Practice Survey

Please provide answers to the following questions and a representative will contact you shortly.

* Indicates required field
*Person to contact:
*Your Email:
*What type of practice are you in?
*How many physicians are in your office?
*How many locations do you have?
*How long have you been established?
*How long have you been in the area?
*Are you a member of any medical association?
*Are you Board Certified?	--- Yes No
*Do you bill for inpatients?	--- Yes No
If so how many hospitals are you affiliated with?
What is the amount of visits for inpatients weekly?
Are you satisfied with your current biller?	--- Yes No
*Are you charged by a percentage?	--- Yes No
What is your biggest complaint about the way your billing is handled today?
What type of billing software do you use?
*Do you file claims electronically or by paper?	--- Electronically Paper Both
*Do you deal with HMOs?	--- Yes No
*Are you contracted with Medicare and Medi-Cal?	--- Yes No
*Do you deal with PPOs?	--- Yes No
*How prompt are the claims being paid?
*Do you bill using a superbill?	--- Yes No
What percentages of claims are for workers compensation?
Are any of the insurance companies you are contracted with based on capitation?	--- Yes No
Do you accept credit card payments?	--- Yes No

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