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Surveys
2014
July
E
EMS Billing
EMS Billing
0%
Exit Survey
Hello:
You are invited to participate in our EMS Billing survey .
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential. Your information will be coded and will remain confidential.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Department
:
Contact Name
:
County
:
Address
:
City
:
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip
:
Phone
:
Email Address
:
Do you provide EMS services to your Community?
Yes
No
Do you currently bill for your EMS Services?
Yes
No
Services Provided
Number
Charge
ALS 1
ALS 2
BLS
Mileage
Non-Emergency
How important is the following in choosing an EMS Billing Service?
1 Not Important
2 Some what important
3 Very important
Fee
Customer Service
Average Pay per Charge
Software Compatibility
Flexibility of Company
Ease of Start Up
On Line access to receiving hospital
EMS Billing Services provided by:
MBI Solutions, Inc.
Medicount Managment, Inc.
MED3000
Ohio Billing
In House
Other
How satisfied are you with the following provided by your current billing company?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Fee
Customer Service
Collection Rate
Flexibility
Ease of Service
Overall Service
Would you like a free evaluation of your current EMS Billing revenue?
Yes
No
Maybe
Would you like information regarding potential revenue MBI Solutions can provide for your Department?
Yes
No
Maybe
Comments/Suggestions:
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