The Centers for Medicare & Medicaid Services (CMS) has established the ICD-10 compliance deadline for October 1, 2015.  This survey is intended to assess the overall readiness and status of our providers.

What is the name of  your healthcare organization?

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* 1. What is the name of  your healthcare organization?

What type of provider are you?

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* 2. What type of provider are you?

Do you plan to be ready for ICD-10 by October 1, 2015

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* 3. Do you plan to be ready for ICD-10 by October 1, 2015

What is the current status of your ICD-10 Program?

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* 4. What is the current status of your ICD-10 Program?

Who are you currently testing with or planning to testing with? (Check all that apply)

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* 5. Who are you currently testing with or planning to testing with? (Check all that apply)

What is your organization's primary concern and/or obstacle regarding ICD-10?

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* 6. What is your organization's primary concern and/or obstacle regarding ICD-10?

Please provide your contact information below: (optional)

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* 7. Please provide your contact information below: (optional)

Please provide any additional comments, concerns, or suggestions below:

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* 8. Please provide any additional comments, concerns, or suggestions below:

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