Survey
Type of practice.
Number of Claims Submitted Weekly?
less than 25
25-50
50-100
100+
How do you currently submit claims?
Electronically
Paper
Who submits your claims?
In House Staff
Billing Company
If Claims are Outsourced...
Do they Pick-up/deliver
Are the claims faxed to them
Other method?
Do they submit to 2nd payers?
Yes
No
Do they challenge rejected claims?
Yes
No
If In House.....
1 person submits the claims
2-4 people submit claims
5 or more submit claims
Current Practice Management Software?
Do you have one person for follow-up?
Yes
No
Are your EOB's being analyzed?
Yes
No
Do you track claim denials?
Yes
No
What are your billing practice concerns?
Your most important concerns
Would you like us to contact you?
Yes
No
Contact Information