PRACTICE DATA

Not sure what to enter? Just use the National Average to get an idea of the savings Intuit Health provides.

National
Avg.

Your
Practice

On average, how many patients does each provider see per month?

What percentage of your patient visits are considered new patients?

What percentage of your new patient visits are physician referrals?

What is the approximate cost per patient-related mailing?(like new patient registration packets, etc.)

What is the average value associated with a new patient visit?

What is the percentage of patient no-shows?

Do you currently call or mail reminders in advance of appointments? If so, what is the cost per call/mailing?

What is the average number of Rx renewals requested per day, per provider?

What percentage of patient visits involve labs or tests?

How do you deliver normal lab results?

What is your bad-debt write-off (revenue lost, sent to collections) per provider?
Industry standard is filled in by default.

What is your bad-debt write-off per physician extender?
(nurse practitioners, physician assistants, etc.)

What is the name of your organization/practice?

First Name of main contact:

Last Name of main contact:

State:

Main contact title:

Phone number:

Email address:

What is your current website URL?

What is your current Practice Management System?

What is your current Electronic Medical Records system?

Number of physicians:

Comment

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