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Deciphering ICD-9-CM: Coding Competency for Home Care Professionals
Macon, GA (October 28 – 29, 2008)

Registration Form

Registration Fees:Off13) 523-8reenway Plaza 712 Southwest Fwy) 313-2012XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

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GAHHA Member…….. $300.00

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Non-Member…………. $425.00

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Workshop Registration Deadline: October 17, 2008 or when filled to capacity

PLEASE PRINT ( ALL fields are required)
First Name / Last Name
Job Title
Agency
Name
Address 1
Address 2
City / State / Zip Code
Phone / - / -
Fax / - / -
EMAIL*
*REQUIRED for Confirmation

Mail Registration Form & Checks Payable to:

Georgia Association for Home Health Agencies, Inc.

2100 Roswell Road

Suite 200C-PMB 1107

Marietta, GA 30062

Office 770/565-4531 ♦ 770/565-1739 FAX ♦ ♦ www.gahha.org

Registration for HCS-—D exam is a separate fee and is payable to BMSC. Go to www.medicalspecialtycoding.com for more information..
egistration Formtor horstrator education of 7.0ed PPS rules.urses' home care consulting firm. d of Medical Speialty

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Selman-Holman & Associates, LLC. 606 A North Bell Ave., Denton, Texas 76209

214.550.1477 Main 972.692.5908 Fax