mgma state leadership conference 2011 - denver
Post on 10-Apr-2018
216 Views
Preview:
TRANSCRIPT
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
1/13
MEDICAL GROUP MANAGEMENT ASSOCIATION
Two days in Denver
can make all the differenceIn your leadership.In your membership.
MGMA 2011 StateLeaders Conference
FEb. 11--12, 2011 DENvER
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
2/13
2
Many thanks to our conference sponsorYoure here for answers, and youve come to the right place.
Who should attend
The target audience for this conference is officers
and paid staff for MGMA state affiliates. Officers,
chairs and paid staff may participate in the sessionthat will be most helpful to them and their state
associations. MGMA also welcomes members who
are not currently involved in state leadership but
are interested in pursuing such service. Presidents
of state associations who have identified future
leaders within your association are encouraged to
attend.
Why you should attend
Whether you are a current State MGMA officer,
chair, staff contact, or aspiring state leader, theMGMA 2011 State Leaders Conference offers
the education and inspiration you need to be a
successful leader.
Learn from your peers Share experiences,
get practical tools and gain information.
Whatever issues your organization faces from
vendor relationship building to leadership
development youll return from the MGMA 2011
State Leaders Conference with the knowledge and
skills to tackle the challenge.
Network with your peers Get hands-on advice and
practical solutions that only your colleagues in
other state MGMAs can provide. Youll have plenty
of opportunities to catch up with old friends and
connect with new ones.
Conference site
Set against the stunning backdrop of the Rocky
Mountains, the Renaissance Denver Hotel is
conveniently located midway between Denver
International Airport and downtown Denver.
Centered in the Stapleton redevelopment area, the
largest urban redevelopment project in the world,
the hotel is near many attractions. The crown
jewels of the Stapleton area are the new Shops atNorthfield and Dicks Sporting Goods Park, home
of the Colorado Rapids Major League soccer team.
Join us in the Mile High City!
General Information
Lanyard sponsor
Let us make you aware of anarray of products and servicesto meet your needs.
Spend your networking breaks at
the exhibitor tables, where youll
find solutions and build important
relationships.
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
3/13
3
Schedule at a Glance
Thursday, Fe. 10
Noon-3:00 pm Conference registration open
3:00 pm Shuttles depart hotel
4:00-6:00 pm Welcoming Reception atMGMA Headquarters
6:00 pm Shuttles depart MGMAHeadquarters
Friday, Fe. 11
6:00-8:00 am Breakfast in hotel restaurant(included in room rate)
7:00 am-5:00 pm Conference registration open
7:30-8:55 am MGMA Joint Council ofSection Officers Meeting(invite only)
7:30-8:55 am State Staff Meeting
9:00 am-noon Individual Section Councilof State Leaders (COSL)
Meetings
Noon-1:00 pm Keynote sessionMGMA/ACMPE Update
1:00-2:00 pm Concurrent sessions100 series
2:00-2:30 pm Networking break
2:30-3:00 pm Speaker Showcase sessionImpact of Individuals on
Lobbying Efforts
3:00-3:30 pm Speaker Showcase sessionAre You Surviving orThriving?
3:30-4:00 pm Networking break
4:00-5:00 pm Concurrent sessions200 Series
Saturday, Fe. 12
6:00-8:00 am Breakfast in hotel restaurant
(included in room rate)
7:00 am-3:45 pm Conference registration open
8:00-9:15 am General sessionWashington Update
9:15-9:45 am Networking break
9:45-10:45 am Concurrent sessions300 Series
10:45-11:15 am Networking break
11:15 am-12:30 pm Concurrent session400 Series
12:30-1:30 pm Networking luncheon
1:30-2:00 pm Speaker Showcase session$tart a new discussion
2:00-2:30 pm Speaker Showcase sessionStrengths-Based Leadership:Leveraging Talent for
Organizational Outcomes
2:30-3:15 pm Networking break
3:15-4:15 pm Hot Topic Round Tables
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
4/13
4
9:00 am-noon
Individual MGMA Section Council of StateLeaders (COSL) meetingEach section meets individually with its state
leaders and staff. All participants (state and
national) attend their respective section meeting.
