Podiatry Billing Services - Practice Survey

* Required information

Practice Name
Mailing Address 1
Mailing Address 2
City
State
Zip Code
Email Address *
Contact Name *
Phone Number *
How many providers are in your practice?
How many days a week do you see patients in the office?
How many patients are seen each day?
a. New Patients?
b. Return Visits?
If you provide nursing home services, how many patient visits per week? If you provide wound care at a separate facility, how many patient visits per week? If you dispense Durable Medical Equipment, how many per week?
How many employees do your billing? How many hours per week do they work? What is their average salary (with benefits)?
Are your claims processed in office or outsourced Number of Claims per day? Are your claims electronically processed? Yes No If Yes, which clearinghouse?
What is the average turn around time on your claims?
What is the approximate $ amount of unpaid claims?
What is the reason for these unpaid claims? (errors, unidentified, etc.)
Additional Comments

Practice Survey