decisionhealth Newsletters, Part B News - 2009 Issue 11 (November)
Provider satisfaction survey shows low marks for appeals, enrollment
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Article Overview
This article reviews results from the Medicare Contractor Provider Satisfaction Survey and compares carrier performance across broad service categories such as provider inquiries, outreach, claims processing, appeals, enrollment, and medical review. It also notes CMS initiatives aimed at improving provider relations and streamlining enrollment processes. The piece is relevant to coders, billing staff, practice administrators, and compliance teams who interact with Medicare contractors and monitor operational changes that may affect enrollment and appeals workflows.
Why This Topic Matters
Understanding how carriers are rated in different service areas can help practices anticipate where communication or administrative follow-up may take more time. The article also highlights CMS process improvements that may affect provider enrollment and contractor interactions.
Article Sections
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Survey findings and carrier performance
Summarizes the survey’s overall results and compares carrier performance across the major service areas reported in the study. It also notes variation among carriers and jurisdictions.
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CMS efforts to improve provider relations and enrollment
Describes CMS actions intended to improve response times and streamline enrollment-related processes. The section focuses on broad administrative changes affecting provider interactions with Medicare contractors.
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Satisfaction: Rating your carrier's performance
Presents the survey table of average scores by carrier and service category. It provides the comparative ratings that support the article’s discussion.
What You Will Learn
- How the Medicare Contractor Provider Satisfaction Survey evaluates carrier service areas
- Which broad carrier functions were rated more favorably or less favorably
- What CMS actions were described as supporting provider relations and enrollment
- How the survey table organizes carrier comparisons across service categories
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Compliance professionals
- Revenue cycle teams
- Healthcare providers working with Medicare contractors
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