Complete the form in all areas you have data available.
Missing data does not exclude you from participating.
Fill in the appropriate boxes. If you do not have data for each cell, leave it blank.
Thank you.
Indicate your State and Facility description. These are the only identifiers for your facility. All data is considered strictly confidential and will not be shared.
Indicate the average Collection Rate of your facility. This can be obtained from your Finance Director. (Do not enter deduction rate)
From your Charge/Revenue Report, please insert the actual In-Patient Gross Charges and Out-Patient Gross Charges for a modality or all modalities combined.
From your monthly Expense Reports, please insert the actual Salary and Supply costs for a modality or all modalities combined. Insert these figures in the most appropriate box. (Subtract Radiologist salaries, if applicable.)
Turnaround time (TAT) is being defined from the time the Order is placed to the time the report is Signed-Off by the radiologist. If you collect TAT for a modality, please enter in the appropriate box. If not, a general TAT for all imaging services is acceptable. In this case, insert a general TAT in the XRAY box only.
For exam volume, please ensure you are entering exam or study volumes, not patient volume. Enter exam volume by In-Patient, Outpatient, and ER patient categories or a combined volume if you do not capture by patient category. Enter the combined total in the IN-PATIENT box only.