Numbers at a glance

Numbers at a glance

$152,600

from redirecting time from manual data retrieval toward patient care

+

$163,200

from redirecting time from quality reporting, coding, and billing toward patient care

+

$226,200

from decreased claim denials as a result of submitting complete documentation

Numbers at a glance

$152,600

from redirecting time from manual data retrieval toward patient care

+

$163,200

from redirecting time from quality reporting, coding, and billing toward patient care

+

$226,200

from decreased claim denials as a result of submitting complete documentation

{Company name} may be able to capture $152,600 in additional annual revenue by automating medical record retrieval.

Assumptions

Our customers reported saving an average of 4.5 hours per provider weekly by eliminating the need to manually retrieve medical records. Those hours saved could now be redirected towards patient care. For this calculation, we assume providers delivering care on behalf of your organization will spend these saved 4.5 weekly hours to see more patients, and that based on industry averages for in-person care, each provider spends roughly 30 minutes with each patient and can see 2 patients an hour.

Inputs

Your organization has 100 providers. With Health Gorilla, they could each save 4.5 hours a week and could spend those hours seeing additional patients at the average revenue per encounter of $120. With these inputs, your organization could generate a net new $200,000 annually by deploying Health Gorilla across your provider base.

Formula

100 providers × 4.5 hours saved weekly per provider × 52 weeks in a year × 2 additional patient visits for every hour saved × $120 average revenue per encounter = $XXX

By saving time on quality reporting, coding, and billing, you may be able to generate net new $163,200 in annual revenue.

Assumptions

Industry reports claim that providers spend the time equivalent of seeing nine patients reporting on quality measures, coding, and billing weekly.¹ In a survey conducted in 2023, Health Gorilla customers reported saving 4 hours per provider weekly on quality reporting, coding, and billing. If your organization's providers spend those hours seeing additional patients, based on industry averages for in-person care, each provider could spend roughly 30 minutes with a patient and can see 2 patients an hour.

Inputs

Your organization has 100 providers. Each provider could save 4 hours a week and spend that reclaimed time seeing additional patients at $120 revenue per encounter. As a result, we estimate that your organization could generate net new $200,000 annually from using data from Health Gorilla to expedite these workflows.

Formula

100 providers × 4 hours saved weekly per provider × 52 weeks in a year × 2 additional patient visits for every hour saved × $120 average revenue per encounter = $XXX

Denied claims cost organizations billions every year. By submitting complete documentation retrieved from Health Gorilla, you may be able to capture $226,200 worth of claims that would have otherwise been lost.

Assumptions

Reports state that 30% of claims are denied for incomplete documentation and improper coding, causing a substantial loss in potential revenue.2 With complete clinical documentation through Health Gorilla, our customers reported a notable 25% decrease in denied claims. We assume your organization could achieve comparable results.

Inputs

Based on your average revenue per encounter of $120 and patient roster size of 3,000, we estimate that your organization could recover $XXX in claims.

Formula

2 encounters per patient per year × 3000 patients × $100 avg. revenue per encounter × 0.35 claims denied today × 0.25 of those claims now recovered = $XXX

¹ Lawrence Casalino et al., “US physician practices spend more than $15.4 billion annually to report quality measures,” Health Affairs, March 2016, Volume 35, Number 3, healthaffairs.org.
2 Farnen, Helen. “The Financial Impact Of Denied Claims In Medical Billing: Bigger Than You Think.” https://www.rxnt.com/the-financial-impact-of-denied-claims-in-medical-billing/.

*Disclaimer: This tool and information provided is for discussion, planning and informational purposes only. Calculations are hypotheticals, estimates only and subject to change. Calculations are not promises or guarantees of revenue, outcomes, returns or other results, including as a use of Health Gorilla’s products and services. Actual results may vary from the estimates hereby provided. Health Gorilla is not responsible for the accuracy of any such calculations. You are solely responsible for use of any information generated using this tool.

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