Your Personal Details
Your Practice & Insurance Details
1. Claims are handled by, In-House Staff
Others
2. Number of claims processed per week?
a) Commercial claims:
Select
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
%
b) Medicare claims:
Select
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
%
c) Medicaid claims:
Select
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
80
85
90
95
100
%
d) Patient statements sent out:
e) Number of new patients:
3. On a weekly basis, how many:
a) Paper claims processed?
b) Electronic claims processed?
c) Hours spent on insurance follow-up?
d) Number of rejected claims?
e) Number of active patients?
4. Do you have:
a) A backlog on claims to be filed?
b) Rejected claims to be submitted?
5. List if any problems with the billing that you feel needs to
6. Is your present method for billing insurance companies...
