The Pediatric Pulse: The Impact of Pediatric Lead Screening and Testing Barriers on Patient Care Survey

Question Title

* 1. Which of the following best describes you?

Physician

Physician Assistant

Advanced Practice Nurse, Nurse Practitioner, Registered Nurse

Medical Assistant

Midwife

Practice/Office Manager

Front Desk Staff

Billing Staff

Resident/Attending/Medical Student

Other (please specify)

Question Title

* 2. What is the name and location (zip code) of your practice/organization?
(List all that apply)

Question Title

* 3. What type of pediatric practice do you work with?
(Check all that apply)

Independent solo practice

Independent group practice

Hospital-owned practice or outpatient clinic

Health system-affiliated (but not owned)

Academic/University Medical Center

Federally Qualified Health Center (FQHC)

Community Health Center (non-FQHC)

Rural Health Clinic

Pediatric practice within a multispecialty group

Pediatric section of a large health system

Member of an Independent Practice Association (IPA)

Member of an Accountable Care Organization (ACO)

School-based Health Center

Urgent Care Center (pediatric-focused)

Other (please specify)

Question Title

* 4. Which insurance plans do you currently accept?
(Check all that apply)

Aetna Better Health of NJ

Horizon NJ Health

Wellpoint

UnitedHealthcare Community Plan

Fidelis Care

Other (please specify, including any Commercial plans)

Question Title

* 5. Does your office provide in-office lead screening or testing?
(Check all that apply)

Yes - Capillary (Finger-stick) and test it in-house

Yes - Venous (Blood draw) and test it in-house

Yes - Capillary (Finger-stick) and send to a lab for testing

Yes - Venous (Blood draw) and send to a lab for testing

No - We refer out for all screening and testing

Not applicable

Other (please specify)

Question Title

* 6. At what ages do you normally provide or refer patients for pediatric lead screening/testing?
(Check all that apply)

9 months

12 months

18 months

24 months

Before 6 years of age (as appropriate)

Other (please specify)

Question Title

* 7. If performed in-house, who is primarily responsible for lead screening/testing?
(Check all that apply)

Pediatrician

Nurse/PA

Medical Assistant

Office Manager

Front Desk

Not applicable

Other (please specify)

Question Title

* 8. If performed in-house, which lead codes do you code for billing purposes?
(Please provide codes and modifiers if possible)

Question Title

* 9. Does your office utilize the LeadCare Analyzer II machine?

Yes, we use it

No, we do not use it

We used to use it, but not anymore

Question Title

* 10. Which lab(s) do you refer your patients to?
(Check all that apply)

LabCorp

Quest Diagnostics

Local lab

Hospital-based lab

Community health center

In-house lab testing

Any in-network lab

Not applicable

Other (please specify)

Question Title

* 11. What barriers do you face with lead screening/testing in-house?
(Check all that apply)

Reimbursement/payment is too low

High cost of supplies

Lack of trained staff

Time limitations

No in-house lab to provide services

Lack of Lead Care Analyzer II machine to provide results in-house

Workflow challenges

Insurance coverage issues for patients

Lab processing issues and delays

Trouble with coding/billing the correct CPT codes

Claim denials or not reimbursed at all

Cooperation of the patient

Not applicable

Other (please specify)

Question Title

* 12. If you previously performed lead screening/testing in the office, why did you stop? (Put N/A if not applicable)

Question Title

* 13. What barriers do your patients face when referred to a lab for lead screening/testing?
(Check all that apply)

Transportation issues

Getting time off work

Language barriers

Availability of lab appointments

Lack of pediatric tools in labs

Lack of trained pediatric staff in labs

Insurance coverage

Not applicable

Other (please specify)

Question Title

* 14. If referred out, does your office follow-up with the patient to confirm they performed the lab screen/test?
(Check all that apply)

No, we don't have the time to follow-up.

Yes, we try to follow-up by contacting the family.

Not applicable

Other (please specify)

Question Title

* 15. In general, of the patients you refer for lead screening/testing, approximately how many complete it?

Majority complete it (80-100%)

Some complete it (50-79%)

Few complete it (30-49%)

Minimum complete it (0-29%)

Unsure

Not applicable

Question Title

* 16. Which insurance plans do not adequately reimburse/pay for lead screening/testing?
(Check all that apply)

Aetna Better Health of NJ

Wellpoint

Horizon NJ Health

United HealthCare Community Plan

Fidelis Care

Unsure

Other (please specify, including any Commercial plans)

Question Title

* 17. Do you or your biller regularly check lead claims to ensure payment is appropriate?

