CMS-10811 CMS-10811. Appendix A_Part C Survey Questions FINAL

Appendix A

Part C IPM Survey Questions
Contract number:
Contract Name:
Parent Org:
Respondent name:
Respondent role:
The purpose of this survey is to collect feedback from Medicare Part C sponsors selected for improper
payment validation. This survey will be used to solicit feedback on CMS outreach, training, and resource
materials to determine any areas to enhance or adjust.

Training Teleconference
1. Did your organization attend the Calendar Year 2020 Medicare Part C Improper Payment Measure
Training Teleconference?
(radio button options)
o
o

Yes
No

2. How helpful was the content presented during the CY20 Part C IPM Medicare Advantage
Organization Training Teleconference held on Wednesday, January 19, 2022? Please include any
suggestions for future conferences in the comment box.
(radio button options)
o
o
o

Not applicable – I did not attend
Helpful
Not helpful

Comment Box – Suggestions for other topics to include in the conference.

3. Did you find the conference to be effective and suit your organizations’ needs? Would you prefer
an on-demand training that is recorded and available at your convenience or do you prefer the
live event?
(radio button options)
o
o
o

On-demand training
Live event
Other – Please provide comment

4. Was the length of the teleconference too long, too short, or about right? If answering ‘too long’ or
‘too short’, please enter topics to add, or unnecessary topics in the comment box.
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Appendix A

Part C IPM Survey Questions
(radio button options)
o
o
o
o

Not applicable – I did not attend
Too long
About right
Too short

Comment Box - Suggestions for other topics to add or take away.

5. How helpful were the Frequently Asked Questions (FAQs) document provided to you after the
Part C IPM Medicare Advantage Organization Training Teleconference?
(radio button options)
o
o
o

Helpful
Not helpful
I have not reviewed the FAQs

6. What other topics regarding the Part C IPM process would you like to see materials or content
from CMS?

Part C IPM Communications
1. How helpful do you find the communications regarding the Part C IPM activity (HPMS
announcements and emails regarding training opportunities and reference materials, submission
deadlines, submission status, and Interim and Final Findings Report availability)? Please provide
any relevant comments or context in the text box.
(radio button options)
o
o
o

Helpful
Somewhat helpful
Not helpful at all

2. Is the number of communications sent regarding the Part C IPM activity too many, not enough, or,
about right?
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Part C IPM Survey Questions
(radio button options)
o
o
o

Too many
About right
Not enough

3. The submission cutoff deadlines for medical records to be included in the Interim Findings Reports
(IFRs) were announced at the beginning of the CY20 Part C IPM activity. Did this impact the timing
of your plan’s medical record submissions?
(radio button options)
o
o
o

Yes
No
We were unaware of the interim submission cutoff deadlines

4. What other information would you find helpful in Part C IPM communications? Please share
ideas/recommendations for improving the quality and delivery method for communications
related to the Part C IPM activity.

Part C Findings Reports
1. How helpful are the IFRs? Please provide any feedback regarding ease of use, the user reference
guide or overall content of the IFR.
(radio button options)
o
o
o

Helpful
Somewhat helpful
Not helpful at all

What other information (apart from what is already presented) would you like to be included in
the IFRs?

2. Are the IFRs user friendly?
(radio button options)
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Appendix A

Part C IPM Survey Questions
o
o
o

Yes
No
Neutral

3. Does the release schedule and number of IFRs provide sufficient time for your MA contract to
respond to feedback on your plan’s medical record submissions? For example, the IFRs for the
CY20 Part C IPM activity were released on March 10, 2022, and April 14, 2022.
(radio button options)
o
o
o

IFR release dates are too early
IFR release dates provide sufficient time to respond to feedback
IFR release dates are too late

4. Do the IFRs help you make informed decisions about what medical records to submit to
substantiate pending CMS-Hierarchical Condition Category?
(radio button options)
o
o
o

Yes
Somewhat
No

5. How helpful are the FAQs and User Guides for IFRs/Final Findings Report (FFR)?
(radio button options)
o
o
o

Helpful
Somewhat helpful
Not helpful at all

6. How helpful is the FFR? Please provide any feedback regarding ease of use, the user reference
guide or overall content of the FFR.
(radio button options)
o
o
o

Helpful
Somewhat helpful
Not helpful at all

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Part C IPM Survey Questions
7. Is the FFR user-friendly?
(radio button options)
o
o
o
o
o

Very Difficult
Difficult
Neutral
Easy
Very Easy

8. What action did you take based on the feedback provided on your FFR?

HPMS PART C IPM MODULE
1. How easy is it to locate and navigate the Part C IPM module within the HPMS?
(radio button options)
o
o
o

Difficult
Neutral
Easy

2. How easy is it to access documents within the Document Library from HPMS? For example, FFRs
or submission instructions.
(radio button options)
o
o
o

Difficult
Neutral
Easy

3. What comments do you have that have not been covered by the topics above that would assist CMS
in improving the Part C IPM process?

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