Fax to 727.826.9687 when complete.

Name ___________________________________________Title ___________________________________________

Address ____________________________________________________ Type of Facility ______________________ 

City:_____________________________ Contact # _____________________________________________________

State:________________ Zip: ___________________ Email: _____________________________________________ 

Your answers to the questions below will provide us with all of the information we need to perform a FREE, No-Obligation ROI analysis.

1. How many reports are coded at your organization annually? IP_____  OP_____  ER_____
2. What is your annual growth in report volume? IP_____  OP_____  ER_____
3. If your report volumes are rising each year is adding coders or increasing outsourcing your way to accommodate growth?     Add Coder ٱ   Increase Outsource  ٱ
4. What percentage of your reports is outsourced for coding? IP_____  OP_____  ER_____
   1. What is the annual cost of outsourced coding at your facility? __________
5. How many full time in-house coders does your facility employ? __________
6. How many hours on average does a report take from Dictation to Completion, including deficiencies and physician signature?     O Report Completion is Immediate     O 1-2 Hours     O 4-3 Hours                                                         O 5+Hours     O 24 Hours
7. Has Report backlog had an impact on reimbursement?     O Yes     O No
8. Has Report backlog had an impact on Physician satisfaction?     O Yes     O No
9. What type of issues are you currently working around, as it relates to Chart Completion, Chart Deficiency, and/or Chart Accuracy?

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Please, return your completed worksheet to our dedicated fax at 727-826-9687 or save as an attachment and email to info@torres-lich.com.

If you prefer an on-site audit, give us a call at 727-515-2355.