Program registration form - Provider's Edge...Omni Hotel at CNN Center March 5-6, 2007 100 CNN...

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Explore the path to a fully functioning electronic medical office through peer learning and expert advice. Health Care Information Technology Forums Atlanta, Ga. March 5-6, 2007 Louisville, Ky. May 10-11, 2007 Reno, Nev. June 14-15, 2007 Presented in conjunction with Georgia MGMA, Kentucky MGMA and Nevada MGMA Medical Group Management Association

Transcript of Program registration form - Provider's Edge...Omni Hotel at CNN Center March 5-6, 2007 100 CNN...

  • Program registration formMGMA 2007 Health Care Information Technology Forums

    ________________________________________________________________________________________________________________________National MGMA number First name Last name

    ________________________________________________________________________________________________________________________Title Organization

    ________________________________________________________________________________________________________________________Address City State Zip

    ________________________________________________________________________________________________________________________Phone Fax E-mail Preferred name on badge

    Year started in medical practice management:____________________Practice size by physician full-time-equivalent:__________________

    A special note to those with special needs: Please call MGMA toll-free at 877.275.6462, ext. 875, prior your arrival if you have a special need and require accommodation to participate in this activity.

    Team discount – additional registrants from the same practice

    *To be eligible for the team discount, all registrations must be submitted at the same time via phone or fax. The team discount is not available online.

    Method of payment (payment must accompany registration):

    Check enclosed Charge my credit card: VISA MasterCard American Express

    ________________________________|_________________|___________________________|______________________________|___________Card No. Exp. date Cardholder’s name Cardholder’s signature Date

    Mail the program registration form(s) with your check made payable to MGMA to the following lockbox address:

    Medical Group Management AssociationP.O. Box 17603Denver, CO 80217-0603

    Telephone toll-free 877.275.6462 Fax 303.643.4439 Register online at mgma.com

    Member rates are a privilege of membership. You must be a member at the time of registration.

    We are not responsible for faxes not received. Cancellation of preregistration must be postmarked no later than 48 hours prior to the start of the program and is subject to a $100 processing fee. No partial or full refund or credit will be made after this date for failure to attend. See “Cancellation policy” in this brochure for the full information regarding cancellations and substitutions.

    © 2006 Medical Group Management Association. All rights reserved. KEYCODE: ITS07BR01

    Are you ready for a digital medical office?

    Join us for a look at the path to a

    fully functioning electronic medical

    office. Industry experts and vendors

    come together to help you make

    decisions about technology

    solutions for your medical office.

    Get the latest update on the EHR

    vendor certification process, and

    explore an exhibit hall filled with

    technology companies ready to

    answer your questions.

    Attend interactive expert panel

    discussions targeting the EHR

    implementation process. Walk

    away with a better understanding

    of EHR implementation and

    answers to your questions from

    our industry experts.

    Explore the path to a fully functioning

    electronic medical office through peer

    learning and expert advice.

    Health Care Information Technology Forums

    Atlanta, Ga. March 5-6, 2007

    Louisville, Ky. May 10-11, 2007

    Reno, Nev. June 14-15, 2007

    Presented in conjunction with Georgia MGMA, Kentucky MGMA and Nevada MGMA

    Are you ready for adigital medical office?

    104 Inverness Terrace East

    Englewood, CO 80112-5306

    Medical Group Management Association

    Please make copies of this form if morethan one person registers (please note thediscounted pricing below if more than oneperson registers from your practice)

    Check here if this is a new address

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    TOTAL DUE FOR REGISTRATION: $

    Atlanta, Ga. (trade107) March 5-6, 2007

    Louisville, Ky. (trade207) May 10-11, 2007

    Reno, Nev. (trade307) June 14-15, 2007

    PRSRT STDU S POSTAGE

    PAIDDENVER,CO

    PERMIT NO. 1105

  • Program registration formMGMA 2007 Health Care Information Technology Forums

    ________________________________________________________________________________________________________________________National MGMA number First name Last name

    ________________________________________________________________________________________________________________________Title Organization

    ________________________________________________________________________________________________________________________Address City State Zip

    ________________________________________________________________________________________________________________________Phone Fax E-mail Preferred name on badge

    Year started in medical practice management:____________________Practice size by physician full-time-equivalent:__________________

    A special note to those with special needs: Please call MGMA toll-free at 877.275.6462, ext. 875, prior your arrival if you have a special need and require accommodation to participate in this activity.

    Team discount – additional registrants from the same practice

    *To be eligible for the team discount, all registrations must be submitted at the same time via phone or fax. The team discount is not available online.

    Method of payment (payment must accompany registration):

    Check enclosed Charge my credit card: VISA MasterCard American Express

    ________________________________|_________________|___________________________|______________________________|___________Card No. Exp. date Cardholder’s name Cardholder’s signature Date

    Mail the program registration form(s) with your check made payable to MGMA to the following lockbox address:

    Medical Group Management AssociationP.O. Box 17603Denver, CO 80217-0603

    Telephone toll-free 877.275.6462 Fax 303.643.4439 Register online at mgma.com

    Member rates are a privilege of membership. You must be a member at the time of registration.

    We are not responsible for faxes not received. Cancellation of preregistration must be postmarked no later than 48 hours prior to the start of the program and is subject to a $100 processing fee. No partial or full refund or credit will be made after this date for failure to attend. See “Cancellation policy” in this brochure for the full information regarding cancellations and substitutions.

    © 2006 Medical Group Management Association. All rights reserved. KEYCODE: ITS07BR01

    Are you ready for a digital medical office?

    Join us for a look at the path to a

    fully functioning electronic medical

    office. Industry experts and vendors

    come together to help you make

    decisions about technology

    solutions for your medical office.

    Get the latest update on the EHR

    vendor certification process, and

    explore an exhibit hall filled with

    technology companies ready to

    answer your questions.

    Attend interactive expert panel

    discussions targeting the EHR

    implementation process. Walk

    away with a better understanding

    of EHR implementation and

    answers to your questions from

    our industry experts.

