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Practice Assessment Survey

Your response will be held in strict confidence

1. Do you have a billing compliance manual?

2. Do you know if your net collection rate is within industry standard?

3. Do you know if your accounts receivable ratio is within industry average?

4. Do you know what is your adjustment ratio rate?

5. Does your overturn of denied claims fall within industry standard?

6. Do you know your claim re-submission rate?

7. Do you have policy to review insurance contracts and fee schedule?

8. Have you established an accounts receivable plan?

9. Do you use your billing reports to assess your practice's efficiency?

10. Do you have an on-going training program for practice staff?

11. Do you have quality control procedures to ensure staff follows office and billing policies?

12. Do you know when you need to have a business associate agreement under HIPAA guidelines?

13. Do you have a standard operating procedure manual?

Please provide the following contact information:

First Name*
Last Name*
Title*
Company*
Street Address
Address (cont.)
City
State
Zip Code
Work Phone*
FAX*
E-mail
Comments

* Input required

 

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