Navigation Revenue Calculator

For the average patient, estimate the number of minutes you and your staff dedicate for each of the following activities when the patient is not in the office.  Each estimate should include phone, email, and A/V communications, including preparation and wrap-up time.

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Navigation Activities
Minutes Spent Per Patient

Before Treatment (Last month before treatment begins)

Gathering imaging, pathology, procedure and/or lab results
20 min
Communicating with providers regarding care and/or recommendations
20 min
Verifying insurance coverage
15 min
Coordinating, scheduling, or confirming upcoming appointment for office visits, referrals, and/or diagnostic tests
30 min
Assessing and/or addressing SDOH (e.g., transportation, housing, financial) & other barriers to care
15 min
Submitting, tracking, and managing prior auths; submitting docs; resolving denials or delays
20 min
Communicating with patient/family regarding results, condition, treatment plan, side effects, and/or goals
30 min
Confirming upcoming appointments for office visits and/or diagnostic studies
10 min
Counseling regarding medical bills and/or insurance matters
15 min
Providing emotional support to patient and/or family
15 min

During Treatment (1st month after treatment begins, including Global Period)

Gathering imaging, pathology, procedure and/or lab results
10 min
Communicating with providers regarding care and/or recommendations
10 min
Communicating with patient/family regarding results, condition, treatment plan, side effects, and/or goals
20 min
Check-ins to monitor the patient’s progress
15 min
Coordinating, scheduling, or confirming upcoming appointment for office visits, referrals, and/or diagnostic tests
20 min
Assessing and/or addressing SDOH (e.g., transportation, housing. financial) & other barriers to care
15 min
Submitting, tracking, and managing prior auths; submitting docs; resolving denials or delays
10 min
Counseling regarding medical bills and/or insurance matters
10 min
Providing emotional support to patient and/or family
20 min
Arranging supportive care (e.g., social work, PT/OT, financial, psych, nutrition)
10 min
PCM Minutes / Revenue (per patient):
0
PIN Minutes / Revenue (per patient):
$0.00
Total Navigation Minutes / Total Revenue (per patient): 
0
Annual Navigation Revenue:
$0.00

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