    Explore the path to a fully functioning

    electronic medical office through peer

    learning and expert advice.

    Health Care Information Technology Forums

    Atlanta, Ga. March 5-6, 2007

    Louisville, Ky. May 10-11, 2007

    Reno, Nev. June 14-15, 2007

    Presented in conjunction with Georgia MGMA, Kentucky MGMA and Nevada MGMA

    Are you ready for adigital medical office?

    104 Inverness Terrace East

    Englewood, CO 80112-5306

    Medical Group Management Association

    Please make copies of this form if morethan one person registers (please note thediscounted pricing below if more than oneperson registers from your practice)

    Check here if this is a new address

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    TOTAL DUE FOR REGISTRATION: $

    Atlanta, Ga. (trade107) March 5-6, 2007

    Louisville, Ky. (trade207) May 10-11, 2007

    Reno, Nev. (trade307) June 14-15, 2007

    PRSRT STDU S POSTAGE

    PAIDDENVER,CO

    PERMIT NO. 1105

  • Omni Hotel at CNN Center March 5-6, 2007

    100 CNN CenterAtlanta, GA 30303Phone: 404.659.0000

    Room rates: single/double occupancy $169(exclusive of occupancy and state tax)Hotel room block reserved until Friday, Feb. 9 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Marriott Louisville DowntownMay 10-11, 2007

    280 West Jefferson St.Louisville, KY 40202Phone: 502.627.5045

    Room rates: single/double occupancy $135(exclusive of occupancy and state tax)Hotel room block reserved until Wednesday, April 18 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Grand Sierra Resort and Casino June 14-15, 2007

    2500 E. Second St.Reno, NV 89595Phone: 800.648.5080

    Room rates: single/double occupancy $129(exclusive of occupancy and state tax)Hotel room block reserved until Monday, May 21(or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Please call the hotel directly for sleeping-roomreservations. Remember to identify yourself as anattendee of the Medical Group ManagementAssociation conference to receive the group rate.

    Cancellation policyMGMA must receive regitration cancellations nolater than 48 hours prior to the start of eachprogram. Cancellations are subject to a $100processing fee. No partial or full refund or creditwill be made after this date for failure to attend. Allcancellations must be submitted in writing to theMGMA Service Center, 104 Inverness Terrace East,Englewood, CO 80112-5306. Cancellation bytelephone is not valid. Letters may be sent via faxto 303.643.4439.

    If for any reason it is necessary for MGMA tocancel this program or turn you away due tolimited attendance, we will refund the registrationfee in full. However, since you are responsible foryour own airline/hotel reservations, we cannot beheld responsible for any cancellation charges forairline tickets or hotel reservations caused byprogram cancellation or attendance limitations.

    Call the MGMA Service Center toll-free at877.275.6462 if you are going to send a substitute.If the substitute has a different MGMA status, wewill adjust the fee accordingly.

    Air transportationMGMA’s travel agency, Polk Travel, offers specialdiscount airfares up to 10 percent off when youmake your reservation 60 days prior to travel andup to 5 percent off between 60 days and yourdeparture date. To make your reservations, call Polk Travel at 800.536.6028 or e-mail requests [email protected]. Identify yourself as anMGMA program registrant and mention theprogram title, city and dates. Itineraries and ticketswill be sent to your home or office (with e-tickets,only your itinerary is sent). An additional fee willapply.

    ACMPE creditThis program is approved to receive a maximum of 10.0 contact hours as assigned by the American Collegeof Medical Practice Executives, the certificationbody of MGMA.

    CME creditMGMA is accredited by the AccreditationCouncil for Continuing Medical Education tosponsor continuing medical education (CME)for physicians. MGMA takes responsibility forthe content, quality and scientific integrity ofthis CME activity.

    MGMA designates this CME activity for amaximum of 8.5 credit hours in Category 1 ofthe Physician’s Recognition Award of theAmerican Medical Association.

    CPE creditMGMA designates this continuing professionaleducation (CPE) activity for a maximum numberof 10.0 contact hours of credit in the SpecializedKnowledge and Applications Field of Study.MGMA is registered with the NationalAssociation of State Boards of Accountancy as asponsor of continuing professional education onthe National Registry for CPE credit. Complaintsregarding registered sponsors may be addressedto the National Registry of CPE Sponsors, 150Fourth Ave. North, Nashville, TN, 37219-2417.Telephone: 615.880.4200.

    About MGMAMGMA is the source for all educationaldevelopment and programming for MGMA,ACMPE and the MGMA Center for Research.Outcomes of MGMA programming include bothgroup practice improvement and professionaldevelopment.

    Note to those with special needsWe wish to ensure that no individual with adisability is excluded, denied services, segregatedor otherwise treated differently because of theabsence of auxiliary aids or services.

    If you need any auxilliary aids or servicesidentified in the Americans With Disabilities Act,please call MGMA toll-free at 877.275.6462, ext.875, prior to your arrival.

    DressBusiness-casual attire is appropriate for allconference functions, including the reception.

    FacultyMGMA reserves the right to change faculty ormodify program content.

    General Information

    Exhibit Hall Hours9:30 a.m.-3:00 p.m.

    8:30-10:00 a.m.General Session

    Federal health informationtechnology initiatives: How they will affect your practiceRobert M. Tennant, MA, senior policy adviser, MGMAGovernment Affairs Department, Washington, D.C.

    The federal government is taking an aggressive role inthe adoption of health care information technology(HIT) standards and facilitation of these technologies inphysician practices. In this session you will learn thesteps that Congress and the administration are taking topromote HIT in the legislative and regulatory arenas. Inaddition, this session will highlight critical private-sectorinitiatives to help the medical industry adopt HIT. Keytopics include certification of EHRs, privacy and security,standards development, changes to the Stark andantikickback laws and pay-for-performance programs.You will learn how to identify critical government andprivate-sector HIT initiatives, discover how the standardsdevelopment process will affect HIT and determine howto make an informed EHR purchase.

