Risk Framework Cost of Inaction

Risk-of-Inaction Calculator

What the buyer loses by NOT moving. Toggle across RCM, EMR, CRM, and the full Helix stack to see compounded protection.

Inputs

Facility
Payer Posture
Time Horizon

Risk of Inaction

Prevented Loss

$204,350
$204,350 prevented over 12mo

Cost of Inaction

$420,000
Expected loss over 12mo without Kipu RCM

Per-Event Breakdown

EventBaselineWith ProductPrevented
Payer claw-back from post-payment audit
A commercial or Medicaid payer audit recovers previously paid claims for coding, medical-necessity, or documentation defects.
reportedHFMA payer-audit benchmarks, 2023
18.0%10.8%$28,800
Denial-rate spike craters a quarter of cash
A sudden jump in first-pass denial rate stalls collections long enough to miss payroll coverage and force a draw on the line of credit.
modeled
25.0%12.5%$87,500
State Medicaid or payer billing finding
A targeted billing review surfaces a systemic coding or unbundling pattern that suspends in-network status with a major payer.
modeled
7.0%4.6%$22,050
Aged AR write-off past timely filing
Claims sit unworked past the payer timely-filing window and convert from collectible AR to a hard write-off.
modeled
55.0%22.0%$66,000

Risk figures are modeled estimates. Probabilities adjusted for payer posture; consequence costs are all-in (revenue + remediation + legal). Not a quote.

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