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Omaka Partners
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Total number of healthcare professionals in your clinic:
1-5
6-10
11-20
21 and above
Total number of patients registered with your clinic:
1-150
150-250
250-500
Average daily patient visits:
1-20
21-50
51-100
100+
Do Medicare patients form a significant part of your clientele?
*
Yes
No
Rate your clinic's current understanding of Medicare compliance:
*
Expert level Good
Good, with room for improvement
Basics covered only
Seeking more knowledge
Do you use any telehealth tools or remote monitoring devices?
*
List the top three challenges you face around patient care and compliance:
*
Appointment Date
*
The preferred date may vary
Preferred Time
*
We are available
How were you introduced to UPL?
Phone
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