Find out how much referral leakage is costing your practice.

1. 1 About how many faxes do you receive per day across all locations? ? Include all inbound faxes (referrals, labs, authorizations, records requests, etc.) across every practice location. If volume varies, choose a typical day.
   Under 25 25–75 (most common) 75–150 150–400 400+ Custom

   Estimated faxes/month: — (based on 22 business days)

   Multi-location group or high-volume practice? Use the custom option to enter your daily total across all locations.

2. 2 Roughly what percentage of those faxes are referrals? ? Referrals may include new patient referrals, procedure referrals, or referrals requiring scheduling. If you're unsure, pick Typical (40%) as a starting point.
   Less than 25% 25–50% (most common) 50–75% 75%+ Custom %

   Estimated referrals/month: — (based on your fax volume and estimate)

3. 3 What percent of referrals never get scheduled (or are delayed long enough that the patient goes elsewhere)? ? If you don't track this today, choose Typical (10%) as a starting point. This is meant to be a directional estimate.
   Low (5%) Typical (10%) High (20%) Very High (30%) Custom %
4. 4 Estimated hourly cost of the team doing referral follow-up. ? Use an estimate. If multiple roles touch referrals, pick the role that does most of the follow-up.
   $18–$22/hr $23–$27/hr (most common) $28–$35/hr $36–$45/hr Custom
5. 5 About how many minutes are spent per referral on outreach, missing info, and coordination? ? Include time chasing missing docs, calling/texting, routing questions, and follow-up attempts.
   5–10 10–20 (most common) 20–30 30+ Custom
6. 6 Average revenue per scheduled patient visit from a referral. ? Total amount your practice typically collects per visit, including insurance reimbursement and patient responsibility combined. Use your most common referral visit type as a reference.
   Under $100 $100–$200 (most common) $200–$350 $350–$500 $500+ Custom

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