Form CMS-10381 CMS-10381.Appendix C Respondent Letters Version 5010 ICD

Version 5010/ICD-10 Industry Readiness Assessment
Appendix C: Drafts of Initial and Follow-up Respondent Letters
Initial and Follow-up E-mail
Subject: New i-Say Survey (^PID^)

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Dear ^MFN1^,
The Centers for Medicare & Medicaid Services (CMS) is sponsoring a study to collect
information regarding the awareness and readiness for transition to ICD-10 code sets and
Version 5010 transactions.
Your participation in this survey is voluntary. There will be no penalties if you decide not to
respond, either to the information collection as a whole or to any particular question.
Furthermore, the information you provide will remain confidential and will not be disclosed in
identifiable form to anyone. This information will be used to inform outreach and education
efforts to help health care providers, payers, software vendors and clearinghouses prepare for
the coming transitions.
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^SLINK^
All the info, including points and survey length, will be waiting for you on the first page.
Thank you for your participation. As always, your responses will be kept confidential.
Emily Martin
Director of Research
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Initial and Follow-up E-mail
Body Plain text:
You are receiving this email as a registered member of the i-Say panel. If you'd like to unsubscribe,
please visit http://www.i-say.com/unsubscribe.aspx
Dear ^MFN1^,
The Centers for Medicare & Medicaid Services (CMS) is sponsoring a study to collect information
regarding the transition to awareness and readiness for ICD-10 code sets and Version 5010
transactions.
Your participation in this survey is voluntary. There will be no penalties if you decide not to respond,
either to the information collection as a whole or to any particular question. Furthermore, the information
you provide will remain confidential and will not be disclosed in identifiable form to anyone. This
information will be used to inform outreach and education efforts to help health care providers, payers,
software vendors and clearinghouses prepare for the coming transitions.

Click here to get started:
^SLINK^
If clicking on the link doesn't work, just copy and paste it into your browser.
All the info, including points and survey length, will be waiting for you on the first page.
Thank you for your participation. As always, your responses will be kept confidential
Emily Martin
Director of Research
i-Say Panel | 1600 Stewart Avenue, Suite 500 | Westbury, NY 11590 | http://i-say.com/privacy.aspx
Make sure to add [email protected] to your address book/safe senders list so you can receive emails
from us. Otherwise, they may end up in your junk mail folder.
Want to know what you're earning? Visit: http://www.i-say.com/rewards.aspx
Surveys may sometimes differ in time. If your survey does end sooner than expected, it is simply
because the survey has filled up, and we cannot take any more responses. You will always be rewarded
for your time.
This email was sent to: ^EMAIL^
If you require any help with this survey, please quote survey number: ^PID^

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