Participation and Documentation Requirements for Teaching Physician Billing - Evaluation June 16, 2016

As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
Recognize situations in which the teaching physician billing rules apply.	Recognize situations in which the teaching physician billing rules apply. - 5	Recognize situations in which the teaching physician billing rules apply. - 4	Recognize situations in which the teaching physician billing rules apply. - 3	Recognize situations in which the teaching physician billing rules apply. - 2	Recognize situations in which the teaching physician billing rules apply. - 1	Recognize situations in which the teaching physician billing rules apply. - 0
Summarize the specific documentation residents must record to demonstrate the required amount of teaching physician participation/performance was rendered.	Summarize the specific documentation residents must record to demonstrate the required amount of teaching physician participation/performance was rendered. - 5	Summarize the specific documentation residents must record to demonstrate the required amount of teaching physician participation/performance was rendered. - 4	Summarize the specific documentation residents must record to demonstrate the required amount of teaching physician participation/performance was rendered. - 3	Summarize the specific documentation residents must record to demonstrate the required amount of teaching physician participation/performance was rendered. - 2	Summarize the specific documentation residents must record to demonstrate the required amount of teaching physician participation/performance was rendered. - 1	Summarize the specific documentation residents must record to demonstrate the required amount of teaching physician participation/performance was rendered. - 0
Implement specific participation/performance requirements that exist for each type of resident service.	Implement specific participation/performance requirements that exist for each type of resident service. - 5	Implement specific participation/performance requirements that exist for each type of resident service. - 4	Implement specific participation/performance requirements that exist for each type of resident service. - 3	Implement specific participation/performance requirements that exist for each type of resident service. - 2	Implement specific participation/performance requirements that exist for each type of resident service. - 1	Implement specific participation/performance requirements that exist for each type of resident service. - 0
Identify when pertinent billing requirements have been met by the teaching physician.	Identify when pertinent billing requirements have been met by the teaching physician. - 5	Identify when pertinent billing requirements have been met by the teaching physician. - 4	Identify when pertinent billing requirements have been met by the teaching physician. - 3	Identify when pertinent billing requirements have been met by the teaching physician. - 2	Identify when pertinent billing requirements have been met by the teaching physician. - 1	Identify when pertinent billing requirements have been met by the teaching physician. - 0

Rate the following *

Scoring Key: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor

	5	4	3	2	1
Course content.	Course content. - 5	Course content. - 4	Course content. - 3	Course content. - 2	Course content. - 1
Seth Canterbury	Seth Canterbury - 5	Seth Canterbury - 4	Seth Canterbury - 3	Seth Canterbury - 2	Seth Canterbury - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

How many patients will you see in your practice who will likely be impacted by what you learned at this activity? *

1-5

6-10

Over 10

Not applicable to my practice

What do you intend to do differently in the treatment of your patients as a result of what you learned? What new strategies will you apply in your practice of patient care? *

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. *

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Participation and Documentation Requirements for Teaching Physician Billing - Evaluation June 16, 2016