CMS - Palmetto GBA J1 MAC Custom Questions |
Which best describes you? |
Staff of provider/supplier working primarily with billing/insurance |
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Administrative staff of a provider/supplier |
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Billing service |
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Consultant or attorney |
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Local, state, or federal government employee or contractor |
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Other staff of a provider/supplier |
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Provider/supplier |
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Software vendor |
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Other health care insurer or agency |
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Other (please specify) |
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What is your primary reason for visiting this site today? |
Download forms |
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Find contact information |
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Find enrollment information |
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Find general Medicare program information |
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Find information on fees or fee schedules |
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Find out about a Local Coverage Determination (LCD) |
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Learn of, or register for, workshops, seminars or other training events |
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Read Medicare publications such as newsletters, press releases, etc. |
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Research a specific question on Medicare policy or billing |
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Take an on-line training course |
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Other (please specify) |
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If you used the Electronic Data Interchange (EDI) section of the website, what was your primary reason for doing so? |
Find EDI enrollment forms |
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Access manuals or technical specifications |
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Download updated software |
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Check systems status |
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Did not use that section |
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Other (please specify) |
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Did you find what you were looking for? |
Yes |
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No, I was looking for: |
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Which of the following self-service tools did you use on the site today? (please select all that apply) |
Fee schedule lookup |
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MSP lookup |
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Reason/Remark Codes |
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Modifier Lookup |
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Denial Finder |
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Redetermination Status |
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None of the above |
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In the last 30 days, how many times have you visited this Web site? |
This is my first time |
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Once or twice before |
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Three or four times before |
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More than once per week but not every day |
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Every day |
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Please select your location: |
California - Part A |
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California - Part B |
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Guam/American Samoa/Northern Mariana Islands - Part A |
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Guam/American Samoa/the Northern Mariana Islands - Part B |
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Hawaii - Part A |
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Hawaii - Part B |
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Nevada - Part A |
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Nevada - Part B |
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If you used this site's search feature today, which of the following best describes your experience with the search? |
Returned too many results |
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Did not return enough results |
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Returned results that were too similar/redundant |
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Results were helpful |
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Results were not helpful |
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Returned results that were only partially what I needed |
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Other |
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How does our Web site rate compared to other payers' websites? |
Better |
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About the same |
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Not as good |
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If you answered "not as good", please tell us which payer websites you like better and why. |
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How would you rate the usefulness of the provider education materials on our website? |
1=Not very useful |
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2 |
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3 |
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4 |
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5 |
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6 |
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7 |
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8 |
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9 |
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10=Very useful |
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Don't know |
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If you do not use E-mail Updates (listserv), please tell us why not. |
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