Empire Medical Billing Solutions, Inc.: expert medical billing services

 
 

      

Cost Analysis of Hiring Empire Medical Billing

Please take a moment to complete the following form. The first part of the form will provide us with the information needed to know about your practice, where you are located, and what your interests are.

In the second part of the form you will need to enter information in order for us to compute the estimated costs for Full Billing and Collections Services this is the Cost Analysis section.

Practice / Organization Information

Practice Name:

Practice Type:

Contact Name:

Address:

Suite:

City:

State:

Zip:

Phone:

Fax:

Email:

    

Comments/Questions:

Cost Analysis
 YES NO

Has your office ever contracted with a billing service?

>If yes is your office currently using a billing service?

>How are you currently processing claims?

Approximately how many claims does your office submit each month to insurance carriers?

If your current submission exceeds 2,000, enter the correct number here.

What is the average dollar amount of each claim?

What is the turn around time you are currently experiencing from insurance carriers?

How many people in your office are processing claims?

What is the average hourly salary rate of people processing claims?

How many hours per week is spent on processing claims?

Empire Medical Billing Solutions, Inc.
214-55 Jamaica Avenue
Queens Village, NY 11428

Email Us at: info@empiremedicalbilling.com  Copyright © 2006 EMBS