Professional Medical Coding Course - CPC

~~ Registration Form ~~

Instructor*: Lynn L. Pascoe, CPC-I, CPC, CHCA, CHCC, CPCO, PCS, CCP, CEMC

*Throughout the program, other experienced instructors may teach specialty classes due to their extensive and unique knowledge of the subject matter being presented.

Dates/Time: March 18, 2015 – Oct 7, 2015; 5:00 - 8:00 pm – Wednesday evening
Location: MedStar Harbor Hospital
3001 S. Hanover Street, Baltimore, MD 21225
Cost: $2,000.00 - Registration Form & Full Payment must be received ASAP, but no later than March 10, 2015.

Course Cost Includes: 90+ hours of newly enhanced curriculum for ICD-10 diagnosis coding, CPT and HCPCS II coding; homework exercises, 12 Quizzes, 2 Exams.

Instructor purchases for student: 8Medical dictionary, 8Anatomical Bar Charts, 8 Access to online Blackboard compliments of your instructor, Lynn Pascoe8 Medical Coding Training CPC® workbook.

Additional Benefits Available only by taking the PMCC- CPC Class with Lynn Pascoe:

1.  $55 student membership discount.

2.  $65 student National CPC exam discount.

3.  Free AAPC Practice Exam – 50 questions ($30 value).

4.  Access to online Blackboard compliments of your instructor, Lynn Pascoe

Students to Provide:

2015 CPT Professional Edition (AMA professional edition ONLY); 2015 ICD-10-CM Draft, 2014 ICD-9-CM for Physicians, Vol. 1 & 2, Professional); 2015 HCPCS Level II book, (Professional or Expert).

Promptly complete and return this section with your payment

Attendee: ______

Practice/Organization: ______

Home Address: ______

City: ______State: ____ Zip Code: ______

Work Phone: ______Email: ______

Home Phone: ______Mobile: ______

Method of Payment – due no later than March 10, 2015:

Check #: ______(Payable to Innovative Medical Practices, LLC)

Cash: ______Charge: ______Go to our website @ Innovativepractices.net; click on “PayPal*” button to set up one time Paypal account to pay by credit card.

Please send completed registration form with payment to:

Innovative Medical Practices, LLC

6215 Orchard Road, Linthicum Heights, MD 21090-2111

(410) 859-5757 Fax: (410) 850-0360

Cancellations/Substitutions: Cancellations received before March 10, 2015 are refundable but subject to an $80.00 cancellation fee plus cost of books. Cancellations on or after March 11, 2015 or no shows are not refundable. If you do not complete the course, your fees are not refundable.

*If using PayPal, must pay the $2,000 fee in full.