Noon-1:00 pm
Keynote session: MGMA/ACMPE Update(lunch will be served)
Organizational Governance
William F. Jessee, MD, FACMPE, president and chief executiveofficer, Medical Group Management Association, Englewood,Colo.; Shena Scott, MBA, FACMPE, executive director, Brevard
Anesthesia Services PA and chair, MGMA Board of Directors;
and Alan D. Winkler, MHSA, FACMPE, vice president of clinicoperations, St. Vincent Health System, Little Rock, Ark. and chair,
ACMPE Board of Directors
Get an update on association business trends from
the MGMA president and the newly elected board
chairs. During this presentation, you will discover
the trends, challenges and opportunities affecting
Associations in the coming year.
Conference Schedule
Thursday, Fe. 10
4:00-6:00 pm
Welcoming Reception at MGMAHeadquarters
Join your colleagues at the MGMA Headquarters
for drinks and hors doeuvres.
Friday, Fe. 11
6:00-8:00 am
Breakfast in hotel restaurant(included in room rate)
7:00 am-5:00 pm
Conference registration open
7:30-8:55 am
Joint Council of Section Officers Meeting(invite only)
MGMA national section officers will meet and
discuss topics of concern and interest.
7:30-8:55 am
MGMA State Staff MeetingThis session is always valued whether you are
a new or seasoned state staff contact. Join your
fellow state staffers to discuss issues unique to your
role.
Nancy Enos, FACMPE, CPC-I, CEMC, consultant, Nancy Enos
Medical Consulting, Warwick, R.I., MGMA Eastern SectionChair
Rosemarie Kuntz, MBA, FACMPE, clinical departmentmanager, Mid Dakota Clinic, PC, Bismarck, ND, MGMA
Midwest Section Chair
Jean Hansen, MBA, FACMPE, chief executive officer,Gastroenterology Consultants, Independence, MO, MGMA
Southern Section Chair
Judy Montgomery, CPA, MBA, FACMPE, practice
administrator, Cardiovascular Surgery of Southern Nevada,Las Vegas, NV, MGMA Western Section Chair
Mindy Zaui, executive director, Illinois MGMA, OhioMGMA and South Florida MGMA, Woodstock, Ga.
Nancy A. Martin, MBA, CMPE, administrator, CantonAultman Emergency Physicians, Canton, Ohio, MGMA
Midwest Section Board Representative
Many thanks to the planning committee for the MGMA 2011 State Leaders Conference:
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
5/13
5
1:00-2:00 pm
Concurrent sessions 100 series
101. Membership Recruitment and Retention
Business Operations
Dana Guilfoyle, vice president, Communications and Marketing,Medical Group Management Association, Englewood, Colo.,Mindy Zaubi, executive director, Illinois MGMA, Ohio MGMA andSouth Florida MGMA, Woodstock, Ga., and Melissa O. Wilson,executive director, Tennessee MGMA and Kentucky MGMA,Brentwood, Tenn.
Everyone knows it is more expensive to attract
a new customer than to keep an existing one.
As association professionals, our lifeline is our
membership base. The explosion of digital media
and business intelligence software provides the
opportunity to deliver relevant communications atprime touch points in the membership cycle.
This session will provide you with the knowledge to:
Discuss best practices for retention marketing
Discover how the national MGMA has revamped
its marketing efforts via digital marketing
Examine different methods and testing processes,
and leave armed with tips and tricks to
implement at your association
102. Key Insights from a Legislative AideRisk Management
Speaker TBD
Legislative aides provide support and access to
elected officials. Learn first-hand from a legislative
aide how to get time with your legislator, the best
way to present to your legislators and how to be
successful in your grassroots efforts.
This session will provide you with the knowledge to:
Describe how legislative aides can benefit in
grassroots efforts
Discuss the best ways to contact your legislators
103. All Chiefs, No Indians: LeadingVolunteer LeadersGeneral Competencies: Leadership Development
Deb Wiggs, FACMPE, chief executive officer, Trinity Management
Solutions, Bellingham, Wash.
Maintaining effective leadership in a professional
organization of leaders can either hone or dull
your own leadership skills. What are some of
the critical requirements needed to support your
leadership efforts and provide your association
with both consistent and persistent leadership?
This session will give you some ideas and
components that provide a framework for effective
management and leadership in a volunteer
organization, such as planning and accountability.
