Agency value calculator

Estimate the operating value of better documentation control.

Use your agency's revenue, QA labor, and document volume to estimate payment-risk reduction and agency capacity returned.

Home health improper-payment benchmark: 6.8%
Projected home health improper payments: $1.1B
Approximate insufficient-documentation share: 49.4%

Your agency inputs

Replace the sample values with your own.

Editable assumptions use a bold black outline. Calculations update immediately and remain in your browser.

Annual Medicare home health revenue Current improper-payment or denial rate Uses the 2025 CMS home health benchmark until replaced with your agency's rate. Current agency QA hours per week Fully loaded QA labor cost per hour Average documents reviewed per month

VeriForge pricing model

Monthly fee Per document

Proposed VeriForge monthly fee

VeriForge operating target: 90% The model applies the current 90% target to documentation-related payment exposure and agency-side QA labor. It is a planning target, not a guaranteed outcome.

Estimated annual value

What the current assumptions produce.

Gross annual operating value $0 Payment-risk reduction plus agency QA capacity returned, before VeriForge pricing.

Payment-risk reductionQA capacity value

Current improper-payment exposure: $0
Documentation-related exposure 49.4% benchmark: $0
Potential payment-risk reduction 90% target: $0
Current annual agency QA cost: $0
Agency QA capacity value 90% target: $0
Current agency QA cost per document: $0

Annual VeriForge costEnter pricing

Net annual valueEnter pricing

Net ROIEnter pricing

Estimated paybackEnter pricing

Enter VeriForge pricing to complete the net ROI calculation.

Calculation method

A transparent planning model.

Estimate payment exposure

Annual Medicare revenue is multiplied by the agency rate and the current CMS insufficient-documentation share.

Value returned capacity

Weekly QA hours are multiplied by the loaded labor rate and 52 weeks, then adjusted by the 90% agency-workload target.

Subtract VeriForge cost once

The selected monthly or per-document price is annualized and deducted once from gross annual operating value.

Turn the estimate into a baseline

Validate the assumptions against your actual workflow.

VeriForge can define the included touches, establish current review time and correction cycles, and measure the same variables after deployment.

Discuss your results