REGISTRATION INFORMATION

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Texas Osteopathic Medical Association MIDWINTER CONFERENCE january 22-24, 2016 l omni dallas park west l dallas, tx REGISTRATION INFORMATION http://www.txosteo.org/?page=midwinterconference 22 Hours AOA Category 1a cme credits anticipated Sponsored by the TOMA Foundation, a 501(c)3 non-profit organization

REGISTRATION DETAILS & IMPORTANT INFORMATION About the 60th MidWinter Conference Over 300 osteopathic physicians from across Texas will gather at this Conference for: Continuing Medical Education Networking Exploring new ideas, products and services for the medical office The TOMA MidWinter Conference attracts dedicated osteopathic and allopathic professionals deeply committed to enhancing patient care and medical practice management through the continuing education process. Attendee Profile Practicing physicians (private practice and hospital-based), office managers, residents, medical students, osteopathic professional leadership,vendors and suppliers to those in the medical field. Location/Accommodations: Omni Dallas Park West 1590 LBJ Freeway Dallas, TX 75234 Main Phone: 972.869.4300 Reservations: 800.843.6664 Mention TOMA MidWinter Conference to receive the group rate of $129 (single/double) based on availability. Reservations must be made no later than January 5, 2016. Parking & Amenities Complimentary garage parking Complimentary shuttle service within five miles Omni Select Guest Members (free to join) will be provided with complimentary in-room WiFi, morning beverage delivery, pressing of 2 items, newspaper and evening turn-down service. Refund Policy: All refund requests MUST be in writing. December 15, 2015 or before will receive full refund. December 16, 2015 - January 13, 2016 will receive refund less $25 administration fee. January 14, 2016 and after can only be applied to future meeting or membership dues. Grievance Policy: The Program Chair will handle minor complaints unrelated to the education or financial aspects of the meeting. If the Program Chair is unable to resolve the problem, the complaint will be referred to the TOMA Board of Trustees in writing, and be acted upon within 30 days, with a report being submitted to the Program Chair. CME Information: Omni Dallas Park West Hotel is a 12-story luxury hotel that puts you close to the best attractions of dynamic Dallas and is only 10 minutes from the DFW International Airport. 7 Hours AOA 1-A CME anticipated for Practice Management Session 13 Hours AOA 1-A CME anticipated for General Sessions 2 Additional Hours AOA 1-A CME for Completed POST-Conference Outcome Measure Surveys. 60th annual midwinter conference JANUARY 22-24, 2016

TENTATIVE SCHEDULE FRIDAY, January 22 7:00 a.m. 8:30 p.m. Conference Registration 9:00 a.m. 5:00 p.m. Practice Management Workshop (see right for details) 4:30 p.m. 6:30 p.m. Exhibit Hall Grand Opening and Reception 6:30 p.m. 8:30 p.m. OMT Workshop with Hands-on Practicals Speaker: Ryan Seals, D.O. 8:30 p.m. 10:30 p.m. Open Reception Everyone is welcome to join us for an opportunity to connect with peers and TOMA leadership. Light refreshments served. SATURDAY, January 23 7:00 a.m. 6:00 p.m. Conference Registration 7:00 a.m. 8:30 a.m. Breakfast with Exhibitors 8:00 a.m. 12:00 p.m. Committee Meetings 8:00 a.m. 9:00 a.m. Glomerular Filtration Rate Speaker: Daniel D. Richey, D.O. 9:00 a.m. 10:00 a.m. Rheumatoid Arthritis Speaker: Beth A. Valashinas, D.O., FACOI 10:00 a.m. 10:30 a.m. Break in the Exhibit Hall with Prize Drawings! 10:30 a.m. 11:30 a.m. Role of MTHFR Test in the Diagnosis Speaker: Stephen Dalton, D.O. and Treatment of Depression 11:30 a.m. Noon Break in the Exhibit Hall with Prize Drawings! Noon 1:30 p.m. Luncheon 1:30 2:00 p.m. Dessert in the Exhibit Hall with Grand Prize Drawing! 2:00 p.m. 3:00 p.m. Celiac Disease Speaker: Monte C. Troutman, D.O., FACOI 3:00 p.m. 4:00 p.m. Wound Care for the Primary Care Physician Speaker: Katherine A. Lincoln, D.O. 4:00 p.m. 5:00 p.m. Identifying Lymphedema: an Osteopathic Speaker: John B. Share, Jr., D.O. Physician Guide to Referral SUNDAY, January 24 8:00 A.M. 12:00 P.M. Risk Management Program REGISTER ONLINE TODAY! It s fast and easy! Visit www.txosteo.org for details or fill out the enclosed registration form and return it to the TOMA office. REGISTRATION INFORMATION

