Registration Form

Date: April 20-22, 2010

Time: 8:30 a.m. 5:00 p.m.

Location: Doubletree Hotel New Orleans

Room: Madewood A &B

1) Name:

Title: ______

Email: ______

2) Name:

Title: ______

Email: ______

3) Name:

Title: ______

Email: ______

Healthcare Organization

Address

City / State / Zip

Telephone # ______Fax # ______

Registrations may be faxed to (985) 369-3630 or mailed to the following address:

Louisiana Rural Health Association

PO Box 387

Napoleonville, LA 70390

DHH Bureau of Primary Care and Rural Health’s

National Medical Coding Certification Boot Camp

GENERAL INFORMATION

The National Medical Coding Certification Boot Camp will at the Doubletree Hotel New Orleans located at 300 Canal Street, New Orleans, LA 70130. The Boot Camp will be located in Madewood A & B.

PARKING

Parking at the Doubletree Hotel is based upon availability, and not guaranteed. The current rate is $12 per car with no in and out privileges. 24 hour parking is $32.00 per car/day + tax. Overflow parking arrangements will be made at the Canal Place Parking facility located across the street from the Doubletree. This is a self parking garage with a rate of $8 per car. Please notes that rates or subject to change without notice.

LUNCH

Lunch is on your own for all three days of the Boot Camp. There are multiple venues to select from within walking distance from the Doubletree.

REQURIED TEXT BOOKS

Mandatory Supplies: ICD9 Book I & II, 2009 HCPCS Book, CPT Professional Edition, and 2 Highlighters

Please contact John Beard at 770-871-9166 or via email if you would like to purchase these books prior to the Boot Camp.

We also recommend that you review the following material from your CPT Book before attending the Boot Camp: Introduction, E/M Services Guidelines, Anesthesia Guidelines, and Surgery Guidelines.

REGISTRATION

Send in your completed registration form and mark your calendars today. Questions regarding this event may be directed to Stacy Fontenot at the LRHA office, (985) 369-3813 ext 05 or