As part of our commitment to our industry and your practice, RBS has developed a Key Indicator Survey to assess and compare your practice financially to the industry. The survey addresses 4 aspects of your financial processes and results; average collection period, aging amalysis, bad debt and cost of billing. RBS will also be able to identify problem areas and give helpful ideas on how to improve.       Use the "tab" button or mouse to navigate between fields.

*All information supplied will remain confidential and secure*

General information about your practice.
Where is your practice based?
 Freestanding Hospital
Number of physicians in your practice:
Number of patients treated daily:
Total reported revenue for last three months:

Time of billing:

Post Treatment
Weekly
Real TIme

Billed charges = Medicare rate x
Charges billed represent the:
 Professional Component
Technical
Both
Receive analysis via mail, email, or fax.
(Include addresses or fax number)
Aging Analysis
Total dollar amount of aging at month end:
Total dollar amount of accounts 90 days & older:
Sum of all patient balances.
Aging at billed or net?
Billed
Net
Aging is by bill date or date of service?
 Bill Date
Date of Service
Collections
Total collections for last three months:
Amount of last months patient collections:
Bad debt recorded year to date:
Cost of Billing
Number of employees dedicated to running financial processes:
Estimated cost of software, computers and misc. overhead used to facilitate financial processes on an annual basis:

If currently outsourcing, rate for services rendered.
*not required*

Response time within two business days via email, 5 business days via mail.

 
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