Financial Management

*What percent of copayments were collected at time of service?

Indicate the percent, in whole numbers, of copayments that were collected from patients at time of service. If you did not collect copayments at time of service, indicate that by entering “0.”
 

*What percent of patient due balances were collected at time of service?

Indicate the percent, in whole numbers, of patient due balances that were collected from patients at time of service. If you did not collect patient due balances at time of service, indicate that by   entering “0.”
 

What best described your billing function structure?

In-house: Medical billing operations were performed in-house, within your practice.
Outsourced: Medical billing operations were outsourced to a third-party company.
Combination of in-house and outsourced: Medical billing operations were performed both inhouse and outsourced.
Other, please specify: If another method was used to perform medical billing operations, select “Other” and please specify in the text box those additional methods.
 

What was the average number of commercial claims a biller submitted for payment in a day?

If you answered “In-house” to the question What best described your billing function structure, then indicate the average number of commercial claims a biller submitted for payment in a day. A claim is written request for payment submitted to a third-party.
 

What was the average number of government claims a biller submitted for payment in a day?

If you answered “In-house” to the question What best described your billing function structure, then indicate the average number of government claims a biller submitted for payment in a day. A claim is written request for payment submitted to a third-party.
 

What was the average number of follow-up claims a biller submitted for payment in a day?

If you answered “In-house” to the question What best described your billing function structure, then indicate the average number of follow-up claims a biller submitted for payment in a day. A claim is written request for payment submitted to a third-party.
 

*What percentage of claims were denied on first submission?

Indicate the percent, in whole numbers, of claims that were denied on first submission. A claim is written request for payment submitted to a third-party.
 

*What was your average charge-posting lag time between date of service and claim drop date to payer?

If you answered “In-house” to the question What best described your billing function structure, then indicate the average charge-posting lag time between date of service and claim drop date to payer. Report the number of days between when a patient was seen and when the charge was posted for third-party payment. If the payment was posted immediately after seeing a patient, represent that by entering “0.” If the payment was posted within the same day, but hours later, represent that by entering in a decimal value (e.g. half a day later should be represented by entering “0.5”).
 

What pricing model was used with the billing service?

If you answered “Outsourced” to the question What best described your billing function structure, then indicate the pricing model that was used with your billing service.
Percentage-based: The billing service charged a percentage of collections.
Fee-based: The billing service charged a fixed dollar rate per claim.
Hybrid: The billing service charged on a percentage basis for certain carriers or balances and flat fee for others.
 

What percent of collections did the billing service charge?

If you answered “Percentage-based” to the question What pricing model was used with the billing service, then indicate the percent, in whole numbers, of collections the billing service charged.
 

What was the fee per claim the billing service charged?

If you answered “Fee-based” to the question What pricing model was used with the billing service, then indicate the fee per claim the billing service charged.
 

How soon did providers close a patient chart after an encounter?

Indicate the time frame (in hours) a provider had to complete patient charts after an encounter.
 

Who was responsible for coding the practice's patient encounters?

An encounter is an instance of direct provider to patient interaction, regardless of setting (including tele-visits and e-visits), between a patient and a healthcare provider who is vested with the primary responsibility of diagnosing, evaluating, and/or treating the patient's condition, where the provider exercises clinical judgment that may or may not be billable.
Providers: Providers were responsible for coding the practice’s patient encounters for billing submission.
Coders: Coders were responsible for coding the practice’s patient encounters for billing submission.
Other internal staff: Other internal staff, not providers or coders, were responsible for coding the practice’s patient encounters for billing submission.
External coding source: A third party company, not internal practice staff or providers, was responsible for coding the practice’s patient encounters for billing submission.
Computer/EHR system: Practice computer/EHR system coded the practice’s patient encounters for billing submission.
Other, please specify: If others were responsible for coding the practice’s patient encounters for billing submission, select “Other” and please specify in the text box who was responsible for coding the practice’s patient encounters.
 

What was the average number of patient encounters a coder processed in a day?

If you answered “Coders” to the question Who was responsible for coding the practice’s patient encounters, then indicate the average number of patient encounters a coder processed in a day.  An encounter is an instance of direct provider to patient interaction, regardless of setting (including tele-visits and e-visits), between a patient and a healthcare provider who is vested with the primary responsibility of diagnosing, evaluating, and/or treating the patient's condition, where the provider exercises clinical judgment that may or may not be billable.

Were patient encounters reviewed by coders prior to billing?

If you answered “Providers” to the question Who was responsible for coding the practice’s patient encounters, then indicate whether or not your patient encounters were reviewed by coders prior to billing.
 

*Did your practice have an annual budget?

Indicate “Yes” if your practice had an annual budget. If your practice did not have an annual budget, answer “No.”
 

*Did your practice have a capital budget?

If you answered “Yes” to the question Did your practice have an annual budget, then indicate whether or not your practice had a capital budget.
 

*Did your practice have an operations budget?

If you answered “Yes” to the question Did your practice have an annual budget, then indicate whether or not your practice had an operations budget.
 

*How often did you compare your year-to-date status relative to your budget?

If you answered “Yes” to the question Did your practice have an annual budget, then indicate how often you compared your year-to-date status relative to your budget.
More than once a month: Year-to-date status relative to your budget was reviewed at least twice each month on average.
Monthly: Year-to-date status relative to your budget was reviewed once a month on average. Quarterly: Year-to-date status relative to your budget was reviewed every three months on average. Twice a year: Year-to-date status relative to your budget was reviewed every six months on average. Annually: Year-to-date status relative to your budget was reviewed once a year on average.
Less than once a year: Year-to-date status relative to your budget was reviewed less than once a year on average.
Never: Year-to-date status relative to your budget was never reviewed.