Use this form to analyze your costs and weigh the benefits of using Medical Service Associates.

Your Numbers Now

What was your total revenue from patient and insurance billing only? (Ancillary income is not calculated in our fee ie: stipends, capitations, and honorariums.) $
Expenses (annualized)
Employee Salary $ *Cost to increase each year
Employee Benefits $ *Cost to increase each year
Bonus $  
Retirement Contribution $  
Computer Hardware/Software $  
Hardware/Software Maintenance agreement $  
Forms HCFA/Patient statements $  
Envelopes $  
Postage $  
Telephone $  
Rent (proportion of space) $  
Employee Training $  
Manuals/Seminars $  
Total    $  
Percentage of Income      %  
Is your expense greater than 7% of your revenue? Yes No
Is your accounts receivable over 120 days greater than 7% of your total accounts receivable? Yes No
Do you still have to pay your biller if you are away from your practice? Yes No
Does your billing slow down or get behind if your biller is away? Yes No
Is the frequency of your accounts receivable follow-up greater than 30 days? Yes No
Does any of your billing sit un-posted for greater than 4 business days? Yes No
If you answered yes to any of the above questions you may benefit from the services provided by Medical Service Associates, Inc. If you would like to send this information to us and have someone from Medical Service Associates contact you, please fill out the fields below and click SEND.

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