Seminar Registration

Name______

Title______

Facility______

Address______

City/State/Zip______

Phone______

CAHAM Member Yes ❑ No ❑

CAHAM Member Fee $129 ______

Non-Member Fee $159 ______

TOTAL______

❑ Check Enclosed ❑ Credit Card Payment

Visa ❑ MasterCard ❑

Credit Card Number______

Expiration date______

MAIL TO CAHAM PO Box 28187 Fresno, CA 93729-8187 or FAX to: 559-459-6774 Phone 559-459-2730

Please call and notify us you are faxing!

PO Box 28187, Fresno, CA 93729 Phone 559-459-2730

______

Educational seminar

Section 1011 Obtaining Reimbursement for Treating Undocumented Aliens

November 8, 2005 Fresno

November 10, 2005 Sacramento

November 17, 2005 Pasadena

8:30am - 11:30am

TOPIC

Join CAHAM for a half day seminar and obtain and overview of Section 1011 of the Medicare Prescription Drug Improvement and Modernization Act of 2003. There is $250 million dollars in funding available to hospitals that provide emergency services to undocumented aliens. It is expected that $71 million will be available to California hospitals.

In order to participate providers must submit enrollment forms, and develop a process to appropriately screen patients and obtain the required documentation. This seminar will assist you in learning the requirements for requesting funds and obtaining documentation. You will also hear first hand how others facilities have implemented this process into their existing Financial Counseling programs.

WHO SHOULD ATTEND

Admissions, Financial Counselors, Social Workers, Billing, Reimbursement, Patient Financial Services Staff, and anyone involved in the screening and or billing for self pay patients.

WHEN AND WHERE?

Tuesday, November 8, 2005 Sierra Community Health Center Community Medical Centers 1925 E. Dakota, Auditorium A Fresno, CA

Thursday, November 10, 2005 Mercy General Hospital Main Auditorium Lower Level 4001 J Street Sacramento, CA

Thursday, November 17, 2005 CHW~Regional Offices 251 S. Lake Street 7th Floor Pasadena, CA

Registration Begins at 8:30 Presentation 9:00-11:30

Continental Breakfast included in Registration Fee

WHAT IS CAHAM?

The California Association of Healthcare Admissions Management is a non-profit professional organization that has been in existence for 38 years. It is designed to offer support, education, and opportunities for networking to its members and other professionals in the Healthcare Admissions and related fields.

Call 559-459-2730 for membership information.

How to Register for the Seminar

Complete the form on the back of this brochure and submit with your check to the CAHAM post office box, or fax your registration with a credit card number. The cost of the seminar is $129 for 2005 CAHAM members and $159 for non-members.

CAHAM Member Fee…$129

Non-Member Fee $159

Registration Questions-call 559-459-2730