ClinAnalytix - Practice Goals & Priorities Assessment

Supported by ClinAnalytix™ Reporting & Insights | A JBF Suite LLC Company

📧 support@jbfmedbilling.com
📞 602-466-1331

Which best describes your practice today? (Select one)

Practice Name*

Number of Providers

First Name*

Last Name*

Primary Email*

Primary Phone*

Practice Specialty (s)

Total Monthly Visits

What is your approximate monthly claim volume?

Primary Practice Location State

If your practice operates in multiple states, please list them below

Select Date & Time (Don't forget adjusting to your Time Zone)

GREAT! Your appointment with {{appt.staffNames[appt.selectedCalendar]}} is scheduled!

1. What prompted you to schedule a Revenue Complimentary Assessment?

2. What are the top three challenges currently facing your practice?

3. What are the top three revenue cycle or billing challenges currently facing your practice?

4. What outcome are you hoping to achieve from working with a consulting partner?

5. Which services are you interested in?

6. Are you the primary decision maker?

7. Are you actively seeking a solution within the next:

8. Is there anything else you would like us to know before the strategy session?