Virtual Care Reimbursement Model Evaluation Form
Please provide your insights and feedback to help us assess and improve the virtual care reimbursement model.
Full Name
*
First Name
Last Name
Organization
Role or Position
How familiar are you with virtual care reimbursement models?
*
Very familiar
Somewhat familiar
Not very familiar
How would you rate the effectiveness of the current virtual care reimbursement model?
*
1
2
3
4
5
How easy is it to understand and use the reimbursement process?
*
Very easy
Somewhat easy
Neutral
Somewhat difficult
Very difficult
Do you feel the reimbursement model is fair and equitable?
*
Yes
Somewhat
No
What impact has the reimbursement model had on your organization or practice?
What improvements would you suggest for the virtual care reimbursement model?
Any additional comments or feedback?
Submit Evaluation
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