Worksheet, Fill In Your Numbers
The Billing Integrity Calculator
In a fixed-rate world, margin comes from keeping more of what you already earn. Fill in your numbers to see how much revenue your current documentation workflow is quietly leaking, 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
Denials and documentation gaps are operational, not fixed, and they’re usually several times larger than any rate concern. Wyoming agencies on integrated, point-of-care documentation routinely pull denial rates under 2% within 60 days. That recovered margin compounds, month after month.
Want to know how we can support you?
Let’s chat about how Frisco can support you in delivering better care.
