How Much of Your Revenue Is Nobody Checking?
For community & critical access hospitals
Answer four questions about your hospital and see the range. Every assumption behind the number is shown on this page, and you can change any of them.
Estimate Your Exposure
Do you systematically work payer underpayments?
Claims that were paid — just not at the contracted or scheduled amountFacility type
Changes nothing in the arithmetic — it tells us whether we're the right fit for youCurrently Unverified, per Year
This is an estimate built from your four answers and the assumptions shown below — not a projection of your results, and not a recovery promise. The only way to know your real number is to run your own remittance files.$345,000–$435,000
of your annual net revenue that nobody is currently checking.
- Underpayments nobody is checking
- $45,000 – $135,000
- Denials never reworked
- $300,000
What the assessment actually does
Reads your own 837 claim and 835 remittance files, prices every line against the schedule in force on its date of service, and returns the findings ranked by dollars. Fixed fee, and it can run on de-identified data.
How the Estimate Is Built
The Arithmetic Behind the Numbers
The whole chain, with your numbers in it.
Pool B — underpayments nobody is checking
- Priceable revenue
- $50,000,000 × 30% = $15,000,000
- Underpayment pool
- $15,000,000 × 0.5–1.5% = $75,000 – $225,000
- Left unworked
- × 60%
- = Unverified
- $45,000 – $135,000
Pool A — denials never reworked
- Denied dollars
- $50,000,000 × 1.5% = $750,000
- Never recovered
- × 40%
- = Unrecovered
- $300,000
- Total
- $345,000 – $435,000 per year
All arithmetic runs on net patient revenue, never on billed charges — charges are a multiple of the allowed amount, so a rate applied to charges overstates the result.
Assumptions
Where we could not point to a published figure, we did not invent one. These are our working assumptions, stated plainly so you can disagree with them. Change any value and the estimate above updates.
Silent underpayment rate — low
Share of government-payer revenue underpaid against the published schedule, at the cautious end.
Our working assumption · no published benchmarkSilent underpayment rate — high
The same, at the upper end of what we would expect to find.
Our working assumption · no published benchmarkDenied dollars never recovered
Of the dollars initially denied, the share that is never successfully reworked or appealed.
Your number is better than ours — change itUnderpayments left unworked
Set by your answer above.
Our working assumption · varies by how you work todayA Finding Is a Line, Not an Average
The estimate above is a range. What we deliver is not — it is a specific line on a specific claim, with the published rate that says what it should have paid. Open one.
These are illustrative and marked as such. They show the shape and specificity of a finding — the columns, the dated source of the expectation, the reason it went unnoticed. They are not a claim about what any hospital recovered, and we deliberately show no total.
What the Published Research Says
Lost to denials and uncompensated care across roughly 2,300 hospitals
Net revenue leakage reported across the industry
Of denials originate in the front-end, before a claim exists
Directional industry figures, not customer results. Sources: TechTarget (2025), Healthcare Finance News (2025), ClaimMax / Etactics (2026). They describe the industry — they are not a projection of any individual hospital's outcome, and none of them is used in the arithmetic above.
What This Is, and What It Isn't
Your Own Files Will Tell You the Truth
An estimate is a starting point, not an answer. A fixed-fee assessment reads your own claim and remittance files and produces the line-level number this page can only approximate — and it can run on de-identified data, so it needs no patient information to get started.
Bhupesh Nadkarni
Head of Healthcare
We build it. You own it.
Your estimate and the assumptions you used are attached to this message, so we start from what you saw. Never send patient information or claim files through this form — we cannot accept them here.
About this estimator
Figures are directional estimates derived from your inputs and the stated assumptions. They are not customer results, not a forecast, and not a guarantee of recovery. RevSure360 is delivered and operated by Coditas.
This page performs all of its arithmetic in your browser. Nothing you type is transmitted anywhere unless you submit the form.
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