CHARGES |
| 1. Do you feel the charges are created in a timely manner? |
| |
Yes
No
|
CODING |
| 2. How do you rate the quality of our Coding Review process? |
| |
Excellent
Good
Satisfactory
Poor
|
CLAIMS TRANSMISSION |
| 3. Do the claims get transmitted in a timely manner and are the transmission rejections worked on immediately? |
| |
Yes
No
|
| 4. How satisfied are you with the timelines and accuracy of the claims being filed? |
|
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
|
PATIENT STATEMENTS |
| 5. Are patient statements being sent out in a timely manner? |
| |
Yes
No
|
PRACTICE COLLECTIONS |
| 6. Have your revenues improved? |
| |
Yes
No
If YES, by what percentage approximately
|
PAYMENT POSTING |
| 7. Are you satisfied with the turnaround time for payment posting? |
|
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
|
| 8. How do you rate the quality of payment posting? |
| |
Excellent
Good
Satisfactory
Poor
|
PATIENT COLLECTIONS |
| 9. Are you satisfied with the patient collection process? |
|
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
|
ACCOUNTS RECEIVABLES |
| 10. Are you satisfied with the way your denials are being handled? |
|
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
|
MONTH-END REPORTS |
| 11. Month end reports - Timeliness and effectiveness |
| |
Excellent
Good
Satisfactory
Poor
|
ECW |
| 12. ECW - ease of use |
| <<< Very easy to use |
Most Difficult to use >>>
|
|
|
| 13. Are you satisfied with the technical support provided for ECW? |
|
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
|
| 14. Any other thoughts on ECW |
|
|
CUSTOMER SUPPORT |
| 15. Promptness of response |
| |
Excellent
Good
Neutral
Needs improvement
Leaves a lot to be desired
|
| 16. Timeliness of resolution of issues |
| |
Excellent
Good
Neutral
Needs improvement
Leaves a lot to be desired
|
| 17. Additional comments on customer service |
|
|
OVERALL EXPERIENCE |
| 18. How do you rate our services now as compared to last year or previous experience? |
|
|
| 19. What can we do to further improve our services? |
|
|
| 20. Would you recommend our services to others? |
| |
Yes
No
|
INVOICE PROCESS |
| 21. Do you receive your invoice in a timely manner? |
| |
Yes
No
|
| 22. Is the invoice being sent to the right person? |
| |
Yes
No
If No, please provide the name and contact details of the person the invoice should be addressed to
|
| 23. Do you receive your invoice in a timely manner? |
| |
Yes
No
If No, please specify the additional information you would like to see in the invoice
|
| 24. Kindly fill in your personal details... this will enable us to proceed further... |
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