See What Your Gap From MGMA Benchmark Is Actually Worth
eClinicalWorks can show you your denial rate in one tile and your days in A/R in another. Neither one tells you what the gap between your number and the MGMA benchmark actually costs annually, or which of the two is worth fixing first.
This estimator maps 12 leakage categories directly to the eCW module where they originate, eBO reports, the RCM Dashboard, TriZetto clearinghouse, the Eligibility Dashboard, and calculates the dollar gap against MGMA and eCW's own published targets. Every category comes with a specific eCW fix action, not a generic recommendation.
What's Inside This Estimator?
One workbook, four tabs: your practice inputs, the leakage waterfall, and the full MGMA benchmark reference behind every target.
1. Eligibility, Registration & Charge Capture
- Eligibility and registration leakage traces to real-time ANSI 271 checks inside the eCW Eligibility Dashboard >
- Unbilled encounters get caught through eCW's Charge Review and Encounter Alerts, not discovered months later
- Charge lag gets measured against eBO's encounter-to-charge-date variance, with same-day entry as the target
- Coding undercapture, downcoding, missed modifiers, gets its own line instead of hiding inside the collection rate
2. Denials, Claims & Payment Posting
- Claim denial leakage ties to the eCW RCM Dashboard's denial rate tile and unworked TriZetto rejections
- Clean claim rate gets checked against eCW's own published 98 percent first-pass target, not an industry guess
- ERA auto-post gap catches the manual posting delays that eCW's EOB-to-ERA conversion feature is built to fix
- Prior auth denials and delays get tracked through the eCW PA dashboard specifically
3. A/R, Bad Debt & Credentialing
- Days in A/R and aged A/R past 90 and 120 days each get their own leakage line, not one blended number
- Bad debt write-off excess ties directly to healow Pay adoption, since low adoption is a documented driver
- Credentialing and enrollment lag gets costed out too, since eCW can't bill for a provider who isn't active yet
- Every category ranks Priority 1, 2, or 3, so the worst gaps surface first
4. Recovery Projection & Benchmark Reference
- A 12-month recovery projection models conservative, moderate, and optimistic scenarios based on which fixes you implement
- Every MGMA benchmark comes with its 25th percentile, median, and 75th percentile, not just one target number
- eCW-specific targets sit next to the MGMA figures, since eCW's own RCM documentation publishes its own goals
- Recovery effort and time-to-impact are rated for every category, so quick wins don't get buried under bigger projects
Built for Healthcare Leaders Responsible for AR Performance
Built for the people who need to know which eCW report to pull before they can even start fixing anything.