    10:00-10:30 a.m.Refreshment break with exhibitors

    10:30 a.m.-noon

    EHR panel presentation – FinancialModerators:

    Atlanta and Reno – Rosemarie Nelson, MS, principal,MGMA Health Care Consulting Group, Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group, CocoaBeach, Fla.

    A panel of medical practice administrators who havecompleted EHR implementations will discuss theirexperiences and answer questions in an extended Q & A session. Discover hidden costs associated withEHR implementation, areas for cost savings, potentialfor additional revenue, expenses associated with staffing,and other factors associated with return on investment.

    Day Two

    Exhibit Hall Hours10:00 a.m.-4:00 p.m.

    9:00-10:30 a.m.General Session

    Can you survive without a digital medical office?Mark Anderson, CPHIMS, FHIMSS, health care IT futurist, CEO of AC Group Inc., Spring, Texas

    The electronic health record (EHR) marketplace can beoverwhelming. According to a survey by HealthcareInformatics, as many as 228 vendors claim to offer anEHR to small to mid-size physician practices. Foradministrators evaluating EHRs, the question is notwho provides the technology, but rather who providesthe “richest functionality.” This session will help youunderstand the future of the EHR in the digitalmedical office. You’ll be able to describe technical andfunctional requirements of an EHR and identifypotential benefits of a digital medical office.

    10:30-11:15 a.m.Refreshment break with exhibitors

    11:15 a.m.-Noon

    Sponsor showcaseLearn about technology applications that can improveoffice efficiencies and streamline your practiceoperations.

    12:00-1:30 p.m.Lunch with exhibitors

    1:30-3:00 p.m.

    EHR panel presentation –TechnologyModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

    A panel of medical practice administrators who have

    completed EHR implementations will discusstheir experiences and answer questions in anextended question-and-answer session. You willbe able to examine hardware and networkoptions, disaster planning, backup procedures,internal security and other issues related tohardware selection and operation.

    3:00-3:30 p.m.Refreshment break with exhibitors

    3:30-5:00 p.m.

    EHR panel presentation –ImplementationModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN,FACMPE, consultant, MGMA Health CareConsulting Group, Cocoa Beach, Fla.

    Hear panel members discuss many aspects of theimplementation process, including employeebuy-in, staff training, caseload management andgeneral implementation strategies. You will beable to create a schedule for staff training,identify issues that may affect theimplementation process, and discover strategiesto encourage employee buy-in. Panel membersare medical practice administrators who havecompleted their own EHR implementations.

    5:00-6:00 p.m.

    Networking receptionNetwork and share ideas with peers, exhibitors,presenters and panel members.

    Day One

    Noon-1:30 p.m.Lunch with exhibitors

    1:30-2:15 p.m.

    Sponsor showcaseLearn about technology applications that canimprove office efficiencies and streamline yourpractice operations.

    2:15-2:30 p.m.Refreshment break

    2:30-3:30 p.m.

    EHR case studyRichard L. Wasserman, MD, PhD, Dallas Allergy Immunology, Dallas

    Learn about issues critical to the successfulimplementation of EHR, including needsassessment, appropriate goal setting, understandingEHR as a workflow solution and the role ofphysicians and staff in a small group practice. Youwill be able to explain how EHR affects everyelement of a practice, direct a needs assessment,examine the return on investment associated withEHR implementation, and guide staff training.

    3:30-4:00 p.m.

    Final question and answerTake advantage of this opportunity to get theanswers you need from our expert panel ofpresenters and colleagues.

    Moderators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

  • Omni Hotel at CNN Center March 5-6, 2007

    100 CNN CenterAtlanta, GA 30303Phone: 404.659.0000

    Room rates: single/double occupancy $169(exclusive of occupancy and state tax)Hotel room block reserved until Friday, Feb. 9 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Marriott Louisville DowntownMay 10-11, 2007

    280 West Jefferson St.Louisville, KY 40202Phone: 502.627.5045

    Room rates: single/double occupancy $135(exclusive of occupancy and state tax)Hotel room block reserved until Wednesday, April 18 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Grand Sierra Resort and Casino June 14-15, 2007

    2500 E. Second St.Reno, NV 89595Phone: 800.648.5080

    Room rates: single/double occupancy $129(exclusive of occupancy and state tax)Hotel room block reserved until Monday, May 21(or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Please call the hotel directly for sleeping-roomreservations. Remember to identify yourself as anattendee of the Medical Group ManagementAssociation conference to receive the group rate.

    Cancellation policyMGMA must receive regitration cancellations nolater than 48 hours prior to the start of eachprogram. Cancellations are subject to a $100processing fee. No partial or full refund or creditwill be made after this date for failure to attend. Allcancellations must be submitted in writing to theMGMA Service Center, 104 Inverness Terrace East,Englewood, CO 80112-5306. Cancellation bytelephone is not valid. Letters may be sent via faxto 303.643.4439.

    If for any reason it is necessary for MGMA tocancel this program or turn you away due tolimited attendance, we will refund the registrationfee in full. However, since you are responsible foryour own airline/hotel reservations, we cannot beheld responsible for any cancellation charges forairline tickets or hotel reservations caused byprogram cancellation or attendance limitations.

    Call the MGMA Service Center toll-free at877.275.6462 if you are going to send a substitute.If the substitute has a different MGMA status, wewill adjust the fee accordingly.

    Air transportationMGMA’s travel agency, Polk Travel, offers specialdiscount airfares up to 10 percent off when youmake your reservation 60 days prior to travel andup to 5 percent off between 60 days and yourdeparture date. To make your reservations, call Polk Travel at 800.536.6028 or e-mail requests [email protected]. Identify yourself as anMGMA program registrant and mention theprogram title, city and dates. Itineraries and ticketswill be sent to your home or office (with e-tickets,only your itinerary is sent). An additional fee willapply.

    ACMPE creditThis program is approved to receive a maximum of 10.0 contact hours as assigned by the American Collegeof Medical Practice Executives, the certificationbody of MGMA.

