Revenue Cycle · Credentialing

See what you're leaving on the table.

Three quick inputs per tab reveal the revenue lost to credentialing delays, denied claims, and a leaky cycle — and the share Med USA recovers. Built on MGMA, Experian Health and industry benchmarks.

Choose a calculator

The pain · Claim denials

Up to two-thirds of denied claims are never reworked.

The industry runs a 10–15% denial rate. Med USA's 98% first-pass rate means a ~2% first-pass denial rate — claims paid the first time, before the leak ever starts.

Your inputs

Tell us about your claims

Claims submitted per month1,900

20020,000

Average reimbursement per claim$150

$60Commercial $127$600

Your current first-pass denial rate12%

2%industry 10–15%25%

Med USA target first-pass denial rate: 2% (98% first-pass clean).

Revenue permanently lost to unreworked denials today

$279K / yr recovered

Closing the gap from your denial rate to Med USA's 2% first-pass — recovered revenue plus rework cost you stop paying.

Your denial rate

first pass

12%

Med USA

first pass

The Med USA cure: front-end eligibility, prior-auth and coding accuracy stop denials at the source — so claims are paid the first time instead of joining the 65% that are never reworked.

Denied claims avoided per month

190

Revenue recovered

denials never reworked, 65%

$222,300

Rework cost eliminated

$25 / claim

$57,000

Annual value recovered + cost saved

$279,300

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 paid on first submission	~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'll run your actual numbers — payer mix, denials, A/R aging, credentialing pipeline — and return a line-item recovery plan within five business days.

Start my revenue check-up

Sources: MGMA revenue-cycle benchmarks; Experian Health 2025 State of Claims; AHIMA Journal; Premier Inc.; Change Healthcare Denials Index; U.S. BLS; NCQA 2025 standards; and 2025–2026 industry credentialing studies. 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