Free tool
Credentialing revenue at risk
Enter your own figures and see what the gap costs you. No industry averages, no patient information, runs entirely in your browser. Medicare retroactivity is fixed at 30 days per 42 CFR 424.521; commercial defaults to zero unless you confirm retroactivity in writing.
The 120-day default is a vendor-consensus figure, not an independent benchmark.
Floor cost
$233,923
Forgone
$167,143
Recoverable
$38,571
Net exposure
$401,066
Derived from your inputs: $3,342 per day. This is your figure, not an industry average.
Timely-filing warning: a 120-day gap approaches or exceeds common commercial filing windows (90/180 days). Medicare allows 365 days. Holding claims past the window loses the money regardless of merit.
Estimate only. Not legal or financial advice. Retroactive billing rules require written payer confirmation. Nothing is sent anywhere; this runs in your browser.