This session will provide you with the knowledge to:
Describe how to use a strategic plan for structure
Discover the communication and character traits
of leaders
Identify how to handle difficult situations
104. State ACMPE Forum RepresentativesRound TableStrengthen your relationship with your MGMA
state association, promote ACMPE effectively and
serve your state members by coming prepared to
share ideas with other Forum Representatives.
This session will provide you with the knowledge to:
List three ways to promote ACMPE and serve
your state members
2:00-2:30 pm
Networking break
Conference Schedule
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
6/13
6
2:30-3:00 pm
Speaker Showcase session: Impactof Individuals on Lobbying Efforts
Risk ManagementJoel Blackwell, speaker and author, Washington, D.C.
Communication with elected officials is the key
to lobbying efforts. During this session, you will
learn how individuals can impact public policy by
communicating with elected officials, which kinds
of communications work best, why relationships
matter and how to deal with the competition for
attention caused by the deluge of information
pouring into their offices.
This session will provide you with the knowledge to: Describe which kind of communication works
best in lobbying efforts
3:00-3:30 pm
Speaker Showcase session: Are YouSurviving or Thriving?Financial Management
James A. Stroud, CPA, member, Warren, Averett, Kimbrough andMarino LLC, Birmingham, Ala.
There are forces in our culture that press on us to
the point of reducing us to a survival mentality.
This session will bring the problem into focus and
illustrate that the solution to living a positive,
impactful and enthusiastic life lies within each of
us.
3:30-4:00 pm
Networking break
4:00-5:00 pm
Concurrent sessions 200 Series
201. Association Finances Inquiring MindsWant to KnowFinancial Management
James A. Stroud, CPA, member, Warren, Averett, Kimbrough andMarino LLC, Birmingham, Ala.
Accounting processes for an association must
satisfy governmental reporting requirements, but
the same processes must exceed the expectations
of your officers, board and members. And all mustbe accomplished without an improper use of funds
happening on your watch. This session will enable
you to identify the external and internal interested
parties, and understand the distinction between
financial data and useful association management
financial information.
This session will provide you with the knowledge to:
Recognize how time invested in the chart of
accounts will provide better information for
association management
Learn how to connect financial reporting formats
with association goals
Describe how to lessen the likelihood that
a fraud or impropriety occurs under your
leadership
Conference Schedule
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
7/13
7
202. Your Associations Role in GrassrootsEffortsRisk Management
Joel Blackwell, speaker and author, Washington, D.C.
Your organization can have a large impact on
public policy. During this session, the speaker will
review best models and practices for maximizing
the impact of your organization on public policy.
To have the most impact, your association will
need to create a key contact network that will
recruit, motivate, educate and activate your
members to communicate with elected office
holders.
This session will provide you with the knowledge to:
Describe the importance of reward and
recognition, the role of leadership of board
and officers, and why members are reluctant to
engage in political communication and how to
overcome that reluctance
203. Deepening Your Volunteer PoolLeadership Development
Betsy Holt, MSS, director of member engagement, Medical GroupManagement Association, Englewood, Colo.; Bonnie Grevengoed,practice administrator, The Fertility Center, Grand Rapids,Mich.; and Karen Larossi, CMPE, manager, Hand-Elbow-Shoulder
Surgical Specialists of Alaska, Anchorage
Are you tired of recycling the same set of
volunteers year after year? Sure, they do a good
job, but getting some new blood and new ideas
would be good, too. How do you expand your
volunteer pool? In this interactive session, well
take a look at some key findings from volunteer
research that can help us understand how to make
it easier for your members to volunteer. Well
share some best practices and success stories from
MGMAs national and state offices.
This session will provide you with the knowledge to:
List three key ideas that will help you grow your
volunteer pool
Describe three barriers that prevent potential
volunteers from stepping up
204. State Staff Round Table*Information Management
Mindy Zaubi, executive director, Illinois MGMA, Ohio MGMA andSouth Florida MGMA, Woodstock, Ga.
During this interactive discussion, state staff will
discuss some of the common issues facing MGMA
state associations as well as share ideas and best
practices.
This session will provide you with the knowledge to:
Identify new opportunities for implementation
for your state association
*State staff only.
