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Benchmark Indicator Analysis
Required Required Question(s)
Required 1.

Please enter the information indicated below.
First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
State/Province
(US/Canada):

2.

Bed Size (Total # licensed beds)

 

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3.

Beds in Service (Total # operational beds)
 

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4.

Average Daily Census (Average daily inpatient census)
 

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5.

Total Accounts Receivable $  (Dollar of open patient accounts where money owed for services provided. Do not include $ written off to bad debt)
 

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6.

Cash Receipts Per Month $ (Cash received as payment on accounts for monthly reporting period)
 

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7.

Gross Revenue Per Month $ (Total billing on accounts for services for monthly reporting period)
 

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8.

Accounts Receivable $ over 90 days $ (Total dollar amount of open accounts > 90 days. Do not include accounts written off to bad debt)
 

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9.

Monthly Cost of Registration $ (Total salaries/wages for those in registration and admissions for monthly reporting period)
 

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10.

Monthly Cost of Billing/Collection and Cash Posting (Total salaries/wages for those in business office(billing, collection, cash posting)for monthly reporting period)
 

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11.

Administrative Write-Off $'s Per Month $ (Dollar amount of accounts written off as administrative.  Not including Contractual.)
 

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12.

Charity Write-Off $'s Per Month $ (Dollar amount of accounts written off as charity) 
and  
Bad Debt Write-Off $'s per Month (Dollar amount of accounts written off as Bad Debt)

Please list amounts seperately.

 

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13.

Number of Open Accounts (Number open accounts worked by business office. Do not include accounts assigned to collection agencies, financial classes assigned to outsource vendors)
 

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14.

Percentage of AR in Self Pay >90 days % (Determined by taking the total self pay dollars in AR > 90 and dividing by total dollars in AR >90. Do not include accounts referred to outside collection agency)
 

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15.

Number of Days Cash on Hand (Cash on hand divided by average cash usage per day for hospital expenses)
 

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16.

Amount of $ Discharged Days not Final Billed (DNFB) $ (Dollar amount of accounts on patients discharged & billing not sent)
 

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17.

When was your Chargemaster Last Updated? (dd/mm/yy)  (Date ChargeMaster completely updated using latest code changes and pricing)
 

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18.

Date Data Compiled (dd/mm/yy) (Date information compiled on your Information System)
 

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19.

What is your Patient Accounting System? (Hospital's main Health Information System (Meditech, Dairyland, CPSI, etc)
 

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