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Quality Payment Program Survey
Welcome
Please fill out the brief survey below so we can improve our programs and services.
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1.
Given that the Center for Medicare and Medicaid Services (CMS) is allowing physicians to “Pick Your Pace,” how do you plan on participating in the Quality Payment Program for 2017?
(Required.)
Submit one or more measure or improvement activity or base measures in advancing care information to simply avoid the penalty
Submit more than one measure for 90 days to aim for a small incentive
Aim for full participation to maximize incentive
Participate in an Advanced Alternative Payment Model (APM)
Don't know yet
I don't plan to participate in 2017 and will accept the penalty
I will be exempt
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2.
If you plan to report under the Merit-based Incentive Payment System (MIPS), will it be as an individual or as part of a group?
(Required.)
Individual
As a group
I don't know at this time
3.
If you do not plan to participate in the Quality Payment Program, is it because:
Cost
Level of effort
Physician time
Program complexity
Other - please specify
4.
How does your practice plan to report data?
Claims-based
Specialty qualified clinical data registry (QCDR) or Specialty registry
CMS web interface for groups of 25 providers or more
Electronic health records (EHR)
I don't know at this time
None of the above (please specify)
5.
Where do you practice? (Check all that apply)
Academic Medical Center
Community Hospital
Free-standing office
Other (please specify)
6.
Which of the following best describes your current employment status?
University employee
Hospital employee
Physician group employee or partner
Independent contractor
Other (please specify)
7.
Which category below best describes your practice SIZE?
Solo
Small single specialty group (2-9 physicians)
Medium single specialty group (10-20 physicians)
Large single specialty group (more than 20 physicians)
Small multi-specialty group (2-9 physicians)
Medium multi-specialty group (10-20 physicians)
Large multi-specialty group (more than 20 physicians)
100%