205. Overview of ACMPE Certification:Taking the Trip from Nominee to CertifiedMember to Fellow*Beth A. Balen, FACMPE, Western Section Forum Coordinator,
ACMPE, and Maria F. Petro, FACMPE, Eastern Section ForumCoordinator, ACMPE
Participating in the American College of Medical
Practice Executives (ACMPE), MGMAs standard-
setting and certification body, is the best way to
demonstrate your leadership and competence
in medical practice management. ACMPE offers
nationally recognized board certification andFellowship programs. Gain an understanding of
the process and requirements necessary to attain
ACMPE board certification and Fellowship, as well
as the resources and programs to get you there.
Identify ways that ACMPE certification can further
your professional development and personal
growth.
This session will provide you with the knowledge to:
Identify ways that ACMPE board certification
and Fellowship can further your professional
development and personal growth
*ACMPE Forum representatives received waived
registration fees for the conference, and a $250 travel
stipend to encourage attendance.
Conference Schedule
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
8/13
8
Saturday, Fe. 12
6:00-8:00 am
Breakfast in hotel restaurant(included in room rate)
7:00-4:15 pm
Conference registration open
8:00-9:15 am
General session: WashingtonUpdateRisk Management
Allison Brown, government affairs representative of MedicalGroup Management Association, Washington, D.C.
Medical practices often receive late and
contradictory information on the actions of
Capitol Hill and the administration affecting
health care and daily administrative burdens.
Provided in this update will be timely information
on the regulatory and legislative issues under
consideration by the administration and the
Congress. Highlights contain MGMAs advocacy
objectives for 2011 and the important grassroots
role that members must play in achievingadvocacy success.
This session will provide you with the knowledge to:
Discuss proposed regulatory and legislative
changes affecting medical groups
Identify recent changes in Medicare
reimbursement and program policies
Recognize the challenges practices will face
implementing and complying with new
regulations
List ways you can effectively participate inadvocacy efforts
9:15-9:45 am
Networking break
9:45-10:45 am
Concurrent sessions 300 Series
301. Lobbying 101
Risk Management
Anders Gilberg, MGA, vice president of public and privateeconomic affairs; Allison Brown, government affairsrepresentative, both of the Medical Group Management
Association, Washington, D.C.
In this session, you will learn strategies for
effective lobbying. Identify the critical resources
and plan how to manage the most effective
lobbying effort.
This session will provide you with the knowledge to:
Discover ways to maximize advocacy andminimize the cost
Explain the common motivators and strategies
for getting legislators to support your issues
302. Strategic Planning from the Ground UpOrganizational Governance
Kenneth T. Hertz, FACMPE, principal consultant, Medical GroupManagement Association, Englewood, Colo.
The saying goes, If you dont know where youre
going, theres a good chance you wont get there.
In order for organizations to achieve their goals,they must have a mission, vision and values
supported by a thoughtful and sound strategic
plan. Working from the group up, this session
will cover the foundational aspects of strategic
planning vision, mission and values then
address the process and approach for developing
the strategic plan.
At this session, participants will:
Discuss the importance of mission, vision and
values, and how to ensure their relevance today
Discover how to identify and include key
stakeholders in the strategic planning process
Explain how to orchestrate the process for
development of a strategic plan
Recognize how to develop a strategic plan for
their organization
Conference Schedule
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
9/13
9
303. Getting Leaders from YourVolunteer PoolOrganizational Governance
Nancy M. Enos, FACMPE, CPC-I, CEMC consultant, Nancy Enos
Medical Consulting, Warwick, R.I.
Succession planning is an important responsibility
of state officers. State leaders often struggle with
the selection of the best candidates for future
board positions. This session will discuss ways to
identify the best possible candidates for leadership
in your volunteer pool. Leaders must recognize
and avoid pitfalls of volunteers who say yes
when invited to fill a roll, only to disappear or fall
short of meeting the responsibilities of the role.
This session will provide you with the knowledge to:
Discuss strategies to give current and future
state leaders a plan to identify, enlist, evaluate
and mentor the right people to ensure positive
leadership in the future of the state association
304. State Staff session*Business Operations
Mindy Zaubi, executive director, Illinois MGMA, Ohio MGMA andSouth Florida MGMA, Woodstock, Ga.
During this interactive roundtable discussion, state
volunteers will share best practices for leadingtheir association into the future and on providing
services to their membership.
