Welcome to our clinic oriented prior authorization (PA) cost calculator for illustrating time and financial savings using hidalga.
1.
Clinic Information
2.
Treatment Costs
3.
PA Metrics
4.
Staff Costs
Results Overview
Total Time Saved: 0 hours
Total Dollar Savings: $0
Revenue Recovered: $0
Patient Lives Saved: 0
Cost Estimations
Monthly Time Commitment for PAs
0 PA Submission Hours per Month
( 'Number of PAs per Patient per Year' / 12 ) x 'Number of Current and New Patients per Month' x ( 'Average Time per PA Submission' / 60 )
0 Follow-Up Hours per Month
( 'Number of PAs per Patient per Year' / 12 ) x 'Number of Current and New Patients per Month' x ( 'Average Daily Follow-Up Status Tracking Time per PA' / 60 )
Monthly Costs for PA Management
$0 Total PA Coordinator Cost per Month
'Total Hours Spent on PAs per Day' x 'Hourly Wage for PA Staff' x 20
$0 Total Appeal Staff Cost
( 'Average Time Spent per Appeal' / 60 ) x 'Hourly Wage for Appeal Staff' x 'Number of Denials Appealed per Month'
Potential Revenue Loss Due to Denials
$0 Lost Revenue from Denials
( 'Number of PAs per Patient per Year' / 12 ) x 'Number of Current and New Patients per Month' x '% of PAs Denied' x ( ( 'Low-End Treatment Cost' + 'High-End Treatment Cost' ) / 2 ) x 0.25
Appeal Costs
0 Denials Appealed per Month
( 'Number of PAs per Patient per Year' / 12 ) x 'Number of Current and New Patients per Month' x '% of PAs Denied'
$0 Appeal Labor Costs
'Denials Appealed per Month' x 'Average Time Spent per Appeal' x 'Hourly Wage for Appeal Staff'
Savings Estimations
Savings from Reduced PA Submission Time
Hidalga Data Entry Time Saving: 0 Hours per Month
( 'Number of PAs per Patient per Year' / 12 ) x 'Number of Current and New Patients per Month' x 'Average Time per PA Submission' x 0.25
Reduction in PA Costs
Hidalga PA Cost Saving: $0
'Total PA Coordinator Cost' x 0.4
Reduction in Denial Rate
Hidalga Denial Rate Reduction: 0%
'% of PAs Denied' x 0.6
Savings from Improved Appeal Success Rate
Recovered Revenues: $0
'Lost Revenue from Denials' x 0.6
Accelerated Treatment Initiation
Current Initiation Time: 0 Hours
'Average Time per PA Submission' + 'Average Daily Follow-Up Status Tracking Time per PA' + 'Average Time Spent per Appeal'
Hidalga Initiation Time Saving: 0 Hours
'Current Initiation Time' x 0.25