2020 Annual Meeting- Workers' Compensation Program Evaluation and Record of Attendance To receive verification of your attendance and CME hours, COMPLETE this evaluation form. Question Title * 1. Address Name Email Address Question Title * 2. Medical-Legal Fee Schedule - What's Changing? Poor Fair Satisfactory Good Excellent Basil Besh, M.D. Basil Besh, M.D. Poor Basil Besh, M.D. Fair Basil Besh, M.D. Satisfactory Basil Besh, M.D. Good Basil Besh, M.D. Excellent Saul Allweiss, Esq. Saul Allweiss, Esq. Poor Saul Allweiss, Esq. Fair Saul Allweiss, Esq. Satisfactory Saul Allweiss, Esq. Good Saul Allweiss, Esq. Excellent Question Title * 3. Apportionment Issues - Upper Extremity Poor Fair Satisfactory Good Excellent Richard Braun, M.D. Richard Braun, M.D. Poor Richard Braun, M.D. Fair Richard Braun, M.D. Satisfactory Richard Braun, M.D. Good Richard Braun, M.D. Excellent Question Title * 4. Quality Reports - The Worst Mistakes Judges See Poor Fair Satisfactory Good Excellent Judge Robert Rassp Judge Robert Rassp Poor Judge Robert Rassp Fair Judge Robert Rassp Satisfactory Judge Robert Rassp Good Judge Robert Rassp Excellent Question Title * 5. Contributory Factors to Disability & Impairment Poor Fair Satisfactory Good Excellent Larry Dodge, M.D. Larry Dodge, M.D. Poor Larry Dodge, M.D. Fair Larry Dodge, M.D. Satisfactory Larry Dodge, M.D. Good Larry Dodge, M.D. Excellent Richard Braun, M.D. Richard Braun, M.D. Poor Richard Braun, M.D. Fair Richard Braun, M.D. Satisfactory Richard Braun, M.D. Good Richard Braun, M.D. Excellent Peter Mandell, M.D. Peter Mandell, M.D. Poor Peter Mandell, M.D. Fair Peter Mandell, M.D. Satisfactory Peter Mandell, M.D. Good Peter Mandell, M.D. Excellent Judge Robert Rassp Judge Robert Rassp Poor Judge Robert Rassp Fair Judge Robert Rassp Satisfactory Judge Robert Rassp Good Judge Robert Rassp Excellent Question Title * 6. Wounded Workers: Beat Up & Fought Over Poor Fair Satisfactory Good Excellent Robert Larsen, M.D. Robert Larsen, M.D. Poor Robert Larsen, M.D. Fair Robert Larsen, M.D. Satisfactory Robert Larsen, M.D. Good Robert Larsen, M.D. Excellent Question Title * 7. Functional Capacity Evaluations & Functional Restoration Programs Poor Fair Satisfactory Good Excellent Rachael Feinberg, PT, DPT Rachael Feinberg, PT, DPT Poor Rachael Feinberg, PT, DPT Fair Rachael Feinberg, PT, DPT Satisfactory Rachael Feinberg, PT, DPT Good Rachael Feinberg, PT, DPT Excellent Question Title * 8. Know Your Rights - URAC Accredited UR Companies Poor Fair Satisfactory Good Excellent Karen Watts - URAC Karen Watts - URAC Poor Karen Watts - URAC Fair Karen Watts - URAC Satisfactory Karen Watts - URAC Good Karen Watts - URAC Excellent Question Title * 9. Update on Billing/Coding Issues Poor Fair Satisfactory Good Excellent Sarah Moray - DaisyBill Sarah Moray - DaisyBill Poor Sarah Moray - DaisyBill Fair Sarah Moray - DaisyBill Satisfactory Sarah Moray - DaisyBill Good Sarah Moray - DaisyBill Excellent Educational Merit Question Title * 10. Please rate the extent of your knowledge of the subject matter covered before and after this meeting; No knowledge Fair Satisfactory Good Expert Before the meeting Before the meeting No knowledge Before the meeting Fair Before the meeting Satisfactory Before the meeting Good Before the meeting Expert After the meeting After the meeting No knowledge After the meeting Fair After the meeting Satisfactory After the meeting Good After the meeting Expert To what extent do you think you will be able to apply the information from this meeting in your practice? To what extent do you think you will be able to apply the information from this meeting in your practice? No knowledge To what extent do you think you will be able to apply the information from this meeting in your practice? Fair To what extent do you think you will be able to apply the information from this meeting in your practice? Satisfactory To what extent do you think you will be able to apply the information from this meeting in your practice? Good To what extent do you think you will be able to apply the information from this meeting in your practice? Expert Question Title * 11. Cultural Competency: Strongly Disagree Disagree Neutral Agree Strongly Agree Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Strongly Disagree Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Disagree Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Neutral Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Agree Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Strongly Agree Question Title * 12. Resources on cultural and linguistic competency have been included in the meeting presentations and materials. How can we further meet your educational needs in this area? Question Title * 13. What barriers do you see to implementing changes that you learned about during the presentations today: Done