including benefits. $25/hr is typical.
Your Prior Auth Approval Rate
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Approval Rate
Denials per quarter
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Prior auths not approved in the last 3 months
Denials being appealed
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Based on your appeal rate
Revenue at risk (quarterly)
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Denied claims × avg reimbursement
Estimated annual exposure
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If denial rate holds — before appeals
How You Compare — Your Specialty
Your practice—
Specialty average—
Top-performing practices—
Revenue Written Off — Unappealed Denials
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The total dollar value of denials your practice did not appeal. This revenue was earned clinically and lost administratively. Most practices have never seen this number.
Estimated Recoverable Revenue — If Properly Challenged
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80% of your written-off denials were likely winnable. Industry data shows 80% of properly challenged prior auth denials are overturned. This is the revenue your practice left on the table.
Annual Staff Time Cost — Prior Authorization
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Hours per week spent on prior auth work
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Hours per year consumed by prior auth
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Annual staff cost at your hourly rate
This is what prior authorization is costing your practice in staff time alone — before counting a single dollar of lost revenue from unappealed denials. Most practices are unaware of both numbers simultaneously.
Total Annual Business Impact
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Combined revenue leakage from unappealed denials and staff time consumed by prior authorization — the full cost of the status quo.
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Revenue Written Off
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Staff Time Cost
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Total Impact
Your independence is worth fighting for.
MedMojo™ gives independent practices the denial management firepower that corporate health systems take for granted — AI-generated appeals, payer-specific clinical language, deadline tracking, and revenue recovery on autopilot.