Lori W. Allen
Founder, President
Phone: 412-765-2067
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Practice Needs Survey
Name
:
Practice Name
:
Address
:
City
:
State
:
Zip
:
Phone
:
Fax
:
Email
:
Best time to reach
:
What is your average number of patient visits per week?
:
What is your goal?
:
What is your average number of new patients per month?
:
What is your goal?
:
Do you have systems in place for the following:
Missed appointments
Yes
No
Reminder calls?
Yes
No
Reactivation?
Yes
No
Are you Scheduling?
Yes
No
Do you schedule manually?
Yes
No
Do you have a written policy and procedural office manual?
Yes
No
Do you have regular staff meetings?
Yes
No
Do you statistically track:
Patient visits?
Yes
No
Patient visit average?
Yes
No
Services?
Yes
No
Collections?
Yes
No
New patients?
Yes
No
Do you conduct healthcare wellness workshops for your patients and their families?
Yes
No
Do you have patient education and retention programs?
Yes
No
Do you feel that your office is systemized and running efficiently?
Yes
No
Are you currently working with or have you worked with a consultant in the past?
Yes
No
Is your staff as knowledgeable as they should be regarding insurance regulations?
Yes
No
Does your current billing software provide you with all you need and want?
Yes
No
Are you experiencing claim denials and you don’t know why?
Yes
No
Do your end of the month reports reflect growth?
Yes
No
Are you aware of the most commonly made mistakes pertaining to coding?
Yes
No
Are you ready to take your practice to the next level?
Yes
No
Please list the areas of your practice where you would like advice or assistance:
Submit to PPS for your free 30 minute initial consultation.
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