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...