    CME creditMGMA is accredited by the AccreditationCouncil for Continuing Medical Education tosponsor continuing medical education (CME)for physicians. MGMA takes responsibility forthe content, quality and scientific integrity ofthis CME activity.

    MGMA designates this CME activity for amaximum of 8.5 credit hours in Category 1 ofthe Physician’s Recognition Award of theAmerican Medical Association.

    CPE creditMGMA designates this continuing professionaleducation (CPE) activity for a maximum numberof 10.0 contact hours of credit in the SpecializedKnowledge and Applications Field of Study.MGMA is registered with the NationalAssociation of State Boards of Accountancy as asponsor of continuing professional education onthe National Registry for CPE credit. Complaintsregarding registered sponsors may be addressedto the National Registry of CPE Sponsors, 150Fourth Ave. North, Nashville, TN, 37219-2417.Telephone: 615.880.4200.

    About MGMAMGMA is the source for all educationaldevelopment and programming for MGMA,ACMPE and the MGMA Center for Research.Outcomes of MGMA programming include bothgroup practice improvement and professionaldevelopment.

    Note to those with special needsWe wish to ensure that no individual with adisability is excluded, denied services, segregatedor otherwise treated differently because of theabsence of auxiliary aids or services.

    If you need any auxilliary aids or servicesidentified in the Americans With Disabilities Act,please call MGMA toll-free at 877.275.6462, ext.875, prior to your arrival.

    DressBusiness-casual attire is appropriate for allconference functions, including the reception.

    FacultyMGMA reserves the right to change faculty ormodify program content.

    General Information

    Exhibit Hall Hours9:30 a.m.-3:00 p.m.

    8:30-10:00 a.m.General Session

    Federal health informationtechnology initiatives: How they will affect your practiceRobert M. Tennant, MA, senior policy adviser, MGMAGovernment Affairs Department, Washington, D.C.

    The federal government is taking an aggressive role inthe adoption of health care information technology(HIT) standards and facilitation of these technologies inphysician practices. In this session you will learn thesteps that Congress and the administration are taking topromote HIT in the legislative and regulatory arenas. Inaddition, this session will highlight critical private-sectorinitiatives to help the medical industry adopt HIT. Keytopics include certification of EHRs, privacy and security,standards development, changes to the Stark andantikickback laws and pay-for-performance programs.You will learn how to identify critical government andprivate-sector HIT initiatives, discover how the standardsdevelopment process will affect HIT and determine howto make an informed EHR purchase.

    10:00-10:30 a.m.Refreshment break with exhibitors

    10:30 a.m.-noon

    EHR panel presentation – FinancialModerators:

    Atlanta and Reno – Rosemarie Nelson, MS, principal,MGMA Health Care Consulting Group, Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group, CocoaBeach, Fla.

    A panel of medical practice administrators who havecompleted EHR implementations will discuss theirexperiences and answer questions in an extended Q & A session. Discover hidden costs associated withEHR implementation, areas for cost savings, potentialfor additional revenue, expenses associated with staffing,and other factors associated with return on investment.

    Day Two

    Exhibit Hall Hours10:00 a.m.-4:00 p.m.

    9:00-10:30 a.m.General Session

    Can you survive without a digital medical office?Mark Anderson, CPHIMS, FHIMSS, health care IT futurist, CEO of AC Group Inc., Spring, Texas

    The electronic health record (EHR) marketplace can beoverwhelming. According to a survey by HealthcareInformatics, as many as 228 vendors claim to offer anEHR to small to mid-size physician practices. Foradministrators evaluating EHRs, the question is notwho provides the technology, but rather who providesthe “richest functionality.” This session will help youunderstand the future of the EHR in the digitalmedical office. You’ll be able to describe technical andfunctional requirements of an EHR and identifypotential benefits of a digital medical office.

    10:30-11:15 a.m.Refreshment break with exhibitors

    11:15 a.m.-Noon

    Sponsor showcaseLearn about technology applications that can improveoffice efficiencies and streamline your practiceoperations.

    12:00-1:30 p.m.Lunch with exhibitors

    1:30-3:00 p.m.

    EHR panel presentation –TechnologyModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

    A panel of medical practice administrators who have

    completed EHR implementations will discusstheir experiences and answer questions in anextended question-and-answer session. You willbe able to examine hardware and networkoptions, disaster planning, backup procedures,internal security and other issues related tohardware selection and operation.

    3:00-3:30 p.m.Refreshment break with exhibitors

    3:30-5:00 p.m.

    EHR panel presentation –ImplementationModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN,FACMPE, consultant, MGMA Health CareConsulting Group, Cocoa Beach, Fla.

    Hear panel members discuss many aspects of theimplementation process, including employeebuy-in, staff training, caseload management andgeneral implementation strategies. You will beable to create a schedule for staff training,identify issues that may affect theimplementation process, and discover strategiesto encourage employee buy-in. Panel membersare medical practice administrators who havecompleted their own EHR implementations.

    5:00-6:00 p.m.

    Networking receptionNetwork and share ideas with peers, exhibitors,presenters and panel members.

    Day One

    Noon-1:30 p.m.Lunch with exhibitors

    1:30-2:15 p.m.

    Sponsor showcaseLearn about technology applications that canimprove office efficiencies and streamline yourpractice operations.

    2:15-2:30 p.m.Refreshment break

    2:30-3:30 p.m.

    EHR case studyRichard L. Wasserman, MD, PhD, Dallas Allergy Immunology, Dallas

    Learn about issues critical to the successfulimplementation of EHR, including needsassessment, appropriate goal setting, understandingEHR as a workflow solution and the role ofphysicians and staff in a small group practice. Youwill be able to explain how EHR affects everyelement of a practice, direct a needs assessment,examine the return on investment associated withEHR implementation, and guide staff training.

    3:30-4:00 p.m.

    Final question and answerTake advantage of this opportunity to get theanswers you need from our expert panel ofpresenters and colleagues.

