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1. Thinking about the patient bills you send in a given month, how many patients receive text and/or email statements without receiving a paper bill?
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My patients only receive text and emails (100%)
Almost all patients receive text and email statements without receiving paper bills (75% to 100%)
Most patients receive text and email statements without receiving paper bills (50% to 75%)
Some patients receive text and email statements without receiving paper bills (25% to 50%)
A few patients receive text and email statements without receiving paper bills (10% to 25%)
Almost none receive text and email statements without receiving paper bills (0% to 10%)
2. As patients reach out to you with questions about their bill, how many questions from patients are answered via methods other than phone calls? For example, texting, emailing, or chatting a patient back an answer to their question.
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All questions are answered WITHOUT phone calls (100%)
Almost all questions are answered without phone calls (75% to 100%)
Most questions are answered without phone calls (50% to 75%)
Some questions are answered without phone calls (25% to 50%)
A few questions are answered without phone calls (10% to 25%)
All questions are answered WITH phone calls (0% to 10%)
3. Before statements are sent, do you do any type of review - either manually or automatically?
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Yes
No
4. How many statements are manually reviewed before they are sent to patients?
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All statements are manually reviewed (100%)
Almost all statements are manually reviewed (75% to 100%)
Most statements are manually reviewed (50% to 75%)
Some statements are manually reviewed (25% to 50%)
A few statements are manually reviewed (10% to 25%)
None of my statements are manually reviewed (0% to 10%)
5. How many patients are automatically written off or automatically placed in collections after their billing cycle?
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All of my patients are automatically written off or sent to collections (100%)
Almost all of my patients are automatically written off or sent to collections (75% to 100%)
Most of my patients are automatically written off or sent to collections (50% to 75%)
Some of my patients are automatically written off or sent to collections (25% to 50%)
A few of my patients are automatically written off or sent to collections (10% to 25%)
I or the practice manually write off and/or send almost all my patients to collections (0% to 10%)
6. How many patient payments are automatically posted to your Practice Management system without any manual intervention? For example, a patient makes a payment online and the payment automatically posts to the Practice Management system.
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All patient payments automatically post and apply to my PM system (100%)
Almost all patient payments automatically post and apply to my PM system (75% to 100%)
Most patient payments automatically post and apply to my PM system (50% to 75%)
Some patient payments automatically post and apply to my PM system (25% to 50%)
A few patient payments automatically post and apply to my PM system (10% to 25%)
My team manually posts and applies almost all payments (0% to 10%)
7. How long does it normally take for patients to receive their first statement from you?
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About one business day
About a week
About a month
8. Once you send a statement to a patient, what is the average time it takes for that patient to pay the bill?
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0 to 30 days
30 to 60 days
60 to 90 days
90 to 120 days
120 days or longer
9. What is your approximate percentage of patient responsibility collected each month out of the total patient responsibility generated that month?
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100% of patient responsibility that is generated in a month is collected
Between 75% and 99% of patient responsibility that is generated in a month is collected
Between 50% and 75% of patient responsibility that is generated in a month is collected
Between 25% and 50% of patient responsibility that is generated in a month is collected
Between 1% and 25% of patient responsibility that is generated in a month is collected
I don't collect any patient responsibility (0%)
10. Through which statement methods are patients able to review their bill? (Select all that apply)
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Paper
Email
Text
11. When patients have questions about their bills, through which methods are patients able to reach you? (Select all that apply)
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Email
Text
Chat
Phone
12. When patients are ready to pay, which methods of payment do you make available? (Select all that apply)
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Text
Email
Phone Call
Mailing a check or card
Patient Driven Payment Plan
Over IVR
Credit Card (online)
Apple/Android Pay
ACH (online)
Card-on-file
13. How many of your bills need to be re-billed because a patient saw that a charge should be re-billed?
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Many (More than 10%)
A fair amount (5% to 10%)
Some (3% to 5%)
A few (1% to 3%)
Almost none (Less than 1%)
14. What information are patients able to view about their bill? (Select all that apply)
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CPT/Service Codes
Charge - Write-offs - Payment Amounts
Insurance Payment Reason (PR Codes)
Plain Language Insurance Payment Reason
Charges Can Be Grouped by Date of Service
What is your name and company?
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What is your email address?
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