This session will provide you with the knowledge to:
Identify new opportunities for implementation
for your state association
*State staff only
10:45-11:15 am
Networking break
11:15 am-12:30 pm
Concurrent session 400 Series
401. Effective Lobbying at the State LevelRisk Management
Lawrence Epstein, MPA, CMPE, chief executive officer, PulmonaryAllergy Associates, PA, Highstown, NJ, Diane Bristol, administrator,Midland Ob-Gyn Associates, PC , Midland, Mich., StewartClark,PhD, practice administrator, Cardiology Center, LLC,Marrero, La., and Janet McIntyre, MBA, FACMPE, consultant, J E MHealthcare Consultants, Denver
Your state association can have a big legislative
impact at the local level. There are many ways torally the troops, and make significant headway,
during this session, you will hear several options.
The panelists will also discuss the governance
structure at their state association that supports
advocacy efforts.
This session will provide you with the knowledge to:
Describe various activities that the state
association can implement to advance legislative
issues
Discuss different types of governance structuresthat support advocacy at the local
Conference Schedule
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
10/13
10
402. From Plan to Action: Youve Got YourPlan, Now What?Organizational Governance
Kenneth T. Hertz, FACMPE, principal consultant, MGMA,
Englewood, Colo.
The payoff for strategic planning is the
achievement of strategic goals and objectives.
Many organizations complete the planning
process successfully but fail to achieve the
desired results. This session presents tools and
techniques that leaders can use to ensure success
in the deployment of their strategic plan. The
presentation will be didactic in nature, with
specific examples provided that demonstrate both
success and failure.
This session will provide you with the knowledge to:
Discuss how to apply the tools and techniques
presented to ensure success in their organizations
Recognize the importance of SMART goals,
individual accountability and the importance of
hardwiring processes to ensure success
Review the importance of evaluation in strategic
planning along with the concept of a looped
process
403. Managing VolunteersLeadership Development
Betsy Holt, MSS, director of member engagement, Medical GroupManagement Association, Englewood, Colo.
Volunteers can extend the human capital of your
organization. Furthermore, volunteers who have a
good experience will be more satisfied and possess
greater loyalty to your group. How can you create
a system to manage volunteers that effectively
uses their skills and time, while ensuring a
good time had by all? In this session, we will
discuss key elements of different approaches to
volunteer management and describe the volunteer
management program being built at MGMA
national.
This session will provide you with the knowledge to:
Describe important attributes of a volunteer
management program
Conference Schedule
404. How to use your ACMPE State ForumRepresentative to Enhance your MembersExperienceVenus K. Biskis, FACMPE, Midwest Section Forum Coordinator,
ACMPE, and Susan Childs, FACMPE, ACMPE Forum Representative,North Carolina
What is the benefit of promoting professional
certification to your state members? Participation
in the American College of Medical Practice
Executives (ACMPE), MGMAs standard-setting and
certification body, is the best way to demonstrate
leadership and competence in medical practice
management. This session is designed for state
leaders to learn how to best utilize your ACMPE
state forum representatives to provide your state
members the opportunity to pursue certificationand Fellowship in ACMPE. Following this session,
you will be able to use ideas from other state
associations to encourage your members to pursue
the benefits of ACMPE board certification and
Fellowship. Current state Forum representatives
are also encouraged to attend to share successful
activities.
This session will provide you with the knowledge to:
Incorporate ideas from other state associations to
encourage your members to pursue the benefits
of ACMPE board certification and Fellowship
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
11/13
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
12/13
12
HotelRenaissance Denver Hotel3801 Quebec Street, Denver, CO 80201Phone: 1.888.238.6762
Special conference room rate:$109.00/night plus 14.85% tax per night
A block of rooms is reserved especially for you
at The Renaissance Denver Hotel at the reduced
rate. Call the hotel directly for sleeping-room
reservations and ask for the MGMA 2011 State
Leaders Conference block and rate. Discounted
rooms are available until Monday, Jan. 24, 2011
or until they sell out. After this date, reservations
at the conference rate will be accepted on a space-
available basis only.
A first nights deposit, by check, cash or creditcard, including tax, must accompany all
reservation requests
Hotel transportationComplimentary transportation is available to and
from Denver International Airport. Pick up at the
airport is on baggage claim Level 5 on the west
side of the terminal, between doors 506 and 508,
or on the east side, between doors 509 and 511.
Shuttles run every 30 minutes. Be sure to schedule
your shuttle time back to the airport at the hotel
in advance, not that morning, as space is limited.
