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Organization
Financial Profile
Payer Mix
Current Operations
Services
Technology
Challenges
Implementation
Review

Tell Us About Your Organization

This information helps OFM understand the size, structure, specialty, and operational complexity of your organization.

What is the legal name of your organization?*

Does your organization operate under a different business name or DBA?

YesNo

Who should OFM contact regarding this assessment?

First Name*

Last Name*

Title

Business Email*

Business Phone

Which best describes your organization?

What is your organization’s primary specialty or service line?

Start typing to search, or enter your own.

How many billing providers does your organization currently have?

How many active billing locations does your organization operate?

In which states do you currently provide or bill for services?

ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

How is your revenue cycle currently managed?

Fully In-HouseFully OutsourcedCombinationNew OperationOther

What prompted you to explore a new revenue cycle partner?

Current vendor performanceHigh ARHigh denial rateStaffing challengesGrowthNew organizationComplex payer issuesReporting limitationsTechnology limitationsNeed more transparencyOther

Is there anything else OFM should understand about your organization before reviewing your financial profile?

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