Hemophilia Alliance HTC Billing & Revenue Cycle Survey

Organization Name*

Contact Name*

Position*

Phone Number*

Email Address*

Is your HTC part of a larger institution or health system?*

Yes
No

Please provide name

1. What Practice Management (PM)/Electronic Health Record (EHR) software do you use?

Ascend
Cerner
CPR+
Epic
GE Centricity
Other

Please provide a list of software that you use

2. Is Billing an internal or external function?

Internal / In House
External / Outsourced
Other

Please provide external/outsourced name

Please explain

3. How are claims filed?

Please explain how claims are filed

4. What clearing house do you use?

Availity
Change
NaviNet
TriZetto
Waystar
Other

Please provide the name of clearing house that you use

5. How often are claims billed?

Daily
Weekly
Monthly
Other

Please explain how often claims are billed

6. On average, how many claims are billed per month?

0-25
26-50
51-75
75+

7. How are payments and EOBs received? (Check all that apply)

EFT
ERA
Paper

8. How are insurance payments and denials posted?

Electronically
Manually
Both

9. Where might Hemophilia Alliance be most helpful in supporting your organization to strengthen your revenue cycle management processes?

10. Hemophilia Alliance is considering expanding payer related services by offering the following billing and collection functions listed below. Please indicate what services you would be interested in.

Insurance Verification
Prior Authorization
Billing, including pre-billing edit review, claims scrubbing, and claim submission (both paper and electronic)
Remittance Processing and Payment Reconciliation
A/R Management, including claim status, denial analysis, partial pay analysis, appeals and/or reconsiderations
All of the above

Hemophilia Alliance HTC Billing & Revenue Cycle Survey

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