Credentialing ROI
Faster enrollment revenue — providers in-network and billing in days, not months.
See what you're leaving on the table.
Industry averages vs. Med USA across the three places practices lose revenue — credentialing delays, denied claims, and a leaky revenue cycle.
Who we are
End-to-end revenue cycle & credentialing, delivered by US-based experts who treat your numbers as their own.
Since 1979, Med USA has partnered with medical practices to recover lost revenue, streamline credentialing, and reach new peaks.
More about Med USA1979
Serving practices since
500+
Practices served
31M+
Patient visits supported
50K+
Payer enrollment apps annually
100%
US-based account managers
50
States covered
Where revenue leaks
Three places practices lose revenue — and how we close the gap.
Denials & Clean Claims
Avoid and rework denials — 98% first-pass vs. the ~88% industry norm.
Revenue Recovery
Recover leaked revenue — underpayments and aging A/R most practices never measure.
Value Calculator · 01 Credentialing ROI
Every day a provider waits is revenue you never get back.
Industry credentialing runs 90–120 days — and there's no retroactive billing for the gap.
Industry average
90–120 days
credentialing to in-network billing
- No retroactive billing — gap revenue is lost for good
- Providers sit idle on payroll while claims go unbilled
- Manual tracking, expirations and payer follow-up stall files
With Med USA
~15 days
average to application submission*
- Fast submission — billing pulled forward, not lost
- Zero-gap re-credentialing keeps panels active
- Live status tracking across every payer and state
The math
A provider billing $6,000/month who starts billing 55 days sooner recovers about $11,000 — per provider, this year. It scales fast for specialists at $20K+/month and multi-provider hires.
Open the calculator$11K
recovered per provider
Value Calculator · 02 Denials & Clean Claims
Denials drain revenue twice — once when they happen, again when nobody reworks them.
The industry denies 10–15% of claims on first pass — and 65% of denials are never reworked at all.
Industry average
10–15%
first-pass claim denial rate
- ~88% clean-claim rate — 1 in 8 claims bounces
- 65% of denied claims are never reworked
- Rework costs stack on top of the lost reimbursement
With Med USA
98%
first-pass claim acceptance rate
- ~2% denial rate — claims scrubbed before submission
- Every denial worked to resolution, not written off
- Denial patterns fixed at the root cause
The math
At 1,900 claims per month and a $150 average reimbursement, beating the industry denial rate is worth about $279,300 per year in recovered revenue.
Open the calculator$279K
recovered per year
Value Calculator · 03 Revenue Recovery
Silent leakage: underpayments and aging A/R most practices never measure.
Cash that arrives late — or short — compounds quietly across every payer, every month.
Industry average
40+ days
in accounts receivable
- 90–95% net collection — points of revenue leak away
- Underpayments go undetected without payer auditing
- Aging A/R quietly becomes write-offs
With Med USA
34 days
average days in A/R
- 96%+ net collection rate target
- 10–15% average payment increase
- Underpayment identification and payer appeals
The math
On $3M in annual collections: a ~$360K payment lift plus ~$131.5K in one-time cash from a faster A/R cycle — about $491,500 of first-year impact.
Open the calculator$491.5K
first-year impact
Scorecard
Where the industry sits vs. Med USA.
| Metric | Industry average | Med USA |
|---|---|---|
| Days in A/R — time to get paid | 40+ days | 34 days |
| First-pass / clean claim rate | ~88% | 98% |
| Claim denial rate — first-pass denials | 10–15% | ~2% |
| Net collection rate — of collectible revenue | 90–95% | 96%+ target |
| Credentialing — to in-network billing | 90–120 days | ~15 days* |
*Average days to application submission; payer activation varies. Benchmarks are directional industry figures — your written diagnostic uses your actual numbers.
Next step
Turn these estimates into a written diagnostic.
We run your actual numbers — payer mix, denials, A/R aging, credentialing pipeline — and return a line-item recovery plan within five business days.
Sources: MGMA revenue-cycle benchmarks · Experian Health 2025 State of Claims · Change Healthcare Denials Index · AHIMA Journal · Premier Inc. · NCQA. Figures are directional and for illustration — not a guarantee of results.
Next steps
See what your practice is leaving on the table.
Tell us about your practice. A senior revenue specialist will reach out within one business day to schedule a no-pressure check-up.
- No software change required
- Beat industry averages with our expertise
Speak with a specialist within 1 business day
hello@medusarcm.com
US-based teams · serving all 50 states