Andon · Denial workflow worksheet

Is your denial queue ready for automation?

A 15-minute worksheet for oncology RCM teams. Step 1 scores one queue against the criteria Andon uses to judge fit. Step 2 estimates what unworked denials cost you each month. Every number comes from you.

PART 1

Pick one queue

Scoring one queue at a time keeps the answers honest.

Queue name Payers covered Denial codes in scope

PART 2

Score six fit criteria

Pick the description closest to how this queue runs today. Each criterion scores 0 to 3.

Total

0 / 18

PART 3

List your top denial codes

This table usually shows where to start. Its totals fill in Part 4 automatically.

Code	Count / month	Avg denied amount	Avg minutes to work	Denied $ / month	Hours / month	Remove
Total	0	–	–	$0	0

Totals use weighted averages. Rows starting with “Other” or “All other” are left out of the start-here picks.

PART 4

Estimate revenue at risk

Values marked “From Part 3” update as the table changes. Type over any of them to use your own number.

Monthly revenue at risk = denials per month × average denied amount × share not worked before the filing deadline

Specialist hours per month = denials per month × average minutes per denial ÷ 60

Denials per month Average denied amount $ Average minutes per denial Share not worked before deadline % Your estimate Working hours per specialist h Per month, used for the FTE estimate

PART 5

What to bring to a workflow review

Tick these off as you gather them.

The SOP for this queue
Your denial code table from Part 3
Five to ten de-identified example denials

Revenue and time

Monthly revenue at risk$0$0 a year at this rate

Specialist hours / month0

Full-time specialists0

Denied charges / month$0

Denials / month0

Andon Fit Score

0 / 18 Not scored yet

Readout

Andon turns denial and appeal SOPs into workflows that run every day. This worksheet is a self-assessment; results depend entirely on the numbers you enter.