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If your information is already saved, just click SUBMIT. *All fields are required First Name * Title * Address * City * Zip/Foreign Postal Code * Email * Last Name * Company * Address 2 State/Province * - Select - Armed Forces Int'l Armed Forces Americas(except Canada) Armed Forces Pacific Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming NON-US Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Country * - Select - United States Canada Aden Afghanistan Albania Algeria American Samoa Andorra Angola Antarctica Antigua Arab Rpblc Of Yemen Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas Bahrain Balearic Islands Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Bourkina Fasso Bouvet Island Br Ind Ocean Terr Brazil British Solomon Isl British Virgin Isl British West Indies Brunei Bulgaria Burma Burundi Byelorussion Cambodia Cameroon Canal Zone Canary Islands Canton/enderbury I Cape Verde Islands Carolina Islands Cayman Islands Cent African Rpblc Chad Channel Islands Chile Christmas Island Cocos (keeling) Isl Colombia Comoro Islands Congo Republic Cook Islands Costa Rica Cote D'ivoire Crete, Greece Croatia Cuba Curacao Cyprus Czech Fed Republic Czechoslovakia Dahomey Denmark Dominica Dominican Republic Dubai Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fernando Po Fiji Finland France French Guiana French Polynesia French West Indies Gabon Gambia Georgia Germany Ghana Gibraltar Gr Cayman, W Indies Greece Greenland Grenada Guadaloupe Guatemala Guinea Guinea-bissau Guyana Haiti Heard & Mcdonald Is Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Iraq-saudi Arabia Ireland Irian Jaya Isle Of Mann Israel Italy Jamaica Japan Johnston Atoll Jordan Kazakhstan Kenya Khmer Republic Kirghizia/kyrgyz Rep Kiribati Kuwait Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Mali Malta Mariana Islands Martinique, Fwi Mauritania Mauritius Mexico Midway Islands Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlnds Antilles Netherlnds W Indies New Caledonia New Zealand Nicaragua Niger Nigeria Niue /new Zealand Norfolk Island Northern Ireland Norway Okinawa, Japan Pakistan Palestine Panama Papeete, Fr Plyns Papua - New Guinea Paracel Islands Paraguay Peoples Rpblc Benin Peoples Rpblc China Peoples Rpblc Yemen Peru Philippines Pitcairn Island Poland Portugal Ppls Dem Rpbl Korea Qatar Republic Of Korea Republic Of Zaire Reunion Romania Rpblc Of Djibouti Rpblc Of Maldives Rpblc Of So Africa Russia Rwanda Samoa San Marino Sao Tome E Principe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Sikkim, India Singapore Slovak Fed Republic Slovakia Slovenia Somalia South West Africa Spain Spanish Sahara Spratley Islands Sri Lanka St Chr.-nevs-angila St Helena St Kitts And Nevis St Lucia St Pierre/miquelon St Vincent Sthrm/antarctic Lnd Sudan Sultanate Of Oman Surinam Svalbard/jan Mayen Swaziland Sweden Switzerland Syrian Arab Rpblc Tadzhikistan Tahiti Taiwan Tanzania Thailand Togo Republic Tokelau Islands Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Isl Tuvalo Uganda Ukraine United Kingdom Other Unknown Untd Arab Emirates Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wales Wallis And Futuna Yugoslavia Zambia Zimbabwe Phone * Which of the following best describes where you work? * - Select - PHYSICIAN PRACTICE HOSPITAL/ACUTE HEALTHCARE PROVIDER AMBULATORY ANCILLARY HEALTHCARE PROVIDER HEALTHCARE PAYER HEALTHCARE SERVICE/SUPPLIER ORGANIZATION OTHER Please Specify * - Select - Hospital Multi-Hospital System, IDN Community Hospital VHA/Government/Non-Profit