    Moderators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

  • Omni Hotel at CNN Center March 5-6, 2007

    100 CNN CenterAtlanta, GA 30303Phone: 404.659.0000

    Room rates: single/double occupancy $169(exclusive of occupancy and state tax)Hotel room block reserved until Friday, Feb. 9 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Marriott Louisville DowntownMay 10-11, 2007

    280 West Jefferson St.Louisville, KY 40202Phone: 502.627.5045

    Room rates: single/double occupancy $135(exclusive of occupancy and state tax)Hotel room block reserved until Wednesday, April 18 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Grand Sierra Resort and Casino June 14-15, 2007

    2500 E. Second St.Reno, NV 89595Phone: 800.648.5080

    Room rates: single/double occupancy $129(exclusive of occupancy and state tax)Hotel room block reserved until Monday, May 21(or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Please call the hotel directly for sleeping-roomreservations. Remember to identify yourself as anattendee of the Medical Group ManagementAssociation conference to receive the group rate.

    Cancellation policyMGMA must receive regitration cancellations nolater than 48 hours prior to the start of eachprogram. Cancellations are subject to a $100processing fee. No partial or full refund or creditwill be made after this date for failure to attend. Allcancellations must be submitted in writing to theMGMA Service Center, 104 Inverness Terrace East,Englewood, CO 80112-5306. Cancellation bytelephone is not valid. Letters may be sent via faxto 303.643.4439.

    If for any reason it is necessary for MGMA tocancel this program or turn you away due tolimited attendance, we will refund the registrationfee in full. However, since you are responsible foryour own airline/hotel reservations, we cannot beheld responsible for any cancellation charges forairline tickets or hotel reservations caused byprogram cancellation or attendance limitations.

    Call the MGMA Service Center toll-free at877.275.6462 if you are going to send a substitute.If the substitute has a different MGMA status, wewill adjust the fee accordingly.

    Air transportationMGMA’s travel agency, Polk Travel, offers specialdiscount airfares up to 10 percent off when youmake your reservation 60 days prior to travel andup to 5 percent off between 60 days and yourdeparture date. To make your reservations, call Polk Travel at 800.536.6028 or e-mail requests [email protected]. Identify yourself as anMGMA program registrant and mention theprogram title, city and dates. Itineraries and ticketswill be sent to your home or office (with e-tickets,only your itinerary is sent). An additional fee willapply.

    ACMPE creditThis program is approved to receive a maximum of 10.0 contact hours as assigned by the American Collegeof Medical Practice Executives, the certificationbody of MGMA.

    CME creditMGMA is accredited by the AccreditationCouncil for Continuing Medical Education tosponsor continuing medical education (CME)for physicians. MGMA takes responsibility forthe content, quality and scientific integrity ofthis CME activity.

    MGMA designates this CME activity for amaximum of 8.5 credit hours in Category 1 ofthe Physician’s Recognition Award of theAmerican Medical Association.

    CPE creditMGMA designates this continuing professionaleducation (CPE) activity for a maximum numberof 10.0 contact hours of credit in the SpecializedKnowledge and Applications Field of Study.MGMA is registered with the NationalAssociation of State Boards of Accountancy as asponsor of continuing professional education onthe National Registry for CPE credit. Complaintsregarding registered sponsors may be addressedto the National Registry of CPE Sponsors, 150Fourth Ave. North, Nashville, TN, 37219-2417.Telephone: 615.880.4200.

    About MGMAMGMA is the source for all educationaldevelopment and programming for MGMA,ACMPE and the MGMA Center for Research.Outcomes of MGMA programming include bothgroup practice improvement and professionaldevelopment.

    Note to those with special needsWe wish to ensure that no individual with adisability is excluded, denied services, segregatedor otherwise treated differently because of theabsence of auxiliary aids or services.

    If you need any auxilliary aids or servicesidentified in the Americans With Disabilities Act,please call MGMA toll-free at 877.275.6462, ext.875, prior to your arrival.

    DressBusiness-casual attire is appropriate for allconference functions, including the reception.

    FacultyMGMA reserves the right to change faculty ormodify program content.

    General Information

    Exhibit Hall Hours9:30 a.m.-3:00 p.m.

    8:30-10:00 a.m.General Session

    Federal health informationtechnology initiatives: How they will affect your practiceRobert M. Tennant, MA, senior policy adviser, MGMAGovernment Affairs Department, Washington, D.C.

    The federal government is taking an aggressive role inthe adoption of health care information technology(HIT) standards and facilitation of these technologies inphysician practices. In this session you will learn thesteps that Congress and the administration are taking topromote HIT in the legislative and regulatory arenas. Inaddition, this session will highlight critical private-sectorinitiatives to help the medical industry adopt HIT. Keytopics include certification of EHRs, privacy and security,standards development, changes to the Stark andantikickback laws and pay-for-performance programs.You will learn how to identify critical government andprivate-sector HIT initiatives, discover how the standardsdevelopment process will affect HIT and determine howto make an informed EHR purchase.

    10:00-10:30 a.m.Refreshment break with exhibitors

    10:30 a.m.-noon

    EHR panel presentation – FinancialModerators:

    Atlanta and Reno – Rosemarie Nelson, MS, principal,MGMA Health Care Consulting Group, Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group, CocoaBeach, Fla.

    A panel of medical practice administrators who havecompleted EHR implementations will discuss theirexperiences and answer questions in an extended Q & A session. Discover hidden costs associated withEHR implementation, areas for cost savings, potentialfor additional revenue, expenses associated with staffing,and other factors associated with return on investment.

    Day Two

    Exhibit Hall Hours10:00 a.m.-4:00 p.m.

