Provider Newsletter and eNews Feedback Survey

Question Title

* 1. Which professional title best describes your role?

Office Manager

Physician

Nurse Practitioner

Physician Assistant

Billing Professional

Other (please specify)

Question Title

* 2. Where do you currently receive your Passport-related updates? (please select all that apply)

Provider Newsletter

eNews

Provider Service Representative

Passport's Website

Provider Services Contact Center

Other (please specify)

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* 3. How would you prefer to receive the Passport Provider Newsletter? (please select all that apply)

Fax

Paper Mail

Other (please specify)

Question Title

* 4. When you read articles in the Passport Provider Newsletter or eNews, how often do you:

	Never	Sometimes	Often	Always
Read only the headlines to get a general idea of the topic and skip the article	Read only the headlines to get a general idea of the topic and skip the article Never	Read only the headlines to get a general idea of the topic and skip the article Sometimes	Read only the headlines to get a general idea of the topic and skip the article Often	Read only the headlines to get a general idea of the topic and skip the article Always
Read the first sentence of each paragraph in the article to understand the idea of the article	Read the first sentence of each paragraph in the article to understand the idea of the article Never	Read the first sentence of each paragraph in the article to understand the idea of the article Sometimes	Read the first sentence of each paragraph in the article to understand the idea of the article Often	Read the first sentence of each paragraph in the article to understand the idea of the article Always
Skim the whole article to get a general idea of the topic	Skim the whole article to get a general idea of the topic Never	Skim the whole article to get a general idea of the topic Sometimes	Skim the whole article to get a general idea of the topic Often	Skim the whole article to get a general idea of the topic Always
Carefully read the entire article	Carefully read the entire article Never	Carefully read the entire article Sometimes	Carefully read the entire article Often	Carefully read the entire article Always
Forward the information to others within your organization	Forward the information to others within your organization Never	Forward the information to others within your organization Sometimes	Forward the information to others within your organization Often	Forward the information to others within your organization Always

Question Title

* 5. Please indicate how strongly you agree or disagree with the statements below:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I am satisfied with the content of the Provider Newsletter/eNews	I am satisfied with the content of the Provider Newsletter/eNews Strongly Disagree	I am satisfied with the content of the Provider Newsletter/eNews Disagree	I am satisfied with the content of the Provider Newsletter/eNews Neutral	I am satisfied with the content of the Provider Newsletter/eNews Agree	I am satisfied with the content of the Provider Newsletter/eNews Strongly Agree
I feel informed after reading the Provider Newsletter articles/eNews	I feel informed after reading the Provider Newsletter articles/eNews Strongly Disagree	I feel informed after reading the Provider Newsletter articles/eNews Disagree	I feel informed after reading the Provider Newsletter articles/eNews Neutral	I feel informed after reading the Provider Newsletter articles/eNews Agree	I feel informed after reading the Provider Newsletter articles/eNews Strongly Agree
The Provider Newsletter and eNews are clear and easy to understand	The Provider Newsletter and eNews are clear and easy to understand Strongly Disagree	The Provider Newsletter and eNews are clear and easy to understand Disagree	The Provider Newsletter and eNews are clear and easy to understand Neutral	The Provider Newsletter and eNews are clear and easy to understand Agree	The Provider Newsletter and eNews are clear and easy to understand Strongly Agree
I was aware I could find previously released Provider Newsletters and eNews on Passport’s website	I was aware I could find previously released Provider Newsletters and eNews on Passport’s website Strongly Disagree	I was aware I could find previously released Provider Newsletters and eNews on Passport’s website Disagree	I was aware I could find previously released Provider Newsletters and eNews on Passport’s website Neutral	I was aware I could find previously released Provider Newsletters and eNews on Passport’s website Agree	I was aware I could find previously released Provider Newsletters and eNews on Passport’s website Strongly Agree
I know where to find previously released Provider Newsletters and eNews on Passport’s website	I know where to find previously released Provider Newsletters and eNews on Passport’s website Strongly Disagree	I know where to find previously released Provider Newsletters and eNews on Passport’s website Disagree	I know where to find previously released Provider Newsletters and eNews on Passport’s website Neutral	I know where to find previously released Provider Newsletters and eNews on Passport’s website Agree	I know where to find previously released Provider Newsletters and eNews on Passport’s website Strongly Agree
I often refer back to previously released Provider Newsletters and eNews on Passport’s website	I often refer back to previously released Provider Newsletters and eNews on Passport’s website Strongly Disagree	I often refer back to previously released Provider Newsletters and eNews on Passport’s website Disagree	I often refer back to previously released Provider Newsletters and eNews on Passport’s website Neutral	I often refer back to previously released Provider Newsletters and eNews on Passport’s website Agree	I often refer back to previously released Provider Newsletters and eNews on Passport’s website Strongly Agree

Question Title

* 6. Please rank the below topics in order of important to you and your practice:

	Not important at all	Somewhat important	Neutral	Important	Very Important
Claims Information	Claims Information Not important at all	Claims Information Somewhat important	Claims Information Neutral	Claims Information Important	Claims Information Very Important
Coding Information	Coding Information Not important at all	Coding Information Somewhat important	Coding Information Neutral	Coding Information Important	Coding Information Very Important
Incentive Program Information	Incentive Program Information Not important at all	Incentive Program Information Somewhat important	Incentive Program Information Neutral	Incentive Program Information Important	Incentive Program Information Very Important
State and Federal Updates	State and Federal Updates Not important at all	State and Federal Updates Somewhat important	State and Federal Updates Neutral	State and Federal Updates Important	State and Federal Updates Very Important
Prior Authorization Information and Updates	Prior Authorization Information and Updates Not important at all	Prior Authorization Information and Updates Somewhat important	Prior Authorization Information and Updates Neutral	Prior Authorization Information and Updates Important	Prior Authorization Information and Updates Very Important
Clinical Information	Clinical Information Not important at all	Clinical Information Somewhat important	Clinical Information Neutral	Clinical Information Important	Clinical Information Very Important
Quality Information and Updates	Quality Information and Updates Not important at all	Quality Information and Updates Somewhat important	Quality Information and Updates Neutral	Quality Information and Updates Important	Quality Information and Updates Very Important
Upcoming Educational Opportunities	Upcoming Educational Opportunities Not important at all	Upcoming Educational Opportunities Somewhat important	Upcoming Educational Opportunities Neutral	Upcoming Educational Opportunities Important	Upcoming Educational Opportunities Very Important

Question Title

* 7. Please provide your contact information below if you would like for your Provider Service Representative to reach out to you:

Name

Company

TIN

Email Address

Phone Number

Provider Newsletter and eNews Feedback Survey

Question Title

* 1. Which professional title best describes your role?

Question Title

* 2. Where do you currently receive your Passport-related updates? (please select all that apply)

Question Title

* 3. How would you prefer to receive the Passport Provider Newsletter? (please select all that apply)

Question Title

* 4. When you read articles in the Passport Provider Newsletter or eNews, how often do you:

Question Title

* 5. Please indicate how strongly you agree or disagree with the statements below:

Question Title

* 6. Please rank the below topics in order of important to you and your practice:

Question Title

* 7. Please provide your contact information below if you would like for your Provider Service Representative to reach out to you:

Question Title

* 8. Additional Comments: