RCM Advisory Group · Tools
Revenue Cycle Calculators & RCM Performance Tools
Free tools designed to help healthcare organizations understand revenue-cycle performance, operating costs and potential areas for deeper review. Every formula is shown, every assumption can be changed, and results appear without an email address.
Not sure where to start?
Begin with the RCM KPI Health Check. It brings seven core metrics into one report, compares them with your own reference points, and points you to the tool that goes deeper on whichever area needs it.
Revenue performance
Where revenue may be affected before it becomes cash.
Revenue Leakage Calculator
Estimate revenue potentially affected by denials, aged A/R, underpayments and collection performance.
- Calculates
- Denied value, denial write-offs, A/R over 90, underpayment exposure, NCR scenario, RCM cost. Reported separately, never summed.
- For
- CFOs, VPs of revenue cycle, PE operating partners
- Time
- 5–8 minutes
- You'll need
- Annual collections; optionally denial, A/R, NCR, underpayment and cost figures
Denial Cost Calculator
Estimate the financial and administrative impact associated with claim denials.
- Calculates
- Denied claims and value, recovered vs. written-off vs. open, rework cost, cash held in resolution, denial-rate scenarios
- For
- Denial management and revenue cycle leaders
- Time
- 3–5 minutes
- You'll need
- Monthly claims, average allowed amount, denial rate; optional outcome shares and rework cost
A/R Aging Analyzer
Visualize accounts receivable aging and calculate the percentage of A/R beyond 90 and 120 days.
- Calculates
- Aging distribution, A/R over 90 and 120, days of revenue by bucket, days in A/R
- For
- Business office leaders, CFOs, diligence teams
- Time
- 2–4 minutes
- You'll need
- An aging report; optionally revenue for a recent period
Operating economics
What the revenue cycle costs to run, and how sourcing choices compare.
RCM Cost-to-Collect Calculator
Estimate the cost of operating the organization's current revenue-cycle function.
- Calculates
- Total RCM cost, cost to collect, cost per claim, category breakdown, cost scenarios with collection offsets
- For
- CFOs, practice and MSO executives
- Time
- 8–12 minutes
- You'll need
- Collections, RCM salaries, benefits rate, software, transaction and vendor costs
In-House vs. Outsourced RCM Calculator
Compare internal RCM operating costs with different outsourcing fee scenarios.
- Calculates
- In-house cost, fees at 3–6% and custom, retained and transition costs, simple and adjusted break-even, collections sensitivity
- For
- CFOs, COOs, PE operating partners evaluating vendors
- Time
- 8–12 minutes
- You'll need
- Internal costs by line, costs you'd retain, transition estimate
Executive assessment
A consolidated view for leadership and boards.
Methodology standards
Every tool in this library follows the same rules. They are the reason the tools do not produce a single headline "you are losing" figure.
Affected is not recoverable
Denied revenue, aged A/R and underpayment exposure are labeled as revenue affected. None is presented as an amount an organization will recover.
No overlapping totals
Indicators that share dollars are reported separately, with the overlap explained, instead of being added into one number.
No invented benchmarks
No industry thresholds or red/green ratings. Where comparison helps, you enter a reference and record its source.
Recognized definitions
Metrics follow HFMA MAP Key definitions where they exist, and each page states the definition used.
Visible assumptions
Every assumption is an input you can change, and every formula appears on the page in plain language.
Value before contact
Results are complete on the page. Calculator inputs stay in your browser; forms are optional.
Need a deeper review? Request an RCM assessment.
The tools show where to look. An assessment uses claim, remittance, adjustment and workflow data to establish what is driving performance, what is recoverable and which operating model fits your organization.
- Revenue cycle assessment and KPI validation
- Denial, A/R and underpayment analysis
- Operating model and outsourcing evaluation
- Acquisition diligence and integration
[Disclosure placeholder: describe how the platform is compensated, including any vendor or partner relationships.]