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Select the best response for the questions below to estimate revenue increase for your practice
1. Do you send TEXT for appointment reminders?
Yes
No
Not Sure
2. Does your practice verify eligibility and patient insurance coverage prior to visit?
Always
Sometimes
Never
3. Does your practice collect patient co-pays and deductibles at the time of service?
Always
Sometimes
Never
4. How do you code and set the level of E&M Codes
Using Internal Knowledge
Verified by External Experts
5. How often practice conduct chart audits to identify missing services or modifiers?
Once a year
Once in 3 years
Do not Remember
6. How often does your practice do fee schedule analysis
Once a year
Once in 3 years
Do not Remember
7. What % of your payments are related to Medicare or Medicaid?
Less then 30%
30-40%
40-50%
60%-70%
More than 70%
8. Do you send TEXT messages to patients for patient balances?
Yes
No
Not Sure
9. Do you provide Online payment option to the patients
Yes
No
Not Sure
10. How actively do you do posts in your google my business (GMB) and Facebook profiles
Very Actively
Somewhat Actively
Do not Manage Actively
Estimated Increase in Revenue
%
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SELECT YOUR EMR SYSTEM
*
None
AdvancedMD
Allscripts
Amazing Charts
Athenahealth
CareCloud
Centricity
Cerner
CureMD
eClinicalWorks
Dr.Chrono
Epic
Greenway
InSync
iPatientCare
Kareo
Nextgen
Practice Fusion
Praxis
PrognoCIS
WRS Health
Other
SELECT YOUR SPECIALTY
*
Allergy medicine
Ambulance/EMS
Anesthesiology
Addiction Rehab
Cardiology
Chiropractic
Dentistry
Dermatology
Durable Medical Equipment / DME
Ear Nose & Throat (ENT)
Emergency Medicine
Endocrinology
Family Medicine
Gastroenterology
OB-Gynecology
Hematology
Holistic Medicine
Home Health
Hospice Care
Hospital / Multi-Practice
Immunology
Internal Medicine
Medical Transportation
Mental Health
Nephrology
Neurology
Occupational Medicine
Oncology
Ophthalmology
Optometry
Orthopedics
Otolaryngology
Pain Management
Palliative Care
Pathology
Pediatrics
Pharmacy
Phlebotomy
Physical Therapy
Plastic Surgery
Podiatry
Psychiatry
Psychology
Pulmonology
Radiology
Rheumatology
Skilled Nursing
Sleep Medicine
Sports Medicine
Surgery
Urgent Care
Urology
Other
HOW MANY PHYSICIANS ARE AT YOUR PRACTICE?
*
1-2
3-5
6-10
More than 10
WHAT ARE YOUR BILLING NEEDS?
*
Services Only
Services and Software
Software Only
HOW MUCH DOES YOUR PRACTICE BILL EACH MONTH?
*
$0 (new practice)
$1 to $20,000/month
$20,001 to $50,000/month
$50,001 to $100,000/month
$100,000 or more
WHAT IS YOUR CURRENT BILLING METHOD?
*
Done by Internal Staff
Outsourced to an Individual Biller
Outsourced to a Billing Company
Other
DESCRIBE YOUR SPECIFIC NEEDS
First Name
*
Last Name
Practice Name
*
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Email
*
Zip Code
*
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Mobile Number
*
0 / 10
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