EBS Associates

Medinotes Questionnaire

Name:
Degree:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
How Are Your Exam Notes Currently Written?
Hand Written  Dictation/Transcription  Standardized Forms  Other 
What areas of your notes are you dissatisfied with?
Not Legible  Not Comprehensive  Poor Appearance  Unprotected in an Audit 
Do you often spend evenings away from your family because of charting?
Yes  No 
Besides yourself, who is affected by your charting problems?
Partners in Office  Office Staff  Spouse  Family  Other 
What other aspects of your practice would you like to improve?
Coding for Medicare and insurance.
Time required to document patient exams and review records
Optimize office staff productivity.
Increase the profitability of the practice.
Reduce the risk of records being misplaced or lost.
Do you currently send update letters to every patient's family physician?
Yes  No 
Would you like to send referral letters more quickly and easily?  Yes  No 
How many physicians are in your practice?
Does your partner have influence in purchase power? Yes  No 
Is there anyone else who might have influence in such a purchase? Yes  No 
      If yes, Who