Healthcare Payment Integrity Assessment
Help us evaluate and improve payment integrity processes in healthcare organizations.
Full Name
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First Name
Last Name
Organization/Practice Name
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Role/Position
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Email Address
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example@example.com
How would you rate the overall effectiveness of your organization's payment integrity processes?
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1
2
3
4
5
Please assess the following aspects of your payment integrity program:
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Rows
Not at all effective
Somewhat effective
Effective
Very effective
Claim review accuracy
1
2
3
4
Detection of duplicate claims
5
6
7
8
Prevention of improper payments
9
10
11
12
Fraud identification
13
14
15
16
Audit and compliance controls
17
18
19
20
Which of the following payment integrity challenges have you encountered? (Select all that apply)
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Duplicate payments
Incorrect coding
Ineligible claims
Lack of documentation
Other
How frequently do payment integrity issues occur in your organization?
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Rarely (less than once a year)
Occasionally (a few times a year)
Regularly (monthly)
Frequently (weekly or more)
What controls are currently in place to prevent payment errors? (Select all that apply)
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Automated claim review systems
Manual audits
Provider education
Pre-payment reviews
Other
In your opinion, what is the biggest risk to payment integrity in your organization?
Please provide any suggestions to improve payment integrity processes.
Submit Assessment
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