ExecTech Client - Collections Questionnaire
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Name
*
First Name
Last Name
Position
Practice Name
*
1. What percentage of your practice is managed care?
2. Do you have each patient sign a financial agreement or policy?
3. What are the biggest problems you have with managed-care plans?
4. Do you offer any type of discount to uninsured patients? If so, what do you offer?
5. Which case types, if any, are difficult for your office to collect from?
6. Do you ever turn patients over to collection agencies? If so, under what circumstances?
7. Do you extend credit to patients?
8. What is your policy for collecting the patient portions?
9. Do you use financial incentives to attract new patients? If so, what do you offer?
10. Which types, if any, are most difficult to collect from?
11. On a scale of 1-10 with 10 being most efficient, how efficient are your collections staff?
12. Do you control your collections staff's priorities each week?
13. If you could start over, would you make different financial arrangements in your practice?
14. What are your goals regarding collections?
15. What are the biggest barriers you need to overcome to reach these goals?
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