Academic Medical Center Nursing Home/Extended/LTC/Rehabilitation Facility Medical/Surgical Clinic, Ambulatory Care Facility Medical/Surgical Group Practice Home Health Care Organization Community Health Center Clinic Laboratory Facility Imaging Center Pharmacy Other ancillary healthcare provider (please describe) Health Insurance Company Health Plans: HMO/PPO/MCO Third Party Administrator Disability Insurance Company IT Consulting, Systems Integrator Financial/Business Consulting Firm Healthcare Vendor-IT Products/Services, Medical Devices, VAR Vendor-Pharmaceuticals Family Practice Pediatrics Gastroentronology Obstetrics and Gynaecology Internal Medicine Oncology/Hematology Ophthalmology Orthopedics/Sports Medicine Psychiatry/Psychology General Surgeon Dermatology Plastic Surgeon Podiatry Cardiology Neurology Chiropractic Endocrinology/Diabetes Other Physician Practice Other (please describe) Other * Which of the following best describes what you do? * - Select - PHYSICIAN PRACTICE MANAGEMENT INFORMATION/TECHNOLOGY MANAGEMENT GENERAL & FINANCIAL MANAGEMENT CLINICAL MANAGEMENT OTHER Please Specify * - Select - CIO, CTO, VP of IT/IS/Network IT/IS/Data (Dir/Mgr) CSO, Information Security/Site Security (Dir/Mgr) Network, Telecom, e-Health, Internet, Intranet, Call Center (Dir/Mgr) Medical Records/HIM (Dir/Mgr) Medical Informatics (Dir/Mgr) Nursing Informatics (Dir/Mgr) Programmer/Developer Systems Analyst Applications/Clinical Analyst Other IT Department Dir/Mgr (please describe) CFO, VP, Director of Finance, Controller, Treasurer Asst CFO, Asst VP/Director, Manager of Finance Patient Access, Accounts, Admissions (VP/Dir/Mgr) Collections, Coding, & Reimbursement Depts. (VP/Dir/Mgr) Revenue Cycle (VP/Dir/Mgr) Purchasing (VP/Dir/Mgr) Supply Chain (VP/Dir/Mgr) Materials Management (VP/Dir/Mgr) Managed Care (VP/Dir/Mgr) Quality/Risk/Patient Safety/Compliance (VP/Dir/Mgr) Human Resources (VP/Dir/Mgr) Billing/Accounts Receivable/Payable Staff Other Finance Dept. VP/Dir/Mgr (please describe) CEO, Partner, Managing Director, General Manager, President, Board Officer Administrator, Executive Director, Group Practice Manager COO, EVP, SVP, VP, Asst Administrator Other G&A Dept. VP/Dir/Mgr (please describe) Chief Medical Officer, CMIO, CCIO, Medical Director, Chief of Staff Chief Nursing Officer, CNIO, VP/Dir/Mgr of Nursing Radiology/Imaging (Chief/Dir/Mgr) Cardiology/Oncology/Pathology (Chief/Dir/Mgr) Emergency Dept/Acute Care (Chief/Dir/Mgr) Ambulatory Care (Chief/Dir/Mgr) Lab Services (Chief/Dir/Mgr) Pharmacy (Chief/Dir/Mgr) Hospitalist Physician Nurse Other Clinical Dept. Chief/Dir/Mgr (please describe) Physician Practice Manager/Administrator Physician Assistant/Nurse Practitioner Director of Nursing Nurse Other technical staff Other (please describe) Other * How many doctors are in your Physician Practice? * - Select - 1-2 3-5 6-10 11-20 more than 21 0 How many beds are in your hospital/surgical clinic? * - Select - 1000+ 500-999 400-499 300-399 200-299 100-199 Under 100 Not available 0 How many physicians are in your ambulatory care facility? * - Select - 300+ 200-299 100-199 50-99 26-49 10-25 Under 10 N/A 0 How many lives are covered in your payer/insurance organization? * - Select - Over 2 million 1.1 - 2 million 501,000 - 1 million 251,000-500,000 101,000-250,000 Under 100,000 N/A 0 PhysBizTech is committed to protecting your privacy. If you wish to review our privacy policy, please click here. Related Topics: Revenue Cycle Management White Paper
