Resolution | Hospital Consulting, Revenue Cycle, Rural and Community Based, Business Services Provider Expert

Please answer the following questions in order for us to provide you with a summarized benchmarking analysis.

To review a sample benchmark analysis report click here:

For descriptions of the fields to be filled out on the form, click here:

If you would prefer to download or print the survey click here. Once completed, please fax it to 303.530.0496 or e-mail it to analysis@ereso.com.

Bed Size:
Beds in Service:
Average Daily Census:
Total Accounts Receivable:
Cash Receipts Per Month:
Gross Revenue Per Month:
Accounts Receivable $ Over 90 Days:
Monthly Cost of Registration:
Monthly Cost of Billing/Collection/Cash Posting:
Administrative Write-Off $s per Month:
Bad Debt Write-Off $s per Month:
Charity Write-Off $s per Month:
Number of Open Accounts:
% of Accounts Receivable in Self Pay (> 90 days):
Number of Days of Cash On Hand:
Amount of $ Discharged but not Final Billed:
When was your Chargemaster last updated (mm/dd/yy)
Date Data Compiled (mm/dd/yy)
What is your Patient Accounting system?
How did you hear about re\|solution's Benchmark Tool?

How would you like us to contact you with your evaluation?

Email Phone Mail

Name:
Title:
Hospital:
Street:
City:
State:
Zip:
Phone Number:
Email:
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