Welcome to the Revenue Health Assessment

What is the name of your practice?

How many dentists are in your practice?

How many hygienists are in your practice?

About how many patients are seen in your practice per day?

What is your total NET monthly production? (Total production minus adjustments)

What are your TOTAL monthly collections?

How many insurance companies are you in network with and accept the assignment of benefits?

How recently did you negotiate your in network participation fee schedules?

How often do you verify a patient's insurance coverage?

What systems do you use to verify insurance coverage for a patient? Check all that apply.

Do you use a coding resource?

When do you typically send your claims for services rendered?

How do you send your initial claims?

How often are your claims denied due to missing or inaccurate information?

What is your total monthly INSURANCE collections?

How do you receive insurance payments? Check all that apply

What is your total over 90 insurance accounts receivable?

What percentage of your over 90 insurance AR include claims that are over 2 years old?

What systems do you use to collect overdue patient balances? Check all that apply.

On average, what are your total monthly expenditures?

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Choose the best decription of your role in your practice:

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