Inquiry for Hourly Coding Assistance

Full Name: (required)

Practice/Organization Name: (required)

Your Email: (required)

Phone:

I am a: (required)
Choose your occupationPhysicianPractice Administrator/ManagerBilling/Operations ManagerCoding/Billing StaffHospital Administrator/ExecutiveCompliance OfficerHealthcare AttorneyNon-Physician ProviderOther

Specialty: (required)
Choose your specialtyDermatologyGeneral SurgeryInterventional PainNeurosurgeryOrthopaedicsOtolaryngologyPlastic SurgeryUrologyVascular SurgeryOther

Have you attended a KZA workshop and/or worked with a KZA consultant?
YesNo

If yes, who was the instructor or consultant?
Select a consultantKaren ZupkoAmy BoyerCheyenne BrinsonDeb GriderBetty HoveyMargi MaleyMichael Marks, MDJennifer O'BrienKim PollockTeri RomanoCheryl WerginSarah WiskerchenI'm Not Sure

What is your question or issue on which you need assistance Please provide as much detail as you can.