The BridgeIllustrative · sample data
The Sandbox · The fall, priced

Move the numbers you already know.

Inputs are in native units. wRVUs. $/wRVU. Payer mix. Minutes. Counts. Each is pre-filled with a sourced benchmark and overwritten with your actual. The math is a pure function. Same numbers in, same numbers out.

Inputs · native units · editable
Coverage
count

ED/trauma/overnight reads per year — replace with actual.

wRVU

CMS public RVU file via CPT→RVU. ED skews CT.

$/wRVU

CMS CY2026 MPFS — $33.40 non-QP / $33.57 QP. Note: −2.5% work-RVU efficiency cut on non-time-based codes in 2026.

Payer mix · sum 100%
% of ED

Site-specific — replace with the group's actual ED mix.

% of ED

Site-specific — replace with the group's actual ED mix.

% of ED

Site-specific — replace with the group's actual ED mix.

% of ED

Pro-fee self-pay collection is near zero.

Collection vs Medicare (multiples of CF)
× Medicare

Medicaid ~71% of Medicare (2024); ~68% for hospital/ED visits — Health Affairs / KFF Medicaid-to-Medicare fee index. TN omitted (TennCare is managed care, no published FFS physician fee); derive your actual from 835 remittances by MCO. Replace with your actual.

× Medicare

Industry range ~150–300% of Medicare — replace with the group's contracts.

× Medicare

Pro-fee self-pay collection is near zero — replace with actual.

Fall pattern
%

Illustrative — replace with measured share of ED visits coded as falls.

%

Illustrative — replace with measured normal/clean rate on fall head CTs.

%

Achievable reduction in needless 'fall' reads — your assumption.

Hospital-side (CFO enters)
$

CFO-supplied · illustrative. Hospital technical-component cost per CT — replace with actual.

%

PERMANENT write-off rate on technical revenue (not gross denial rate). Net-collection benchmarks ~4–5%. Feeds the separate denial-recovery scenario only — never compounded into the base hospital pocket.

★ Lost-study reconciliation
%

Share of completed reads (worklist) never billed (billing). Typical slip 0.5–1.5%; your reconciliation reveals the real figure. Illustrative.

Mode
Coverage gap vs Medicare · today
No-pay (self-pay)
20,250 wRVU·$676K

Medicare-equivalent value of work that collected nothing.

Underpayment shortfall (Medicaid below Medicare)
12,960 wRVU·$433K

The gap vs Medicare on Medicaid volume.

Subtotal · Coverage gap vs Medicare
$1.11M

at 0.90 wRVU/read · $33.40/wRVU · self-pay 15% · Medicaid 30% × f_md 0.68 · illustrative

The Group · pocket
$69K/ yr

Capacity recovered from removing needless 'fall' reads, refilled at the blended rate ($38.96/wRVU). Illustrative.

The Hospital · pocket
$436K/ yr

Cost the hospital didn't incur on avoided scans (1,980 × $220/CT, CFO-supplied · illustrative). Denial recovery shown separately below.

Denial recovery (scenario) · permanent write-off

avoided_scans × technical_cost_per_CT × denial_writeoff_pct. Add-on, not part of the headline hospital pocket.

$22K/ yr
The patient
1,980unnecessary scans / yr avoided

Less radiation. Freed capacity for the demand that never stops growing.

$69K

TO THE GROUP / YR

$436K

TO THE HOSPITAL / YR

1,980

FEWER NEEDLESS SCANS / YR

All figures illustrative. Sample data.

Leak → residual · illustrative

Plug a leak. Watch it land in the bonus pool.

The partner bonus is a residual — collections minus a fixed cost base. Recovered dollars are near-pure margin, so they flow almost entirely into the residual. Each lever is illustrative; replace with your own.

Residual delta · into the bonus pool
$286K/ yr
≈ 7,330 wRVU

residual_delta ≈ recovered_$ · fixed cost base → ~100% to residual · $38.96/wRVU blended

lost_study_count × avg_wRVU × blended_$/wRVU

recovered · illustrative
$53K

From the ★ panel. 1.0% slip × 1500 reads. Replaceable.

commercial_underpayment_$ × recovery_rate

underpayment $
recovery rate
recovered · illustrative
$125K

Payers paying below contracted rate. NOT the Medicaid-vs-Medicare gap (that's structural, not recoverable here).

preventable_denial_$ × fix_rate

preventable $
fix rate
recovered · illustrative
$108K

One pattern, one workflow tweak. Illustrative; replace with your top CARC.

All figures illustrative. Sample data.