    9:00-10:30 a.m.General Session

    Can you survive without a digital medical office?Mark Anderson, CPHIMS, FHIMSS, health care IT futurist, CEO of AC Group Inc., Spring, Texas

    The electronic health record (EHR) marketplace can beoverwhelming. According to a survey by HealthcareInformatics, as many as 228 vendors claim to offer anEHR to small to mid-size physician practices. Foradministrators evaluating EHRs, the question is notwho provides the technology, but rather who providesthe “richest functionality.” This session will help youunderstand the future of the EHR in the digitalmedical office. You’ll be able to describe technical andfunctional requirements of an EHR and identifypotential benefits of a digital medical office.

    10:30-11:15 a.m.Refreshment break with exhibitors

    11:15 a.m.-Noon

    Sponsor showcaseLearn about technology applications that can improveoffice efficiencies and streamline your practiceoperations.

    12:00-1:30 p.m.Lunch with exhibitors

    1:30-3:00 p.m.

    EHR panel presentation –TechnologyModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

    A panel of medical practice administrators who have

    completed EHR implementations will discusstheir experiences and answer questions in anextended question-and-answer session. You willbe able to examine hardware and networkoptions, disaster planning, backup procedures,internal security and other issues related tohardware selection and operation.

    3:00-3:30 p.m.Refreshment break with exhibitors

    3:30-5:00 p.m.

    EHR panel presentation –ImplementationModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN,FACMPE, consultant, MGMA Health CareConsulting Group, Cocoa Beach, Fla.

    Hear panel members discuss many aspects of theimplementation process, including employeebuy-in, staff training, caseload management andgeneral implementation strategies. You will beable to create a schedule for staff training,identify issues that may affect theimplementation process, and discover strategiesto encourage employee buy-in. Panel membersare medical practice administrators who havecompleted their own EHR implementations.

    5:00-6:00 p.m.

    Networking receptionNetwork and share ideas with peers, exhibitors,presenters and panel members.

    Day One

    Noon-1:30 p.m.Lunch with exhibitors

    1:30-2:15 p.m.

    Sponsor showcaseLearn about technology applications that canimprove office efficiencies and streamline yourpractice operations.

    2:15-2:30 p.m.Refreshment break

    2:30-3:30 p.m.

    EHR case studyRichard L. Wasserman, MD, PhD, Dallas Allergy Immunology, Dallas

    Learn about issues critical to the successfulimplementation of EHR, including needsassessment, appropriate goal setting, understandingEHR as a workflow solution and the role ofphysicians and staff in a small group practice. Youwill be able to explain how EHR affects everyelement of a practice, direct a needs assessment,examine the return on investment associated withEHR implementation, and guide staff training.

    3:30-4:00 p.m.

    Final question and answerTake advantage of this opportunity to get theanswers you need from our expert panel ofpresenters and colleagues.

    Moderators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

  • Omni Hotel at CNN Center March 5-6, 2007

    100 CNN CenterAtlanta, GA 30303Phone: 404.659.0000

    Room rates: single/double occupancy $169(exclusive of occupancy and state tax)Hotel room block reserved until Friday, Feb. 9 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Marriott Louisville DowntownMay 10-11, 2007

    280 West Jefferson St.Louisville, KY 40202Phone: 502.627.5045

    Room rates: single/double occupancy $135(exclusive of occupancy and state tax)Hotel room block reserved until Wednesday, April 18 (or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Grand Sierra Resort and Casino June 14-15, 2007

    2500 E. Second St.Reno, NV 89595Phone: 800.648.5080

    Room rates: single/double occupancy $129(exclusive of occupancy and state tax)Hotel room block reserved until Monday, May 21(or until sold out).

    A first-night deposit, by check, cash or credit card,including tax, must accompany all reservationrequests.

    Please call the hotel directly for sleeping-roomreservations. Remember to identify yourself as anattendee of the Medical Group ManagementAssociation conference to receive the group rate.

    Cancellation policyMGMA must receive regitration cancellations nolater than 48 hours prior to the start of eachprogram. Cancellations are subject to a $100processing fee. No partial or full refund or creditwill be made after this date for failure to attend. Allcancellations must be submitted in writing to theMGMA Service Center, 104 Inverness Terrace East,Englewood, CO 80112-5306. Cancellation bytelephone is not valid. Letters may be sent via faxto 303.643.4439.

    If for any reason it is necessary for MGMA tocancel this program or turn you away due tolimited attendance, we will refund the registrationfee in full. However, since you are responsible foryour own airline/hotel reservations, we cannot beheld responsible for any cancellation charges forairline tickets or hotel reservations caused byprogram cancellation or attendance limitations.

    Call the MGMA Service Center toll-free at877.275.6462 if you are going to send a substitute.If the substitute has a different MGMA status, wewill adjust the fee accordingly.

    Air transportationMGMA’s travel agency, Polk Travel, offers specialdiscount airfares up to 10 percent off when youmake your reservation 60 days prior to travel andup to 5 percent off between 60 days and yourdeparture date. To make your reservations, call Polk Travel at 800.536.6028 or e-mail requests [email protected]. Identify yourself as anMGMA program registrant and mention theprogram title, city and dates. Itineraries and ticketswill be sent to your home or office (with e-tickets,only your itinerary is sent). An additional fee willapply.

    ACMPE creditThis program is approved to receive a maximum of 10.0 contact hours as assigned by the American Collegeof Medical Practice Executives, the certificationbody of MGMA.

    CME creditMGMA is accredited by the AccreditationCouncil for Continuing Medical Education tosponsor continuing medical education (CME)for physicians. MGMA takes responsibility forthe content, quality and scientific integrity ofthis CME activity.

    MGMA designates this CME activity for amaximum of 8.5 credit hours in Category 1 ofthe Physician’s Recognition Award of theAmerican Medical Association.

    CPE creditMGMA designates this continuing professionaleducation (CPE) activity for a maximum numberof 10.0 contact hours of credit in the SpecializedKnowledge and Applications Field of Study.MGMA is registered with the NationalAssociation of State Boards of Accountancy as asponsor of continuing professional education onthe National Registry for CPE credit. Complaintsregarding registered sponsors may be addressedto the National Registry of CPE Sponsors, 150Fourth Ave. North, Nashville, TN, 37219-2417.Telephone: 615.880.4200.

