ROI Tool Entry Form Report Prepared for (Clinic Name): Estimated Patient Volumes (Estimated Annual Volumes) Number of Primary OP Patients (Those who have never been screened, treated, or fractured) Secondary Osteoporosis Patients (Post Fracture Patients) Preoperative Bone Health Risk Evaluations (Total joint arthroplasties + Spine patients who will be referred for screening. Note: This number may be less than the sum of Total Knee Arthroplasties + Total Hip Arthroplasties + Spine Instrumentation Surgeries) Volume of Total Knee Arthroplasties Volume of Total Hip Arthroplasties Volume of Spinal Instrumentation (Fusion) surgeries Revenue in Dollars for Relative Value Units (RVU) and the following CPT codes (Round to the Nearest Dollar) Your RVU Valuation Lab Draw Fee (CPT 36415) Comp. Metabolic Panel (CPT 80053) Vitamin D (CPT 82306) Calcium (CPT 82330) Parathyroid Hormone Intact (CPT 83970) TSH (CPT 84443) T3 Total (CPT84480) Bone Density Testing 77078 Computerized tomography, bone mineral density study 1 or more sites 77080 DXA, Axial study hip and spine 77081 DXA, peripheral study wrist 77085 DXA axial study of hip and spine with Vertebral Fracture Assessment 77089 Trabecular Bone Score Injection Fee 96372 Margin on Injections - denosumab (If buy & bill / medication cost minus medication reimbursement / varied by quarter and by medication) J0897 Margin on Injections - romosozumab (If buy & bill / medication cost minus medication reimbursement / varied by quarter and by medication) J3111 Expenses Practitioners - Annual Staffing costs (wages + benefits) Support Staff - Annual Staffing costs (wages + benefits) Electronic Systems EMR PACS That wasn’t so bad.Our clinical and financial staff at ASOP will review your information and reach back out to you within 24 hours for the next step in the process. IF you ahve any questions in the meantime, please contact us at info@theASOP.org
