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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 : 
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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