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QUICK
AND DIRTY HIPAA ADMINISTRATIVE SIMPLIFICATION PROVIDER BENEFIT CALCULATION
ESTIMATOR
Assumes Implementation
of all Standard Transactions, Code Sets and Identifiers, Excluding Implementation
and Operations Costs
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(1)
Number
of Staff
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(2)
50%
of (1)
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(3)
Salaries,
benefits & overhead for (2) per year
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1. Business
Office
--Staff posting
paper insurance remittance
--Patient
and insurance collections staff
--Error
correction and insurance rebilling staff
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$
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2. Managed
Care Coordination
--Precertification/preauthorization
staff
--Eligibility
and benefit verification
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$
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3. Cash to
bottom line
--Patient bad
debt in dollars x 25%
--Insurance
denials for lack of preapproval or timely filing x 25%
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N/A
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N/A
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$
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Total
annual operation savings potential (excluding EDI setup and transaction
fees)
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N/A
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N/A
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$
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