The pediatrician handles that

The billing department handles that

We do not check

Not applicable

Other (please specify)

Question Title

* 18. Has your office ever:
(Check all that apply)

Received a letter from an insurance plan indicating lead screening rates of less than 80%

Been placed on a corrective action plan by an insurance plan due to low lead screening rates

Partnered with a lab to provide in-house lead services within your pediatric practice (during/weekend or after hours)

Changed your office hours to accommodate families to get lead services

Collaborated with community-based organizations to enhance lead services

None of the above

Question Title

* 19. Do you believe in-office lead screening/testing should be paid at a higher rate to reflect time, training, and supply costs?

Yes

Not sure

Not applicable

If yes, how much do you think would be a fair payment for each (POC Medtox and Venous)?

Question Title

* 20. Would your practice resume in-office lead testing if equitable reimbursement were in place?

Yes

Maybe

Not applicable

Question Title

* 21. Would you or your office be interested in more training and education surrounding lead screening/testing?

Yes

Question Title

* 22. Would your practice/staff be interested in participating in a future NJAAP Lead ECHO program?

Yes, we would like to participate

No, we do not wish to participate

Maybe, we would like more information

Have previously participated

Question Title

* 23. Is there anything else you'd like us to know about lead screening/testing in your pediatric office?

Question Title

* 24. Please provide your name and contact information if you're open to follow-up discussions regarding this topic:

Name:

Email:

Phone:

The Pediatric Pulse: The Impact of Pediatric Lead Screening and Testing Barriers on Patient Care

Question Title

* 1. Which of the following best describes you?

Question Title

* 2. What is the name and location (zip code) of your practice/organization? (List all that apply)

Question Title

* 3. What type of pediatric practice do you work with? (Check all that apply)

Question Title

* 4. Which insurance plans do you currently accept? (Check all that apply)

Question Title

* 5. Does your office provide in-office lead screening or testing? (Check all that apply)

Question Title

* 6. At what ages do you normally provide or refer patients for pediatric lead screening/testing? (Check all that apply)

Question Title

* 7. If performed in-house, who is primarily responsible for lead screening/testing? (Check all that apply)

Question Title

* 8. If performed in-house, which lead codes do you code for billing purposes? (Please provide codes and modifiers if possible)

Question Title

* 9. Does your office utilize the LeadCare Analyzer II machine?

Question Title

* 10. Which lab(s) do you refer your patients to? (Check all that apply)

Question Title

* 11. What barriers do you face with lead screening/testing in-house? (Check all that apply)

Question Title

* 12. If you previously performed lead screening/testing in the office, why did you stop? (Put N/A if not applicable)

Question Title

* 13. What barriers do your patients face when referred to a lab for lead screening/testing? (Check all that apply)

Question Title

* 14. If referred out, does your office follow-up with the patient to confirm they performed the lab screen/test? (Check all that apply)

Question Title

* 15. In general, of the patients you refer for lead screening/testing, approximately how many complete it?

Question Title

* 16. Which insurance plans do not adequately reimburse/pay for lead screening/testing? (Check all that apply)

Question Title

* 17. Do you or your biller regularly check lead claims to ensure payment is appropriate?

Question Title

* 18. Has your office ever:(Check all that apply)

Question Title

* 19. Do you believe in-office lead screening/testing should be paid at a higher rate to reflect time, training, and supply costs?

Question Title

* 20. Would your practice resume in-office lead testing if equitable reimbursement were in place?

Question Title

* 21. Would you or your office be interested in more training and education surrounding lead screening/testing?

Question Title

* 22. Would your practice/staff be interested in participating in a future NJAAP Lead ECHO program?

Question Title

* 23. Is there anything else you'd like us to know about lead screening/testing in your pediatric office?

Question Title

* 24. Please provide your name and contact information if you're open to follow-up discussions regarding this topic:

The Pediatric Pulse:
The Impact of Pediatric Lead Screening
and Testing Barriers on Patient Care

* 2. What is the name and location (zip code) of your practice/organization?
(List all that apply)

* 3. What type of pediatric practice do you work with?
(Check all that apply)

* 4. Which insurance plans do you currently accept?
(Check all that apply)

* 5. Does your office provide in-office lead screening or testing?
(Check all that apply)

* 6. At what ages do you normally provide or refer patients for pediatric lead screening/testing?
(Check all that apply)

* 7. If performed in-house, who is primarily responsible for lead screening/testing?
(Check all that apply)

* 8. If performed in-house, which lead codes do you code for billing purposes?
(Please provide codes and modifiers if possible)

* 10. Which lab(s) do you refer your patients to?
(Check all that apply)

* 11. What barriers do you face with lead screening/testing in-house?
(Check all that apply)

* 13. What barriers do your patients face when referred to a lab for lead screening/testing?
(Check all that apply)

* 14. If referred out, does your office follow-up with the patient to confirm they performed the lab screen/test?
(Check all that apply)

* 16. Which insurance plans do not adequately reimburse/pay for lead screening/testing?
(Check all that apply)

* 18. Has your office ever:
(Check all that apply)