PROGRAM EVALUATION

TITLE: Quarterly Meeting - Nash Health Care Rocky Mount, NC

PROGRAM SPONSOR: NORTH CAROLINA ASSOCIATION MEDICAL STAFF SERVICES (NCAMSS)

The following speaker’s presentations were:

Georgia Mayo ICD = 10 Codes 1. Excellent Very Good Good Fair Poor ______

This program (please check all that apply) ___ Met stated objectives ___ Will alter my performance __ _ Will not alter my performance, but convinced me I’m doing the right thing ____ Satisfied my expectations ___ Did not meet my needs

Patrick K. Kennedy, MHA, MSL, RHIA CMS Provides Examples of Claims That Are Related *Medical Staff* 2. Excellent Very Good Good Fair Poor ______

This program (please check all that apply) ___ Met stated objectives ___ Will alter my performance __ _ Will not alter my performance, but convinced me I’m doing the right thing ____ Satisfied my expectations ___ Did not meet my needs

Page 1 of 3 3. Allison R. Manning-Williams RN, BSN, CEN & Mary Strickland, Executive-Director Women's Services

Nash County Medical Examiners: The Criminal Minds of the East

Excellent Very Good Good Fair Poor ______

This program (please check all that apply) __ Met stated objectives __ Will alter my performance _ Will not alter my performance, but convinced me I’m doing the right thing __ Satisfied my expectations ___ Did not meet my needs

Angela Smith, UNC - PN Managed Care Credentialing from the Provider Network Perspective 4. Excellent Very Good Good Fair Poor ______

This program (please check all that apply) ___ Met stated objectives ___ Will alter my performance __ _ Will not alter my performance, but convinced me I’m doing the right thing ____ Satisfied my expectations ___ Did not meet my needs

Overall Comments: ______

Page 2 of 3 ______

Future Topics: ______

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1. The facilities were: _____ Excellent_____ Good _____ Poor

2. The illustrative materials were: _____ Appropriate Inappropriate

3. Are you currently NAMSS Certified?

CPCS: ______CPMSM: ______CPCS & CPMSM: ______

4. Facility Volunteers to Host 2016 Quarterly Meetings:

Contact Name: ______Facility: ______

Contact Number & E-mail: ______

Dates Available: a. November 13, 2015 Vidant Health – Greenville NC b. February 12, 2016 Caldwell – Lenoir NC c. May 11, 2016 Hilton Riverside – Wilmington NC d. August 12, 2016 Johnston Health – Smithfield NC e. November 4, 2016 UNC – Chapel Hill NC f. February 10, 2017 WakeMed – Raleigh NC g. May/June 2017 To Be Determined h. August 11, 2017 ______i. November 10, 2017 North Hospital of Surry County – Mount Airy NC

May 11th – 13th 2016 Annual Meeting – Hilton Wilmington Riverside Mark your calendars and plan to attend

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