Medical Practice Management Solutions
Home
Contact Us
Sitemap
Our Services
Implementation services
Ongoing billing services
Managing Accounts receivable
Read more....
Your benefits
Eliminate HR overhead costs
Eliminate Information Technology costs
Dedicated & experienced staff
Read more....
Contact Us
........................................................................
Phone
:
732-239-5622
Fax
:
732-414-4081
Email
:
info@healthicon.us
Practice Evaluation
Physician Data
This information will help us evaluate your practice
Your Name:
Practice Name:
Claims are handled by:
In house staff
Billing Co
Claims are filed electronically:
Yes
No
What is your average turn around on insurance claims?
15-30 days
30-60 days
60-90 days
Over 90 days
E-Mail Address:
Number of Providers in the practice:
1
2
3-5
6 or more
Approx. % of unpaid claims due to filing errors?
5%
10%
15%
20% or more
Phone Number:
Best time to contact you:
Active Patient Count:
New Practice
100-500
500-1000
1000-1500
Over 1500
Approximate Percentage of claims un collectable?
5%
10%
15%
20% or more
Business Contact Person:
Phone Number:
Approximate number of patients seen per month:
New Practice
50-100
200-500
600 or more
Approximate number of claims processed weekly:
50
100
200
250 or more
Mailing Address:
Number of employees used for administrative support:
1-2 people
3-5 people
5-10 people
Over 10
Is your present method for billing insurance companies?
Satisfactory
Needs Work
Unsatisfactory
Submit
Copyright © 2008
Healthicon
Medical Practice Management Solutions
Powered by :
Quicsolv
Home
|
Our Services
|
Your Benefits
|
Billing Process
l
Practice Evaluation
|
Contact Us
|
FAQ
l
Sitemap
