The first questions inquire about your Utilization Review program. If you do not have a Utilization Review program, please skip to question #11. |
| 1) |
Do you currently use Utilization Review in your managed care program?
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| 2) |
Are you experiencing a return on investment in your Utilization Review program?
If "Yes", how is that quantified?
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| 3) |
Is your Utilization Review Program integrated with your Managed Care program?
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| 4) |
What kind of reports do you receive?
Please write description of reports:
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| 5) |
How often do you receive reports?
If Other:
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| 6) |
How do you receive the reports?
Via Email
By logging in to software
By Mail
Fax
Other:
Unsure
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| 7) |
What elements do you wish to see in your reports that they currently do not offer?
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| 8) |
If your opinion, what part(s) of your reports would you like to go into further/deeper detail?
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| 9) |
If you raise a question about a report with your current vendor, what is the approximate turn around time for a response?
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| 10) |
Do you require precertification of your inpatient hospital admissions?
If so, what cost savings do you realize from this?
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| 11) |
Please mark if you have ever utilized the following services:
Please mark all that apply.
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| 12) |
Please rate your level of satisfaction with the service listed.
Please rate all services that you have utilized. If you have not utilized any of the listed services, please skip to question #13.
| 1 |
2 |
3 |
4 |
5 |
| 1 = very unsatisfied |
3 = satisifed |
5 = very satisfied |
| Service |
Score 1-5 |
| Utilization Review............................................. |
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| Prospective Review......................................... |
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| Retrospective Review...................................... |
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| Concurrent Review.......................................... |
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| Continuing Stay................................................ |
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| Pre-Certification................................................ |
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| Peer Review / Physician Panel......................... |
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| 13) |
Does your current UR program offer medical nurse review?
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| 14) |
Does your current program offer discharge planning?
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| 15) |
Does your current program offer coordination of durable medical equipment (DME)?
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| 16) |
How do you receive communications on claims?
Email
Phone
Mail
Fax
Other:
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Thank you for your participation.
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