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MI Coordinated Health Survey
Facility Information
1.
What organization/facility are you responding on behalf of?
2.
How many HIDE-SNP residents does your organization currently serve?
Claims Payment Timeliness
3.
Are HIDE-SNP claims being paid within 30 days of submission?
Always
Usually
Sometimes
Rarely
Never
4.
Approximately what percentage of your HIDE-SNP claims remain unpaid beyond 30 days?
0–10%
11–25%
26–50%
More than 50%
5.
What is your estimated outstanding HIDE-SNP accounts receivable over 30 days?
Denials and Billing Challenges
6.
Which HIDE-SNP plans have created the most billing or payment challenges? (Select all that apply)
Aetna
Humana
Meridian
UnitedHealthcare
Priority Health
Molina
HAP
AmeriHealth
UPHP
7.
What types of issues are you experiencing? (Select all that apply)
Claims not paid timely
Claims pending without resolution
Authorization denials
Coding/value code denials
Coordination of benefits issues
Incorrect payment amounts
Difficulty reaching plan representatives
QAS payment issues
Other
Administrative Burden
8.
Approximately how many additional staff hours per month are spent addressing HIDE-SNP billing problems?
9.
Have you needed to rebill or correct claims due to changing or unclear billing guidance from a health plan?
Yes
No
Health Plan Support
10.
How would you rate responsiveness from HIDE-SNP plan representatives?
Excellent
Good
Fair
Poor
Very poor
Excellent
Good
Fair
Poor
Very poor
11.
Have plan representatives provided clear instructions for resolving billing issues?
Always
Usually
Sometimes
Rarely
Never
Always
Usually
Sometimes
Rarely
Never
Impact
12.
What impact have HIDE-SNP payment issues had on your organization? (Select all that apply)
Cash flow concerns
Increased staffing costs
Delayed payment posting
Increased write-off risk
Increased appeal volume
Other
13.
Please estimate the total dollar amount currently outstanding due to HIDE-SNP billing or payment issues.
Open-Ended Questions
14.
What is the single biggest HIDE-SNP issue your organization is currently facing?
15.
Do you have specific examples of claims delayed beyond 30 days that HCAM may use anonymously in discussions with the state and health plans?
16.
What actions would you like HCAM to prioritize regarding HIDE-SNP issues?
Final Priority Question
17.
On a scale of 1–10, how significant are HIDE-SNP payment and billing issues for your organization today?
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10