EVALUATION FORM

In order to improve the quality of our next program, we would appreciate receiving your feedback. 

Please feel free to make comments.  We thank you for your cooperation.

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* 1. On a scale of 1 (poor) to 5 (excellent), how well were you able to achieve the session objectives?

  1 2 3 4 5 N/A
A. Define basic billing and coding terminology.
B. Identify resources for billing and coding.
C. Review professional and entity claim forms.
D. Review maternity and initial newborn coding
E. Discuss how to maximize reimbursement.

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* 2. On a scale of 1 (poor) to 5 (excellent), please rate the TEACHING EFFECTIVENESS of the presenter.

  1 2 3 4 5 N/A
Marnie Cabezas

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* 3. On a scale of 1 (poor) to 5 (excellent), please rate the effectiveness of the TEACHING METHODS used.

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* 4. On a scale of 1 (poor) to 5 (excellent), please rate how well was the PROGRAM MATERIAL ORGANIZED.

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* 5. On a scale of 1 (poor) to 5 (excellent), please rate the session OVERALL.

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* 6. What part of the program provided the most helpful information?

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* 7. What additional information would have been helpful?

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* 8. Additional comments

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* 9. Name (submit if applying for continuing education)

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* 10. Email (optional)

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