Practice Revenue Form

Name (First and Last)*

Phone*

Email*

Current - your practice's current health

Average number of claims filed monthly*

Average $ amount collected per claim*

Approximate Rejected / Uncollected Claim Rate*

Monthly $ Collected

Monthly Outsourcing Fee*

Monthly Billing Staff Salaries/Benefits*

Monthly Software/Subscription/Upgrades/Support*

Current Monthly Practice Revenue

Projected - your practice's health with webifyMD

Rejected / Uncollected Rate

Projected Monthly $ Collected

Total Monthly Cost of Outsourcing

* These calculations are based on the national average of 7% per claim.

Monthly Software/Subscription/Upgrades/Support

Projected Monthly Practice Revenue

Projected $ Impact on Practice

Projected Monthly Revenue Increase

Increased Revenue Per Month

Increased Revenue Per Year

* The financial metrics provided by the WebifyMD Calculator are for estimating purposes only. These estimates are not a guarantee of results. WebifyMD does not make any representations or warranties of any kind on the information provided. We also disclaim any liability or responsibility for the accuracy, correctness, or completeness of the calculations provided along with its applicability to your individual circumstances. Nothing contained in the calculator is intended to constitute professional, legal or financial advice. The WebfiyMD Calculator is only for use in the United States. The results from the WebifyMD Calculator pertain to the first 12 month period of services provided by WebifyMD.