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Practice Planning · Scenario Tool

Site ReadinessReimbursement
Planning Tool

Estimate site-level economics using transparent assumptions for payer mix, procedure volume, staffing, overhead, and coverage variability. This tool does not guarantee coverage, payment, profitability, or legal compliance.

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The Practice Planning Scenario Tool helps healthcare organizations evaluate operational and financial assumptions associated with implementing an MRI service. The tool uses user-provided inputs and publicly available reimbursement information where applicable. Results are estimates only and do not guarantee coverage, coding, payment, profitability, patient volume, or compliance. All imaging must be medically necessary, ordered and billed consistent with payer requirements, performed within the device's cleared indications, and reviewed under applicable federal and state laws.

Reimbursement data sourced from 2026 CMS Physician Fee Schedule national unadjusted rates. Commercial payer amounts are user-entered estimates. Actual allowed amounts vary by locality, payer, and contract. Rate data expires December 31, 2026.
Compliance Review

The following are gating issues that should be reviewed with qualified legal counsel before relying on any financial estimates. This tool does not determine compliance.

?The practice has reviewed or will review Stark Law and applicable state self-referral rules with qualified legal counsel.
?The practice has identified the applicable exception (e.g., in-office ancillary services exception) and confirmed eligibility with counsel.
?The group practice structure has been reviewed for compliance with applicable federal and state requirements.
?Location, supervision, billing, and disclosure requirements have been or will be reviewed and satisfied.
?MRI/CT/PET alternate supplier notice requirements have been or will be addressed where applicable.
?All services will be medically necessary and appropriately documented. Imaging decisions are made independently by the ordering physician.
?Ordering and interpretation workflows have been or will be reviewed for compliance.
?If applicable, IDTF requirements (supervising physician proficiency, technician qualifications, written orders, performance standards) have been or will be reviewed.
Acquisition Model
Place of Service
Annual Scenario Estimates (Year 1)
Low Base High
Vol −25% As entered Vol +15%
Gross allowed — — —
Est. collections — — —
Operating cost — — —
Net income — — —
Break-even procs/mo — — —

~ Values are approximate estimates rounded for readability. Bar ranges reflect scenario variance (−25% / +15%). Shaded cone shows cumulative net income range across scenarios.

Five-Year Projection — Base Scenario
Collections Op. cost Cumul. net income Range (low–high)
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