HCA- FMLA 4 Month follow-up Survey
Name: 


A red asterisk (*) indicates required questions.

  1. Are you familiar and able to locate the Step Process?*


  1. It takes me _______ min/hour to complete 4 1R's.*


  1. I am able to document medical with ease and make a determination...*


  1. I am able to complete assigned diaries daily....*


  1. Do you have any questions regarding your claim and/or call audits?*


  1. Are you able to locate additional resources/tools?*


  1. Do you have any other concerns/questions?*





Quality Team
MI