info@billingacademy.com
732.845.0112
Practice name:
Contact name:
Phone:
Medical specialty:
Annual revenue:
Current Accounts Receivable:
Number of annual claims:
Billing Performance
1. 50% of my claims are paid in less than:
Select
15 days
45 days
90 days
2. My A/R above 120 days is below:
Select
4%
10%
18%
Billing Process
1. My largest coding change resulted in new revenue of:
Select
$10,000
$20,000
$1,000
2. We test patient eligibility:
Select
prior to appointment
prior to claim submission
never
3. I review statistics for my practice overcoding or undercoding:
Select
monthly
annually
never
Billing Technology and Personnel
1. I receive an update about my submissions, denials, follow ups, and payments:
Select
24x7 on line
weekly on paper
monthly on paper
2. If I lose my billing data on my office computer, I still have last week’s data:
Select
at home
in the office
at a secure location
nowhere
3. My billing assistant “drops a claim” or makes another error:
Select
never
once a year
monthly
Billing Costs and Business Priorities
1. I work on practice development at least:
Select
1 hour/month
2 hours/month
10 hours/month
2. I spend on billing issues less than:
Select
1 hour/week
3 hours/week
10 hours/week
3. My billing costs me below:
Select
6%
8%
12%
Comments/Questions:
