The Payer Info Pool -powered by- UpDoc
This is a 100% ANONYMOUS, public contribution. No user data is shared, ever. The purpose of this form is to help create an open source data pool for clinical entities to be able to better understand & navigate the healthcare marketplace.
Created by Ben Fung, DPT, MBA, COO/CoFounder
Please name your discipline and specialty. *
Example: Physical Therapy, Outpatient Orthopedics | Speech Therapy, Home Health | Nurse Practitioner, Family Practice Outpatient
Your answer
Please enter the Average Revenue Per Patient Visit: *
in $USD [preferably, after payer adjustments, if able]:
Your answer
For outpatient models, please enter the average units per visit (if known)
Your answer
Please enter the total revenue from an individual course of care:
Your answer
PLEASE NOTE: For The Average Revenue Per Patient ABOVE...
This number should be the revenue per patient encounter. For outpatient, this is the dollar value of units billed for and collected after payer adjustments. For non-outpatient settings, divide the total revenue per course of care by number of visits or sessions.
Which state is this company/entity located? *
Please select the clinical setting. *
The business entity is:
Please add any other relevant factors you feel is important for your fellow clinician colleagues to know about in this topic and space. Thank you!
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service