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Zenith Healthcare • RCM Outsourcing Impact Calculator

Model potential revenue uplift and cost savings from outsourcing medical billing vs in‑house operations.

⚠️ DISCLAIMER: This calculator provides illustrative estimates only and is not financial or medical advice. Actual results vary significantly based on practice circumstances. Do not enter PHI or confidential information. This model is an illustrative tool only and does not constitute financial, legal, or compliance advice. Actual results vary based on payer mix, coding quality, contract terms, and operational execution. © Zenith Healthcare.

Inputs

Client / Practice name (optional)

Annual Charges ($)

Current Collection Rate (%)

Current Denial Rate (%)

Days in A/R (current)

In‑House Annual Cost

Staff ($)

Benefits & Taxes ($)

Clearinghouse ($)

Overhead ($)

Outsourcing Fees

Fee model

Vendor Fee (%)

One‑Time Implementation ($)

Expected Performance with Outsourcing

Increase in Collection Rate (pp)

Reduction in Denial Rate (pp)

Reduction in Days in A/R (days)

Results

Live calculations update as you type

Collections (Current In‑House)

@ 0.0% collection rate

Collections (With Outsourcing)

@ 0.0% collection rate

Revenue Uplift from Performance

+$0

Driven by improved collection rate only; denial & A/R shown below.

In‑House Annual Cost$0

Outsourcing Annual Fee$0

Cost Savings (In‑House − Vendor)+$0

One‑Time Implementation Cost$0

Net Impact (Year 1)+$0

Net Impact (Ongoing, excl. one‑time)+$0

Denial Rate Improvement

0.0% → 0.0% (−0.0%)

Operational impact; not double‑counted in revenue.

Days in A/R Improvement

0 → 0 days (−0d)

Cashflow timing improvement.

ROI on Vendor Fees

—

(Uplift + Savings − Impl) ÷ Vendor Fees

Tip: Use Prefill Example to see a typical scenario. Click Save as PDF to export results for email.

This model is an illustrative tool only and does not constitute financial, legal, or compliance advice. Actual results vary based on payer mix, coding quality, contract terms, and operational execution. © Zenith Healthcare.