HEALTHCARE SERVICE SURVEY

THANKS IN ADVANCE for contributing to our 2006 needs assessment!!!! Please indicate your response and describe all "Others".

I. Current place(s) of employment : Hospital  SNF ALF Home Health    Dept of Health Schools Other

II. Work Location: SE La SW La Central La North La

III. Patient Reimbursement (X or Describe Other):

A. Medicare Fiscal Intermediary:  Trispan Mutual of Omaha Other        Don't Know Intermediary

B. Medicaid Program: Early Steps Other

C. Private Insurance Plans: Aetna BCBS  Benesys  State Group Tenet United  Worker's Comp  Other:

D. Private Pay  Health Care Savings Accts   Which provider:

IV. Reimbursement History for Medicare SLP claims- actual or approximate #:

A. Summer, 2004-Spring, 2005: Additional Development Requests (ADR) Denied claims Post Payment Review Appeals Overturns Focused Medical Review-patients months

B. Summer, 2005-To date: Additional Development Requests (ADR) Denied claims Post Payment Review Appeals Overturns Focused Medical Review-patients months

C. If successful in reversals, what were most important strategies?

D. Have you had intermediary contacts? YESNO If yes, please describe:

V. Reimbursement Issues with providers other that Medicare-last 2 yrs:

Provider:  When: 

Issue(s): 

Provider:  When: 

Issue(s): 

VI. Reimbursement- Billing/Documentation/Coding Training used in last 2 years:

Workshops:LSHA ASHA Employer based Public seminar Other:

Email blasts:LSHA ASHA Employer based Public seminar Other:

Web sites: LSHA ASHA Employer based Public seminar Other:

What is your most effective resource for clarification? LSHA ASHA  

Supervisor  Employer based Consultant  Provider  Friend   Other:

Participate in local/ regional SLP group?YES NO 

If so, Name:

Frequency of meetings Location of meetings 

VII. Obstacles/concerns-X your 3 top priorities: Adequate patient reimbursement Professional autonomy My salary/reimbursement             Student prep for Med/Priv Practice Lack of availability of SLPs              Credentialing  Caseload/Workload  Encroachment on SLP scope of practice  Excessive paperwork  Collegial exchanges  Evidence based practice/research  Reimbursement Training  Other

VIII. What is the most immediate activity that this committee could do to support you?

IX. Your identifying information would be greatly appreciated for follow-up:

Name        LSHA Member? Yes  No

Address    Email

Would you like to be included in LSHA email updates? Yes   No

Are you interested in serving on this committee? Yes     No

THANK YOU- THANK YOU- THANK YOU FOR YOUR TIME and INPUT!

Please print and mail to: Donna Fitzgerald- DeJean, 8617 Scarlett Dr, Baton Rouge, La. 70806. Or simply hit submit and your survey will be sent via e-mail to Donna.