The purpose of this survey is to evaluate payer and provider awareness of and satisfaction with the work that the Mass Collaborative has been doing on administrative simplification. The Mass Collaborative was formed in 2009 and is comprised of payers, providers, MHA, MMS, and MAHP. Our work encompasses further streamlining and improving credentialing, eligibility processes, payer/provider communications, denied claims appeals, authorizations, and coding. We appreciate your taking the time to complete this brief survey. Survey results will be reported in the aggregate; no individual results will be shared.

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* 1. Are you aware of the administrative simplification collaborative (now known as the Mass Collaborative)?

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* 2. In the fall, 2011, the Mass Collaborative introduced a denied claims appeal form that standardized definitions and allowed providers to submit the same appeals form across all participating plans. Are you aware of this initiative and do you use/accept the form?

  Yes No
Aware of the initiative
Know where to obtain the form
Utilize/accept the form

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* 3. In your opinion, what impact did the standardized appeal form and corresponding definitions have on the appeal process?

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* 4. In May, 2012, the Collaborative introduced a standardized prior authorization form that can be used across all participating plans to submit authorizations for most services. Are you aware of the standardized prior authorization form and if so, are you using the form? Please respond to both statements below.

  Yes No
I am aware of the form
I know how to obtain the form
I am using the form

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* 5. If you are using the prior authorization form, please indicate how you would rate the form using the options below:

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* 6. Has this consolidated authorization form reduced the overall number of authorization forms you have been using?

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* 7. In addition to denied claims appeals and authorizations, the Mass Collaborative is also working on several other initiatives. Please indicate your awareness of each initiative.

  I am aware I am not aware
Simplifying the eligibility process
Streamlining the Credentialing process
Standardized Coding
Improving communications between payers and providers

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* 8. To help us target where we need to improve awareness and provide more training, please indicate the type of organization you work for.

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* 9. If there are additional administrative simplification challenges that we have not identified that you would like to see addressed, please indicate in the comment box.

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* 10. If you would like more information about the Mass Collaborative or would like to become involved, please complete the following:

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