Prior Authrization Calculator

Prior authorization is one of the biggest administrative challenges in rehab therapy today.

From submitting requests to tracking approvals and managing denials, prior auth adds hidden workload and revenue delays for many physical therapy clinics, occupational therapy practices, and speech therapy providers.

Most clinics feel the burden.
Few actually calculate the cost.

This prior authorization ROI calculator gives therapy clinics a simple way to estimate:

• Revenue at risk from prior authorization denials
• Staff time spent managing PAs
• Potential financial upside from better PA workflows

You don’t need perfect data — practical estimates are enough to see trends.

Why Prior Authorization Has a Real Financial Impact

Prior authorization in healthcare isn’t just a compliance step.
For therapy clinics, it directly affects:

• Cash flow timing
• Claim approval rates
• Staff workload
• Patient scheduling
• Operational efficiency

Even a small prior authorization denial rate can translate into meaningful lost revenue over time.

For growing clinics and multi-location therapy groups, that impact multiplies.

How This Prior Authorization Calculator Works

This calculator uses a few clinic-level inputs to estimate prior authorization costs.

You’ll enter:

• Monthly patient visits
• Percentage of visits requiring prior authorization
• Current prior authorization denial rate
• Average reimbursement per visit
• Staff hours spent on prior auth tasks

Using these inputs and therapy-specific benchmarks, the calculator estimates:

✅ Revenue lost to PA denials
✅ Potentially preventable denials
✅ Administrative labor tied to PAs
✅ Estimated monthly and annual impact

This is a directional estimate, not a guarantee — but it helps quantify what many clinics already suspect.

Prior Auth Adds Up in Ways You Don’t Always See

Prior auth doesn’t show up as a single line item, but it shows up everywhere:

• Front desk teams juggling follow-ups
• Billing staff chasing approvals
• Therapists waiting to schedule care
• Leaders worrying about cash flow

It’s not just an admin issue — it’s an operational one.

Even small improvements can make a noticeable difference over a year.

How Better Prior Authorization Workflows Help Therapy Clinics

Many therapy clinics are exploring ways to improve prior authorization workflows and reduce admin burden.

Structured and technology-supported prior authorization processes can help clinics:

• Reduce avoidable prior auth denials
• Improve clean claim rates
• Cut manual follow-ups with payers
• Create more predictable reimbursement cycles
• Free up staff for higher-value work

This calculator helps you understand what those improvements could mean financially.

Where SPRY Fits In

SPRY helps therapy clinics bring structure and visibility to prior authorization workflows.

Clinics that improve how they manage PAs often see:

• Fewer avoidable denials
• Less back-and-forth with payers
• More predictable reimbursement
• Reduced admin overload

This calculator gives you a starting point to understand what those improvements could mean for your clinic.

This Calculator Is Especially Helpful For:

• Clinic owners balancing care and business
• Operations leaders managing staff workload
• Billing and RCM managers handling denials
• Multi-location therapy groups scaling operations

If prior auth touches your day-to-day operations, this will feel familiar.

Built for Therapy Clinics — Not Generic Healthcare

This isn’t based on hospital systems or broad healthcare averages.

It reflects how prior auth actually shows up in:

• PT clinics
• OT practices
• SLP providers
• Multi-specialty therapy groups

Start with Your Numbers

Run the calculator and see what your clinic’s reality might look like.

Some clinics find the impact is smaller than expected.
Others realize it’s bigger than they thought.

Either way, clarity helps.

👉 If the numbers are meaningful, a SPRY demo can show practical ways clinics are improving their PA workflows.

FAQ

Is this prior authorization ROI calculator accurate?

It provides directional estimates based on your inputs and therapy industry benchmarks. Actual results vary by clinic and payer mix.

What if I don’t know my exact prior authorization numbers?

That’s common. Use reasonable estimates. Even approximate data can reveal patterns.

Does prior authorization affect small therapy clinics?

Yes. Smaller clinics often feel PA burden more because teams wear multiple hats.

Is this only for large rehab organizations?

No. Solo clinics, mid-size practices, and multi-location therapy groups can all use it.

Curious How Other Therapy Clinics Manage Prior Authorization?

Many therapy practices are working to simplify prior authorization and reduce admin stress.

If your calculator results are meaningful, the next step is learning what improvement can look like in practice.

👉 Book a Demo

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