Toggle navigation Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. ICD-10 Provider Readiness Survey The purpose of this survey is to gauge SC Department of Health and Human Services (SCDHHS), Medicaid provider readiness for ICD-10 implementation begining October 1, 2015. This survey will identify areas for program improvement by obtaining information directly from providers who bill SCDHHS for Medicaid services. Recommendations for provider outreach will be developed based on the findings. Any questions about the survey may be sent to ICD10Contacts@scdhhs.gov. (This question is mandatory) 1 Please complete the contact information below: Your organization's name: Name of person completing the survey: Email address: Phone number: (This question is mandatory) 2 Provider type: Check all that apply Hospital State Agency Physician's Office Ambulance Clinic Alcohol and other Drug Rehabilitation Community Long Term Care Community Mental Health Dental Services Diabetes Management Durable Medical Equipment Early Intervention Services Enhanced Services Federally Qualified Health Center Home Health Hospice Integrated Personal Care Licensed Independent Practitioners Nursing Facility Optional State Supplement Pharmacy Private Rehabilitative Therapy and Audiological Private Residential Treatment Facility Rural Health Clinic Medicaid Targeted Case Management Residential Behavioral Health Services Other (please describe) (This question is mandatory) 3 What type of organization do you represent? Check all that apply Health System/Hospital Physician Office/Group Practice Ancillary Services Provider Clearinghouse Other (please describe) (This question is mandatory) 4 Please choose the category that best describes the departmental unit where you work in your organization. Choose one of the following answers Medical Office Billing/Patient Accounts Billing Vendor Medical Records/Coding Information Technology Admissions Case Management Other (please describe) (This question is mandatory) 5 In general, how familiar is your organization with ICD-10? Choose one of the following answers Very familiar Somewhat familiar Not familiar (This question is mandatory) 6 What is the current status of your company's ICD-10 transition initiative? Select all appropriate responses. Check all that apply Not Yet Started Discovery/Planning Requirements Gathering Solution Design Implementation Testing Other (please describe) 7 What concerns do you have about the transition to ICD-10? (This question is mandatory) 8 Are you planning to use the CMS General Equivalency Maps (GEMs), CMS reimbursement map, or a vendor-provided crosswalk to assist in the determination of diagnosis and procedural selection? Choose one of the following answers General Equivalency Maps (GEMs) CMS reimbursement map Not yet known Vendor-Provided Crosswalk (provide vendor name and website) (This question is mandatory) 9 Do you intend to submit ICD-10 before the compliance date? Choose one of the following answers Yes (If yes, when do you anticipate your initial submission?) No Please enter your comment here: (This question is mandatory) 10 Have you participated in ICD-10 testing with the SC Department of Health and Human Services? Yes No (This question is mandatory) 11 Have you tested with clearinghouses and/or health plans before the transition? Yes No (This question is mandatory) 12 If you intend to test with clearinghouses and/or health plans, which partners are you targeting? Check all that apply Clearninghouse only (We submit data to the health plan via a clearinghouse and will not require testing with the health plan that receives the data.) Clearinghouse and health plan (We submit data to the health plan via a clearinghouse and will require testing with the health plan that receives the data.) Health plan (We submit data directly to the health plan.) No testing will be required (This question is mandatory) 13 For trading partner testing, do you have specific test case scenarios that you would like tested? Choose one of the following answers Yes (If yes, please describe the scenarios in the comment box.) No Please enter your comment here: 14 Do you have additional questions or concerns that you want to bring to our attention? Please provide details below. Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey SC Health & Human Services P.O. Box 8206 Columbia, SC 29202-8206 Email: ICD10Contacts@scdhhs.gov Phone: (888) 549-0820 ×
