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This survey will ask you about your experience working with insurance companies and the process of getting your patients’ procedures, tests, medications or devices pre-certified. To aid in completing this survey, please feel free to ask for assistance of your referral, appeal and pre-certification employees in your office.
A couple of helpful hints for completing this survey: - Please try to complete the survey in one session. If you cannot, please click the "Save and Continue Later" button and you will receive an email to complete the survey where you left off.
- Do not use the back button in your browser. Rather, use the back button in the survey.
- If an error message appears, please check to make sure you answered all questions in the provided spaces.
To start with the survey now click on the Next button below. |
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Interaction with Insurance Companies |
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Please rate the general relative ease or difficulty of working with insurance companies when it comes to the following:
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* From which insurance companies do you seek pre-certification most often?
(Select up to 6 insurance companies, excluding Medicaid)? |
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* Have you needed to pre-certify a patient for any of these types of care – within the past 12 months?
(Select all that apply)? |
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Evaluation of Insurance Companies |
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Please grade each insurance company – from whom you have sought pre-certification – for each type of care using the following scale:
A: Promptly approves prescribed procedure, test, medication or device B: Eventually approves after criteria are reviewed and met C: May approve after a delay and physician involvement (peer to peer review) D: May approve after lengthy delay with a high hassle factor (appeals) F: Rarely to never approves; could result in patient injury |
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CARDIOLOGY TESTS AND PROCEDURES
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DEVICES (PACEMAKERS, INSULIN PUMPS, ETC.)
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DIAGNOSTIC RADIOLOGY TESTS
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ONCOLOGY OR OTHER SPECIALTY MEDICATIONS
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Evaluation of Insurance Companies |
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Please grade each insurance company – from whom you have sought pre-certification – for each type of care using the following scale:
A: Promptly approves prescribed procedure, test, medication or device B: Eventually approves after criteria are reviewed and met C: May approve after a delay and physician involvement (peer to peer review) D: May approve after lengthy delay with a high hassle factor (appeals) F: Rarely to never approves; could result in patient injury |
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OUTPATIENT DURABLE MEDICAL EQUIPMENT
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Press "Next" to continue this survey. |
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Please read the following statements that describe how insurance companies may or may not be impacting physicians’ practice of medicine. To what extent do you agree or disagree with these each of statements?
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| If you have any extra comments that you would like to make about how insurance companies handle pre-certifications, please write in below: | | |
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These last few questions are for classification purposes only. |
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* Which of the following categories describes your medical specialty?
(Select all that apply) |
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* At which hospital(s) do you currently practice?
(Select all that apply) |
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* Is your medical practice... |
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* Are you currently...?
(Select all that apply) |
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