    About MGMAMGMA is the source for all educationaldevelopment and programming for MGMA,ACMPE and the MGMA Center for Research.Outcomes of MGMA programming include bothgroup practice improvement and professionaldevelopment.

    Note to those with special needsWe wish to ensure that no individual with adisability is excluded, denied services, segregatedor otherwise treated differently because of theabsence of auxiliary aids or services.

    If you need any auxilliary aids or servicesidentified in the Americans With Disabilities Act,please call MGMA toll-free at 877.275.6462, ext.875, prior to your arrival.

    DressBusiness-casual attire is appropriate for allconference functions, including the reception.

    FacultyMGMA reserves the right to change faculty ormodify program content.

    General Information

    Exhibit Hall Hours9:30 a.m.-3:00 p.m.

    8:30-10:00 a.m.General Session

    Federal health informationtechnology initiatives: How they will affect your practiceRobert M. Tennant, MA, senior policy adviser, MGMAGovernment Affairs Department, Washington, D.C.

    The federal government is taking an aggressive role inthe adoption of health care information technology(HIT) standards and facilitation of these technologies inphysician practices. In this session you will learn thesteps that Congress and the administration are taking topromote HIT in the legislative and regulatory arenas. Inaddition, this session will highlight critical private-sectorinitiatives to help the medical industry adopt HIT. Keytopics include certification of EHRs, privacy and security,standards development, changes to the Stark andantikickback laws and pay-for-performance programs.You will learn how to identify critical government andprivate-sector HIT initiatives, discover how the standardsdevelopment process will affect HIT and determine howto make an informed EHR purchase.

    10:00-10:30 a.m.Refreshment break with exhibitors

    10:30 a.m.-noon

    EHR panel presentation – FinancialModerators:

    Atlanta and Reno – Rosemarie Nelson, MS, principal,MGMA Health Care Consulting Group, Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group, CocoaBeach, Fla.

    A panel of medical practice administrators who havecompleted EHR implementations will discuss theirexperiences and answer questions in an extended Q & A session. Discover hidden costs associated withEHR implementation, areas for cost savings, potentialfor additional revenue, expenses associated with staffing,and other factors associated with return on investment.

    Day Two

    Exhibit Hall Hours10:00 a.m.-4:00 p.m.

    9:00-10:30 a.m.General Session

    Can you survive without a digital medical office?Mark Anderson, CPHIMS, FHIMSS, health care IT futurist, CEO of AC Group Inc., Spring, Texas

    The electronic health record (EHR) marketplace can beoverwhelming. According to a survey by HealthcareInformatics, as many as 228 vendors claim to offer anEHR to small to mid-size physician practices. Foradministrators evaluating EHRs, the question is notwho provides the technology, but rather who providesthe “richest functionality.” This session will help youunderstand the future of the EHR in the digitalmedical office. You’ll be able to describe technical andfunctional requirements of an EHR and identifypotential benefits of a digital medical office.

    10:30-11:15 a.m.Refreshment break with exhibitors

    11:15 a.m.-Noon

    Sponsor showcaseLearn about technology applications that can improveoffice efficiencies and streamline your practiceoperations.

    12:00-1:30 p.m.Lunch with exhibitors

    1:30-3:00 p.m.

    EHR panel presentation –TechnologyModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

    A panel of medical practice administrators who have

    completed EHR implementations will discusstheir experiences and answer questions in anextended question-and-answer session. You willbe able to examine hardware and networkoptions, disaster planning, backup procedures,internal security and other issues related tohardware selection and operation.

    3:00-3:30 p.m.Refreshment break with exhibitors

    3:30-5:00 p.m.

    EHR panel presentation –ImplementationModerators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN,FACMPE, consultant, MGMA Health CareConsulting Group, Cocoa Beach, Fla.

    Hear panel members discuss many aspects of theimplementation process, including employeebuy-in, staff training, caseload management andgeneral implementation strategies. You will beable to create a schedule for staff training,identify issues that may affect theimplementation process, and discover strategiesto encourage employee buy-in. Panel membersare medical practice administrators who havecompleted their own EHR implementations.

    5:00-6:00 p.m.

    Networking receptionNetwork and share ideas with peers, exhibitors,presenters and panel members.

    Day One

    Noon-1:30 p.m.Lunch with exhibitors

    1:30-2:15 p.m.

    Sponsor showcaseLearn about technology applications that canimprove office efficiencies and streamline yourpractice operations.

    2:15-2:30 p.m.Refreshment break

    2:30-3:30 p.m.

    EHR case studyRichard L. Wasserman, MD, PhD, Dallas Allergy Immunology, Dallas

    Learn about issues critical to the successfulimplementation of EHR, including needsassessment, appropriate goal setting, understandingEHR as a workflow solution and the role ofphysicians and staff in a small group practice. Youwill be able to explain how EHR affects everyelement of a practice, direct a needs assessment,examine the return on investment associated withEHR implementation, and guide staff training.

    3:30-4:00 p.m.

    Final question and answerTake advantage of this opportunity to get theanswers you need from our expert panel ofpresenters and colleagues.

    Moderators:

    Atlanta and Reno – Rosemarie Nelson, MS,principal, MGMA Health Care Consulting Group,Syracuse, N.Y.

    Louisville, Ky. – Cynthia L. Dunn, RN, FACMPE,consultant, MGMA Health Care Consulting Group,Cocoa Beach, Fla.

  • Program registration formMGMA 2007 Health Care Information Technology Forums

    ________________________________________________________________________________________________________________________National MGMA number First name Last name

    ________________________________________________________________________________________________________________________Title Organization

    ________________________________________________________________________________________________________________________Address City State Zip

    ________________________________________________________________________________________________________________________Phone Fax E-mail Preferred name on badge

    Year started in medical practice management:____________________Practice size by physician full-time-equivalent:__________________

    A special note to those with special needs: Please call MGMA toll-free at 877.275.6462, ext. 875, prior your arrival if you have a special need and require accommodation to participate in this activity.