Rescue Your Revenues with Coding, Compliancy, and Reimbursement Management Tools 0 0 Please complete the following information in order to access this resource. If your information is already saved, just click SUBMIT. *All fields are required First Name * Title * Address * City * Zip/Foreign Postal Code * Email * Last Name * Company * Address 2 State/Province * - Select - Armed Forces Int'l Armed Forces Americas(except Canada) Armed Forces Pacific Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming NON-US Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Country * - Select - United States Canada Aden Afghanistan Albania Algeria American Samoa Andorra Angola Antarctica Antigua Arab Rpblc Of Yemen Argentina Armenia Aruba Australia Austria Azerbaijan Azores Bahamas Bahrain Balearic Islands Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Bourkina Fasso Bouvet Island Br Ind Ocean Terr Brazil British Solomon Isl British Virgin Isl British West Indies Brunei Bulgaria Burma Burundi Byelorussion Cambodia Cameroon Canal Zone Canary Islands Canton/enderbury I Cape Verde Islands Carolina Islands Cayman Islands Cent African Rpblc Chad Channel Islands Chile Christmas Island Cocos (keeling) Isl Colombia Comoro Islands Congo Republic Cook Islands Costa Rica Cote D'ivoire Crete, Greece Croatia Cuba Curacao Cyprus Czech Fed Republic Czechoslovakia Dahomey Denmark Dominica Dominican Republic Dubai Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fernando Po Fiji Finland France French Guiana French Polynesia French West Indies Gabon Gambia Georgia Germany Ghana Gibraltar Gr Cayman, W Indies Greece Greenland Grenada Guadaloupe Guatemala Guinea Guinea-bissau Guyana Haiti Heard & Mcdonald Is Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Iraq-saudi Arabia Ireland Irian Jaya Isle Of Mann Israel Italy Jamaica Japan Johnston Atoll Jordan Kazakhstan Kenya Khmer Republic Kirghizia/kyrgyz Rep Kiribati Kuwait Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Mali Malta Mariana Islands Martinique, Fwi Mauritania Mauritius Mexico Midway Islands Moldavia Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlnds Antilles Netherlnds W Indies New Caledonia New Zealand Nicaragua Niger Nigeria Niue /new Zealand Norfolk Island Northern Ireland Norway Okinawa, Japan Pakistan Palestine Panama Papeete, Fr Plyns Papua - New Guinea Paracel Islands Paraguay Peoples Rpblc Benin Peoples Rpblc China Peoples Rpblc Yemen Peru Philippines Pitcairn Island Poland Portugal Ppls Dem Rpbl Korea Qatar Republic Of Korea Republic Of Zaire Reunion Romania Rpblc Of Djibouti Rpblc Of Maldives Rpblc Of So Africa Russia Rwanda Samoa San Marino Sao Tome E Principe Saudi Arabia Scotland Senegal Serbia Seychelles Sierra Leone Sikkim, India Singapore Slovak Fed Republic Slovakia Slovenia Somalia South West Africa Spain Spanish Sahara Spratley Islands Sri Lanka St Chr.-nevs-angila St Helena St Kitts And Nevis St Lucia St Pierre/miquelon St Vincent Sthrm/antarctic Lnd Sudan Sultanate Of Oman Surinam Svalbard/jan Mayen Swaziland Sweden Switzerland Syrian Arab Rpblc Tadzhikistan Tahiti Taiwan Tanzania Thailand Togo Republic Tokelau Islands Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Isl Tuvalo Uganda Ukraine United Kingdom Other Unknown Untd Arab Emirates Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wake Island Wales Wallis And Futuna Yugoslavia Zambia Zimbabwe Phone * Which of the following best describes where you work? * - Select - PHYSICIAN PRACTICE HOSPITAL/ACUTE HEALTHCARE PROVIDER AMBULATORY ANCILLARY HEALTHCARE PROVIDER HEALTHCARE PAYER HEALTHCARE SERVICE/SUPPLIER ORGANIZATION