SIR Physician Volunteer Feedback: CMS WISeR Model Question Title * 1. Name Question Title * 2. In which state do you practice? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other, if multiple states or US territory (please specify) Question Title * 3. Practice Setting Academic Private Hospital-employed OBL ASC Hybrid Other (please specify) Question Title * 4. Overall, how would you rate your experience volunteering with WISeR? 1 = Very difficult 5 = Very smooth Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 5. What aspects of your WISeR volunteer experience have been most positive? Question Title * 6. Have you encountered any significant challenges while volunteering? Question Title * 7. Do you have experience with prior authorization procedures for other payors? Yes No Question Title * 8. If yes, how does WISeR compares to other payors’ prior authorization processes. Question Title * 9. How easy has it been to integrate WISeR tasks (prior authorizations, reviews) into your clinical workflow? 1 = Very difficult 5 = Very easy Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 10. Have WISeR processes affected your ability to provide timely care? Yes No Question Title * 11. If yes, please describe. Question Title * 12. Do you feel WISeR supports appropriate clinical decision-making for targeted services? Yes No Question Title * 13. Please explain. Question Title * 14. How user-friendly are the WISeR electronic tools and portals? 1 = Not user-friendly 5 = Very user-friendly Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 15. Have you experienced any technology-related issues that impacted your workflow? Yes No Somewhat Question Title * 16. Please explain. Question Title * 17. Do you understand how determinations are made (AI vs. human review)? Yes No Somewhat Question Title * 18. How clear has communication from CMS, MACs, or the WISeR team been? 1= very unclear communication 1= very unclear communication, 5= clear communication Clear i We adjusted the number you entered based on the slider’s scale. Question Title * 19. Have you received adequate support when questions arise? Yes No Somewhat Question Title * 20. What type of ongoing support would be most helpful for physician volunteers? Question Title * 21. Has participation in WISeR increased your administrative workload? Yes No Question Title * 22. If yes, please explain. Question Title * 23. Are documentation and submission requirements manageable in your practice setting? Yes No Somewhat Question Title * 24. Overall, do you believe WISeR adds value to patient care and clinical practice? Yes No Somewhat Question Title * 25. Please explain. Question Title * 26. What improvements would you recommend to enhance the WISeR volunteer experience? Question Title * 27. Additional comments, concerns, or suggestions: Done