Worksheet — Fill In Your Numbers
Billing Leakage Estimator
How much revenue is your agency losing to preventable billing gaps? Fill in the fields below to estimate your annual leakage.
Section A — Your Agency Numbers
Number of active DSPs
Full-time and part-time caregivers currently on staff
Average billed hours per DSP / week
Typically 25–35 hours for full-time, 10–15 for part-time
Average Medicaid billing rate / hour
Check your current CES or DD waiver rate schedule
$
Current claim denial rate (%)
If unknown, industry average for agencies without EHR integration: 8–12%
%
Hours lost to documentation errors
Estimated unbilled hours per week due to incomplete/rejected documentation
Section B — Leakage Formula
Gross weekly billing
DSPs × Avg hrs/week × Hourly rate
= $—
Gross annual billing
Gross weekly × 52 weeks
= $—
Annual denial leakage
Annual billing × Denial rate %
= $—
Annual documentation loss
Hours lost/week × Hourly rate × 52 weeks
= $—
TOTAL ANNUAL LEAKAGE
Denial leakage + Documentation loss
= $—
What this means:
Agencies with 20–50 DSPs typically find $40,000 – $180,000 in preventable annual leakage.
Frisco clients reduce denial rates to under 2% within 60 days of going live.
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