Speech Therapy Prior-Auth and Denial Cost Calculator
See what denied claims and prior-auth admin are costing your speech therapy practice each month, and how much of that a Relay AI employee could recover by handling auth prep and claim follow-up before claims go out. Enter your own numbers below. Every figure comes from what you type. The only external benchmark is the HFMA standard: a denial rate under 5% is considered optimal, and the industry average runs 5-10%.
Revenue lost to denials per month
$6,720
Recoverable revenue per month
$2,520
The share above the HFMA under-5% benchmark. Shows $0 if you are already at or below 5%.
Staff hours freed per month
21 hours
Relay's working assumption that automation removes roughly 60% of authorization time.
Revenue lost per year if nothing changes
$80,640
Speech-language pathology billing uses CPT 92507 for treatment (individual speech-language therapy) and CPT 92523 for evaluation with language comprehension and expression. These are visit-based codes, not timed 15-minute units. Source: AMA CPT code set.
All dollar figures and hour figures are calculated solely from the numbers you entered. Relay does not source or guarantee any reimbursement rate. The only external benchmark applied here is the HFMA standard: a denial rate under 5% is optimal, and the industry average runs 5-10%. The recoverable revenue figure shows the gap between your denial rate and the 5% floor; it clamps to $0 if your rate is already at or below 5%.
Common questions.
What is a good denial rate for a speech therapy practice?
Under 5%, according to HFMA. The industry average sits between 5% and 10%. If your rate is above 5%, every point above that floor represents revenue you may be able to recover with tighter prior-auth and follow-up workflows.
How does Relay's AI employee reduce prior-auth work?
The AI employee handles the repetitive prep: pulling documentation, formatting auth requests to match each payer's requirements, and flagging cases likely to be denied before submission. A staff member reviews and submits. You keep the human in the loop; the AI does the bulk of the legwork.
Are the revenue figures on this calculator accurate for my practice?
They reflect exactly what you typed. We do not apply any payer-specific rate or benchmark reimbursement figure. If your actual collected revenue per visit differs from the default, change the input and the outputs update immediately.
Does Relay replace my billing staff?
No. Relay builds an AI employee that works alongside your team, not instead of them. Your biller or office manager stays in control and signs off on submissions. The AI handles the time-consuming prep so your staff can focus on higher-judgment work.
See where this is leaking in your clinic
The calculator shows the gap. The free 30-minute intro call shows you which workflow an AI employee would close first.