Worksheet, Fill In Your Numbers
The Audit-Readiness Revenue Recovery Calculator
Under HHSC oversight, the documentation that keeps you audit-ready is the same documentation that gets you paid the first time. Fill in your numbers to see what denials and gaps cost your agency, and how much is recoverable.
Section A, Your Agency Numbers
Number of active DSPs
Direct support staff, full- and part-time
Avg billed hours per DSP / week
Typically 25 to 35 full-time
Avg Medicaid billing rate / hour
Your current rate
$
Current claim denial rate (%)
Agencies without integrated billing average 8 to 12%
%
Hours lost to documentation errors / week
Unbilled hours lost to incomplete or rejected docs
Section B, What You’re Leaking
Gross annual Medicaid billing
DSPs × hrs/week × rate × 52
$0
Annual denial leakage
Annual billing × denial rate
$0
Annual documentation loss
Hours lost/week × rate × 52
$0
RECOVERABLE WITH INTEGRATED BILLING
Denials cut to 2% + 85% of documentation loss recovered
$0
Annual margin in reach
$0
Enter your numbers above to see how much recoverable margin is sitting in your current billing.
Why this works
Thin or late documentation costs twice: denied revenue now, and recoupment exposure later. Texas agencies that capture documentation at the point of care recover the leak and build an audit trail at the same time, typically pulling denials under 2% within 60 days.
Want this run on your agency’s actual claims?
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