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* 1. Do you expect to bill for advance care planning (ACP) services in 2016?

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* 2. Do you expect to bill for chronic care management (CCM) services in 2016?

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* 3. Do you expect to bill for telehealth services in 2016?

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* 4. On a scale of 1 to 5, with 1 being not at all and 5 being a significant amount, how much will ICD-10 impact your practice’s productivity in 2016?

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* 5. If you expect that ICD-10 will impact your practice, what area/s of your practice will be affected? (Check all that apply.)

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* 6. What steps will you take to minimize the impact of potential ICD-10 disruptions?

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* 7. Which best describes your practice’s plans with electronic health records (EHR) and meaningful use?

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* 8. How will you participate in the Physician Quality Reporting System (PQRS) program in 2016?

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* 9. Based on your quality performance in 2014, will your practice receive a value-based modifier bonus in 2016?

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* 10. What will your top compliance challenges be in 2016? (Check all that apply.)

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* 11. Are you part of an advanced practice model (APM)? If so, which one describes you?

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* 12. If you're not part of an advanced payment model (APM), do you plan to become an advanced payment model in 2016?

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* 13. What other predictions do you have for physician practices in 2016?

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* 14. Please state your specialty:

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* 15. How many physicians and non-physician practitioners are in your practice?

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* 16. Please share your contact information below. (Note: A Part B News editor may contact you to follow up on your survey responses. However, all survey responses will remain confidential.)

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