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Medical Billing
1.
Please Provide your Name
2.
Please Provide Your Location Name
*
3.
How familiar are you with ABS 2 features to support skilled billing?
(Required.)
I don't use ABS2
Not Familiar
Somewhat Familiar
Familiar
Very Familiar
*
4.
How many of your customers are you billing using UB04 bills? (This is a billing format specified by CMS and is also known as the CMS 1450. It is often used by the Veterans Administration)
(Required.)
None
1-5
5-10
10-50
50 or more
*
5.
How many of your customers are you billing using CMS1500 format bills? (This is a format specified by Center for Medicare and Medicaid Services and is also known as the HCFA 1500)
(Required.)
None
1-4
5-9
10-49
50 or More
6.
Would you be interested in participating in a sandbox pilot of ABS 2 integrated UB04 and CMS1500 features that are targetted for the next ABS 2 release?
Yes
No
7.
Do any of your customers require a CMS 485 Home Health Certification form?
Yes
No
Not Sure
8.
Do you currently use software besides ABS to submit these types of claims?
Yes
No
9.
If you answered yes to the above, please provide the vendor and software package name....
10.
Do you currently use a claims management company or clearing house to help you manage these types of claims?
Yes
No
11.
If you answered yes above, which company do you use to provide this service?
12.
Do you have any additional comments you would like to share on the topic of Medical Billing?