BH Practice RCM ROI Calculator — 2026

Baseline Assumptions

• Practice size: $5M annual revenue
• Current denial rate: 12% ($600K annually)
• Current AR days: 50 (target: 35)
• Current NCR: 92% ($400K lost to bad debt)

Option 1: In-House Biller Team

• Cost: 2 FTE billers × $65K + 1 manager $85K = $215K loaded cost
• Denial reduction: 12% → 9% = $150K recovery
• AR reduction: 50 → 42 days = $110K cash improvement
• NCR improvement: 92% → 95% = $150K recovery
• Net benefit: $410K recovery – $215K cost = $195K net
• ROI: 91%

Option 2: Outsourced Billing (Revenant Care at 6%)

• Cost: 6% of collections = $300K
• Denial reduction: 12% → 6% = $300K recovery
• AR reduction: 50 → 30 days = $275K cash improvement
• NCR improvement: 92% → 97% = $250K recovery
• Net benefit: $825K recovery – $300K cost = $525K net
• ROI: 175%

Option 3: Hybrid (In-house AR + Outsource denial recovery)

• Cost: 1 FTE biller $65K + Revenant denial recovery at 3% = $215K
• Denial reduction: 12% → 7% = $250K recovery
• AR reduction: 50 → 38 days = $165K cash improvement
• NCR improvement: 92% → 96% = $200K recovery
• Net benefit: $615K recovery – $215K cost = $400K net
• ROI: 186%

Break-Even Analysis

At $5M revenue, outsourced billing at 6% pays for itself in 60-90 days if denial rate drops even 3 percentage points. Break-even math strongly favors specialty outsourced RCM for BH practices $2M+ revenue.

Revenant Care Pricing

– KD, Revenant Care