Revenue Leak Audit
Comprehensive revenue loss diagnostic — get your Leak Score, estimated annual $ leakage, and top 3 sources.
Denial Rate Calculator
Calculate your claim denial rate vs. MGMA benchmarks and quantify the annual dollar impact.
AR Days Calculator
Calculate days in AR, compare to specialty benchmarks, and quantify the cash flow cost of slow AR.
Net Collection Rate
Calculate your true net collection rate and identify your annual collection gap vs. the 97% standard.
Clean Claim Rate
Measure first-pass claim acceptance and quantify the cost of rejections and rework.
First-Pass Resolution Rate
Track the % of claims paid on first submission — the most comprehensive billing quality measure.
Cost to Collect
Calculate how many cents you spend per dollar collected and benchmark against your specialty.
Payer Mix Analyzer
Analyze your payer mix and see the revenue impact of Medicare, Medicaid, commercial, and self-pay ratios.
Appeal Success Estimator
Estimate your denial recovery potential and identify highest-ROI categories for appeals.
Charge Capture Gap
Identify how much revenue you're losing from missed or incomplete charge capture.
Physician Productivity
Benchmark wRVU production against MGMA percentiles and calculate revenue per provider.
Outsource vs. In-House ROI
Compare the true financial ROI of outsourced billing vs. keeping RCM in-house.
RCM Health Score
Comprehensive 0–100 score across 8 RCM dimensions with a prioritized improvement roadmap.
HCC RAF Estimator
Estimate your Medicare Advantage RAF gap and the revenue impact of improving HCC capture.
HEDIS Gap Analyzer
Identify HEDIS quality measure underperformance and quantify the quality score impact.
Star Rating Impact Calculator
See how HEDIS and CAHPS score improvements translate to Medicare Advantage Star bonuses.
CDI Opportunity Calculator
Estimate your clinical documentation improvement revenue opportunity — DRG upgrades and HCC capture.
Compliance Readiness Score
Self-assess your OIG and CMS audit readiness across 6 compliance risk domains.
Coding Accuracy Audit
Score your ICD-10, CPT, and modifier usage accuracy across your highest-risk billing areas.
RPM ROI Calculator
Calculate the financial return of launching a Remote Patient Monitoring program using CMS CPT codes.
Specialty Benchmark Comparison
Compare your key RCM metrics against MGMA specialty-specific percentile benchmarks.
Risk Score Gap Estimator
Identify prospective HCC coding opportunities in your current patient panel.
HEDIS Abstraction Estimator
Calculate the cost and time to abstract HEDIS measures across your patient population.
Claim Volume Estimator
Project your monthly claim volume for staffing and technology capacity planning.
Need a Deeper Analysis?
These tools give you the benchmarks — our specialists give you the action plan. Schedule a free 30-minute RCM consultation with a VLMS Global expert.
Talk to an RCM Specialist