Payor Relationships Revenue Quiz

When was the last time you renegotiated your current payor contracts?* This field is required.

Within the last year

I review them once every 1-2 years

No recent review (3+ years)

I have never looked at them

Which actions do you take to manage your payor contracts?* This field is required.

Contract language review

Reimbursement rate review

Location roster updates

Physician roster updates

Payor landscape review

None of these actions are taken

What geographic range does your health organization cover?* This field is required.

Local (50 miles or smaller)

Regional (statewide network)

National (cross-state network)

What is the last yearly revenue of your health organization?* This field is required.This helps us determine how much of an impact changes to contracted rates will help you.

< $500,000

$500,000 - $999,999

$1,000,000 - $4,999,999

$5,000,000 - $9,999,999

$10,000,000 - $19,999,999

$20,000,000 - $49,999,999

$50,000,000 - $99,999,999

$100,000,000+

What is your health organization's overall goal?* This field is required.

Increasing revenue

Expanding payor networks

Accessing more members through expansion

Developing preferred payor relationships

Improve operational efficiencies

Which of the following ranges best describes your days in AR?* This field is required.

<40

40-50

50-60

60+

Unsure

How do you obtain financial health or RCM KPI metrics?* This field is required.

Real-time interactive dashboards

Weekly or monthly reports pushed from a user or vendor

Manual calculations from raw data done through excel, power BI or similar technology

Data is difficult to retrieve, track or monitor

Unsure

Which best describes your current staffing model for RCM?* This field is required.

Majority or all RCM processes are outsourced

A mixture of in house and outsourced vendor manage RCM processes

RCM processes are completely in house

What are your areas of concern regarding RCM? Please select all that apply.* This field is required.

Staffing and/or knowledge gaps with current staff

Denial rates, follow up and denial resolution rate

Timeliness of Claim submission

Investment, Availability or use of advanced technology

A/R backlog

Correct Coding

Dissatisfaction with current vendor

Patient Collections

Eligibility/insurance verification

No concerns

How is your current payor enrollment currently managed?* This field is required.

We have an internal team handling everything

We outsource to a third-party service

A mix of internal and external support

We don't have a formal process in place

What are your biggest challenges with provider credentialing and payor enrollment? Please select all that apply.* This field is required.

Long processing times

Lack of internal resources or staff

Keeping up with payor requirements

Difficulty tracking application status

Other

How long does it typically take for you to collect all necessary provider information for credentialing and payor enrollment?* This field is required.

Less than 1 week

1-2 weeks

2-4 weeks

Over 4 weeks

Unsure

How do enrollment delays impact your organization? Please select all that apply.* This field is required.

Lost revenue due to delayed reimbursements

Frustration for providers and staff

Increased administrative burden

Slower provider onboarding and network expansion

No major impact

How do you currently organize and manage provider data for credentialing and payor enrollment?* This field is required.

We use a credentialing software (e.g. Modio, Verity, CACTUS, etc.)

We primarily use spreadsheets (Excel, Google Sheets)

We rely on paper files and manual processes

We don't have a formal system in place

How many providers are you responsible for managing credentialing and payor enrollment?* This field is required.

1-10 providers

11-50 providers

51-100 providers

101-200 providers

Over 200 providers

What is your health organization's name?* This field is required.

What is your name?* This field is required.We will send you your results and information on how to improve your payor relationships.

What is your email address?* This field is required.

example@example.com