Reimbursement for State LeadersConferenceMGMA will waive the registration fee to the
State Leaders Conference for one (1) state board
member, one (1) state staff (non-transferable)
and for one (1) ACMPE Forum representative
(non-transferable) to attend the conference. In
addition, MGMA will also provide each state a
reimbursement of up to $250 for a state board
member and the ACMPE Forum representative.
In addition, MGMA will provide each state a
reimbursement of up to $250 for a state board
member and ACMPE will provide each state a
reimbursement of up to $250 for a State Forum
Representative.
Cancellation policyAll registration cancellations must be received
in writing to the MGMA Service Center, 104
Inverness Terrace East, Englewood, CO 80112, or
faxed to 303.784.6110 no later than Monday, Feb.
7, 2011, and are subject to a $100 processing fee.
No credit or partial or full refund will be made for
failure to attend after this date. Cancellations by
telephone will not be accepted.
If for any reason, MGMA must cancel one of
its programs or turn you away due to limited
attendance, your registration fee will be refunded
in full. However, you are responsible for your own
airline and hotel reservations. MGMA cannot be
held accountable for any cancellation charges
caused by program cancellation or attendance
limitations.
Please call the MGMA Service Center toll-free
at 877.275.6462, ext. 1888, if you need to send
someone in your place. If the new attendee
has a different MGMA membership status, the
registration fee will be adjusted accordingly. For
more information on administrative policies such
as a complaint or refund, please call the MGMA
Meeting and Conferences Department toll-free at
877.ASK.MGMA (275.6462), ext. 1875.
DressBusiness casual attire is appropriate for all
conference functions, including the receptions.
Weather in February can be mild and hotel
meeting rooms cool. Dressing in layers is best for
maximum comfort.
Note to those with special needsWe wish to take steps to ensure that no individual
with a disability is excluded, denied services,
segregated or otherwise treated differently than
other individuals because of the absence of
auxiliary aids or services. If you need any auxiliary
aids or services identified in the Americans with
Disabilities Act, call the MGMA Meetings and
Conferences Department toll-free at 877.ASK.
MGMA (275.6462), ext. 1875, before your arrival.
ACMPE credit
The American College of Medical Practice
Executives (ACMPE) is MGMAs standard-
setting and certification body and promotes the
professional growth of leaders. By developing
the Body of Knowledge for Medical Practice
Management, ACMPE provides a central
framework for MGMA resources. This program is
approved to receive a maximum of 9 credit hours
as assigned by the ACMPE.
Registration General Information
-
8/8/2019 MGMA State Leadership Conference 2011 - Denver
13/13
13
Please make copies of this form if more than one person registers. Check here if this is a new address
National MGMA number: _______________________________________ Check here if you only belong to yourlocal/state association
First name: ______________________________________________ Last name: __________________________________
Title: ____________________________________ Preferred name on badge: ___________________________________
Organization: ____________________________ Address: ___________________________________________________
City: __________________________ State: ____________________ ZIP: ______________________________________
Phone: ________________________ Fax: _____________________ E-mail: ___________________________________
A special note to the disabled: Please call MGMAs Meetings and Conferences Department toll-free 877.275.6462,
ext. 1875, approximately three weeks prior to your arrival if you have a special need and require accommodation to
participate in this activity.
REGISTRATION FEES TotalDue
MGMA State Officer $ 199
MGMA State Staff $199
ACMPE State Forum Representative $199
ACMPE Section Forum Coordinator $199
*If your registration is waived, please note waived on the registration form. TOTAL DUE FORFor details regarding reimbursement please visit mgma.com/slc11. REGISTRATION: $
Method of payment (payment must accompany registration):
Check enclosed Charge my credit card VISA MasterCard American Express
Card no.: ________________________________________________________ Expiration date:
Cardholders name: ___________________________________________________________________________________________
Cardholders signature: ________________________________________ Date: ________________________________________
Mail the program registration form(s) with your check, made payale to MGMA, to the following lockox address:Medical Group Management Association
P.O. box 17603Denver, CO 80217-0603
Register by phone toll-free 877.275.6462, ext. 1888or fax303.643.4439.
MGMA 2011 State Leaders Conference (LDCNF11)Fe. 11-12, 2011
Program Registration Form
I will attend the welcoming reception on Thursday, Feb. 10.
top related