OTHER Please Specify * - Select - Hospital Multi-Hospital System, IDN Community Hospital VHA/Government/Non-Profit Academic Medical Center Nursing Home/Extended/LTC/Rehabilitation Facility Medical/Surgical Clinic, Ambulatory Care Facility Medical/Surgical Group Practice Home Health Care Organization Community Health Center Clinic Laboratory Facility Imaging Center Pharmacy Other ancillary healthcare provider (please describe) Health Insurance Company Health Plans: HMO/PPO/MCO Third Party Administrator Disability Insurance Company IT Consulting, Systems Integrator Financial/Business Consulting Firm Healthcare Vendor-IT Products/Services, Medical Devices, VAR Vendor-Pharmaceuticals Family Practice Pediatrics Gastroentronology Obstetrics and Gynaecology Internal Medicine Oncology/Hematology Ophthalmology Orthopedics/Sports Medicine Psychiatry/Psychology General Surgeon Dermatology Plastic Surgeon Podiatry Cardiology Neurology Chiropractic Endocrinology/Diabetes Other Physician Practice Other (please describe) Other * Which of the following best describes what you do? * - Select - PHYSICIAN PRACTICE MANAGEMENT INFORMATION/TECHNOLOGY MANAGEMENT GENERAL & FINANCIAL MANAGEMENT CLINICAL MANAGEMENT OTHER Please Specify * - Select - CIO, CTO, VP of IT/IS/Network IT/IS/Data (Dir/Mgr) CSO, Information Security/Site Security (Dir/Mgr) Network, Telecom, e-Health, Internet, Intranet, Call Center (Dir/Mgr) Medical Records/HIM (Dir/Mgr) Medical Informatics (Dir/Mgr) Nursing Informatics (Dir/Mgr) Programmer/Developer Systems Analyst Applications/Clinical Analyst Other IT Department Dir/Mgr (please describe) CFO, VP, Director of Finance, Controller, Treasurer Asst CFO, Asst VP/Director, Manager of Finance Patient Access, Accounts, Admissions (VP/Dir/Mgr) Collections, Coding, & Reimbursement Depts. (VP/Dir/Mgr) Revenue Cycle (VP/Dir/Mgr) Purchasing (VP/Dir/Mgr) Supply Chain (VP/Dir/Mgr) Materials Management (VP/Dir/Mgr) Managed Care (VP/Dir/Mgr) Quality/Risk/Patient Safety/Compliance (VP/Dir/Mgr) Human Resources (VP/Dir/Mgr) Billing/Accounts Receivable/Payable Staff Other Finance Dept. VP/Dir/Mgr (please describe) CEO, Partner, Managing Director, General Manager, President, Board Officer Administrator, Executive Director, Group Practice Manager COO, EVP, SVP, VP, Asst Administrator Other G&A Dept. VP/Dir/Mgr (please describe) Chief Medical Officer, CMIO, CCIO, Medical Director, Chief of Staff Chief Nursing Officer, CNIO, VP/Dir/Mgr of Nursing Radiology/Imaging (Chief/Dir/Mgr) Cardiology/Oncology/Pathology (Chief/Dir/Mgr) Emergency Dept/Acute Care (Chief/Dir/Mgr) Ambulatory Care (Chief/Dir/Mgr) Lab Services (Chief/Dir/Mgr) Pharmacy (Chief/Dir/Mgr) Hospitalist Physician Nurse Other Clinical Dept. Chief/Dir/Mgr (please describe) Physician Practice Manager/Administrator Physician Assistant/Nurse Practitioner Director of Nursing Nurse Other technical staff Other (please describe) Other * How many doctors are in your Physician Practice? * - Select - 1-2 3-5 6-10 11-20 more than 21 0 How many beds are in your hospital/surgical clinic? * - Select - 1000+ 500-999 400-499 300-399 200-299 100-199 Under 100 Not available 0 How many physicians are in your ambulatory care facility? * - Select - 300+ 200-299 100-199 50-99 26-49 10-25 Under 10 N/A 0 How many lives are covered in your payer/insurance organization? * - Select - Over 2 million 1.1 - 2 million 501,000 - 1 million 251,000-500,000 101,000-250,000 Under 100,000 N/A 0 PhysBizTech is committed to protecting your privacy. If you wish to review our privacy policy, please click here.