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Hello:
You are invited to participate in our survey. It will take approximately [Approximate Time] minutes to complete the questionnaire. This survey will allow you and us to see where you stand regarding your appeals and denials process.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
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| * • What do you like about your current appeals and denials process? |
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| What internal group or department handles all of your denials and appeals or is some portion sent to an outsourced group to work certain denials based on a dollar value criteria or some other logic? |
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• IF A HOSPITAL OR HEALTH SYSTEM: Is there a centralized group or department that is responsible for handling all denials across multiple facilities, locations or physician groups regardless of HIS system, Clearinghouse or affiliation?
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| Based on what you know today, or (If you had a wish list) what type of automated tools might help make the process of Appeals more productive? |
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| • Does your group have any initiatives around the use of quality improvement or the utilization of Lean Six Sigma processes? |
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How many appeals does your group or system process a day?
1-10 11-20 21-50 51-100
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| Of those denials that are appealed, what percentage does that represent to your total denials that you believe are appealable? |
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| Do you have a way to measure the daily or monthly productivity of each person working the denials and sending appeals? If yes, what is the average daily goal? |
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Can you track the success rate of your group or of an individual of what percentage or actual dollars are successfully overturned and paid?
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