Practice Analysis Questionnaire

Your Info:





Office Manager, Staff



100 claims or less per month

Appointment Confirmation



YesNo

Patient Eligibility


Back Office



Billing


FT StaffPT StaffOutside Company

OutsourceIn House

How much do they charge? % of collections

(On average, practices suffer a 30% rejection rate)



OutsourceIn House

YesNo
IF NO, How much time is spent daily, by your staff on collection attempt?



YesNo
IF YES, How much time is spent on this?

Your Info:

Number of Providers

Appointment Confirmation

Appointment Confirmation

Patient Eligibility

Back Office

Billing