Site data tables 2026

1. Click ‘Get Form’ to open the site data tables in the editor.
2. Begin by filling in the basic information: 'Name of Site', 'Address of Site', 'Date Prepared', and 'Prepared By'. This foundational data is crucial for accurate reporting.
3. For the '12 Month Reporting Period', specify the start and end dates clearly. This ensures that your data reflects a complete year of activity.
4. In Table 1, input patient numbers under each insurance type. You can either enter actual figures or estimates based on a sample size of at least 200 records.
5. Proceed to Table 2, where you will report service charges and collections. Ensure all amounts are reported in whole dollars for clarity.
6. Continue with Table 3 by documenting applications for the Sliding Fee Schedule, noting how many were approved versus not approved.
7. Finally, complete Table 4 by detailing staffing levels across various service categories, ensuring you report Full-Time Equivalents (FTEs) accurately.

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