    Team discount – additional registrants from the same practice

    *To be eligible for the team discount, all registrations must be submitted at the same time via phone or fax. The team discount is not available online.

    Method of payment (payment must accompany registration):

    Check enclosed Charge my credit card: VISA MasterCard American Express

    ________________________________|_________________|___________________________|______________________________|___________Card No. Exp. date Cardholder’s name Cardholder’s signature Date

    Mail the program registration form(s) with your check made payable to MGMA to the following lockbox address:

    Medical Group Management AssociationP.O. Box 17603Denver, CO 80217-0603

    Telephone toll-free 877.275.6462 Fax 303.643.4439 Register online at mgma.com

    Member rates are a privilege of membership. You must be a member at the time of registration.

    We are not responsible for faxes not received. Cancellation of preregistration must be postmarked no later than 48 hours prior to the start of the program and is subject to a $100 processing fee. No partial or full refund or credit will be made after this date for failure to attend. See “Cancellation policy” in this brochure for the full information regarding cancellations and substitutions.

    © 2006 Medical Group Management Association. All rights reserved.

    Are you ready for a digital medical office?

    Join us for a look at the path to a

    fully functioning electronic medical

    office. Industry experts and vendors

    come together to help you make

    decisions about technology

    solutions for your medical office.

    Get the latest update on the EHR

    vendor certification process, and

    explore an exhibit hall filled with

    technology companies ready to

    answer your questions.

    Attend interactive expert panel

    discussions targeting the EHR

    implementation process. Walk

    away with a better understanding

    of EHR implementation and

    answers to your questions from

    our industry experts.

    Explore the path to a fully functioning

    electronic medical office through peer

    learning and expert advice.

    Health Care Information Technology Forums

    Atlanta, Ga. March 5-6, 2007

    Louisville, Ky. May 10-11, 2007

    Reno, Nev. June 14-15, 2007

    Presented in conjunction with Georgia MGMA, Kentucky MGMA and Nevada MGMA

    Are you ready for adigital medical office?

    104 Inverness Terrace East

    Englewood, CO 80112-5306

    Medical Group Management Association

    Please make copies of this form if morethan one person registers (please note thediscounted pricing below if more than oneperson registers from your practice)

    Check here if this is a new address

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    TOTAL DUE FOR REGISTRATION: $

    Atlanta, Ga. (trade107) March 5-6, 2007

    Louisville, Ky. (trade207) May 10-11, 2007

    Reno, Nev. (trade307) June 14-15, 2007

    PRSRT STDU S POSTAGE

    PAIDDENVER,CO

    PERMIT NO. 1105

  • Program registration formMGMA 2007 Health Care Information Technology Forums

    ________________________________________________________________________________________________________________________National MGMA number First name Last name

    ________________________________________________________________________________________________________________________Title Organization

    ________________________________________________________________________________________________________________________Address City State Zip

    ________________________________________________________________________________________________________________________Phone Fax E-mail Preferred name on badge

    Year started in medical practice management:____________________Practice size by physician full-time-equivalent:__________________

    A special note to those with special needs: Please call MGMA toll-free at 877.275.6462, ext. 875, prior your arrival if you have a special need and require accommodation to participate in this activity.

    Team discount – additional registrants from the same practice

    *To be eligible for the team discount, all registrations must be submitted at the same time via phone or fax. The team discount is not available online.

    Method of payment (payment must accompany registration):

    Check enclosed Charge my credit card: VISA MasterCard American Express

    ________________________________|_________________|___________________________|______________________________|___________Card No. Exp. date Cardholder’s name Cardholder’s signature Date

    Mail the program registration form(s) with your check made payable to MGMA to the following lockbox address:

    Medical Group Management AssociationP.O. Box 17603Denver, CO 80217-0603

    Telephone toll-free 877.275.6462 Fax 303.643.4439 Register online at mgma.com

    Member rates are a privilege of membership. You must be a member at the time of registration.

    We are not responsible for faxes not received. Cancellation of preregistration must be postmarked no later than 48 hours prior to the start of the program and is subject to a $100 processing fee. No partial or full refund or credit will be made after this date for failure to attend. See “Cancellation policy” in this brochure for the full information regarding cancellations and substitutions.

    © 2006 Medical Group Management Association. All rights reserved. KEYCODE: ITS07BR01

    Are you ready for a digital medical office?

    Join us for a look at the path to a

    fully functioning electronic medical

    office. Industry experts and vendors

    come together to help you make

    decisions about technology

    solutions for your medical office.

    Get the latest update on the EHR

    vendor certification process, and

    explore an exhibit hall filled with

    technology companies ready to

    answer your questions.

    Attend interactive expert panel

    discussions targeting the EHR

    implementation process. Walk

    away with a better understanding

    of EHR implementation and

    answers to your questions from

    our industry experts.

    Explore the path to a fully functioning

    electronic medical office through peer

    learning and expert advice.

    Health Care Information Technology Forums

    Atlanta, Ga. March 5-6, 2007

    Louisville, Ky. May 10-11, 2007

    Reno, Nev. June 14-15, 2007

    Presented in conjunction with Georgia MGMA, Kentucky MGMA and Nevada MGMA

    Are you ready for adigital medical office?

    104 Inverness Terrace East

    Englewood, CO 80112-5306

    Medical Group Management Association

    Please make copies of this form if morethan one person registers (please note thediscounted pricing below if more than oneperson registers from your practice)

    Check here if this is a new address

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    Member $249.00 $Nonmember $349.00 $*Additional MGMA team member $149.00 $*Additional non-MGMA member $249.00 $

    TOTAL DUE FOR REGISTRATION: $

    Atlanta, Ga. (trade107) March 5-6, 2007

    Louisville, Ky. (trade207) May 10-11, 2007

    Reno, Nev. (trade307) June 14-15, 2007

    PRSRT STDU S POSTAGE

    PAIDDENVER,CO

    PERMIT NO. 1105