highlights on... Committee & Other Meetings, Practice Management Details, Exhibit Hall Hours and Advocates for TOMA Advocates for the Texas Osteopathic Medical Association PRACTICE MANAGEMENT & REVENUE ENHANCEMENT WORKSHOP Physicians & staff will hear from our medical practice experts. Friday, January 22-9:00am-5:00pm AOA Category 1A credit available (Workshop is included with full registration or may be purchased separately.) 9:00 10:00am Compliance Plan, What It Is and Why Every Practice Needs One Speaker: Robin Black, CPC, CEMC, CFPC, CMM 10:00 11:00 am 2016 Physician Quality Reporting Updates on PQRS, Value Modifier, and MACRA/MIPS Speaker: Suzi Buhr, RN, BSN, CPHQ 11:00am Noon Sustaining Profitability Speaker: TBD Noon 1:00PM LUNCH ON YOUR OWN 1:00 2:00PM Financial Implications of ICD-10 Post-Implementation Speaker: TBD 7:00-8:00 AM Committee Member Breakfast 8:00 AM - 12:00 PM TOMA Committee Meetings 9:00-10:00 AM TOMA Foundation Board 2:00 2:50 PM Keeping Patient Information Protected Speaker: Yolanda Doss, MJ, RHIA, CHPS 3:00 4:00 PM How Do You Survive in Today s Practice Environment? An Interactive Panel Discussion Speaker: Bruce Maniet, D.O., FACOFP and Dan Freeland, D.O 4:00 5:00 PM How Do You Survive in Today s Practice Environment? Enhanced Billing and Coding Speaker: Kelly Skinner, CMM, CPC, CFPC COMMITTEE & OTHER MEETINGS SCHEDULE Saturday, January 23 1:30-3:00 PM Texas ACOFP Board Meeting 4:00-6:00 PM TCOM Alumni Board Meeting BOARD MEETING Saturday, January 23 10:00 AM - 12:00 PM EXHIBIT HALL HOURS The TOMA Exhibit Hall is always open for you to explore new products and services available to you! Friday, January 22nd 4:30-6:30 PM Welcome Reception Saturday, January 23rd 7:00 AM - 2:00 PM 7:00-8:30 AM Breakfast 10:00-10:30 AM Break 11:30 AM - 12:00 PM Break 1:30-2:00 PM Dessert 60th annual midwinter conference JANUARY 22-24, 2016

registration form Please type or print CLEARLY and return this completed form with payment to: TOMA, 1415 Lavaca St, Austin, TX 78701 Fax: 512.708.1415 Email: patty@txosteo.org Online Registration: www.txosteo.org TOMA OFFICE USE ONLY Date Received: Date Processed: Amount Paid: $ Owed: $ FULL NAME DO, MD, PA, PhD, MPH, OMS (if applicable) ADDRESS CITY STATE ZIP PHONE EMAIL (for Confirmation, Receipt and CME certificate) FAX SPECIALTY AOA # FULL REGISTRATION Includes all lectures & workshops, exhibitor reception & all meal functions. EARLY BIRD REGULAR before 01.08.16 after 01.08.16 TOMA Member r $395 r $495 Non-Member - Joining TOMA* r $395 (+$125) r $395 (+$125) Non-Member r $495 r $595 Retired Member & Allied Healthcare r $250 r $325 Student/Intern/Residents/Fellows r $0 r $0 r I will be attending the Practice Management Workshop (for a possible additional 7 hours of AOA 1-A CME) and understand there is no additional fee since I am registering for the entire conference as noted above. r I will be attending the Risk Management Workshop (for a possible additional 4 hours of AOA 1-A CME - 1 of which can be counted as Ethics) and understand there is no additional fee since I am registering for the entire conference as noted above. *Non-members wanting to join TOMA may do so for only $125. Those who mark the Non-Member-Joining TOMA box will be sent a membership application for data purposes, completing the membership process. Other Registration Options PRACTICE MANAGEMENT WORKSHOP ONLY REGISTRATION Includes all Practice Management Sessions and admission to exhibit hall & reception. [7 hours] EARLY BIRD REGULAR before 01.08.16 after 01.08.16 TOMA Member r $275 r $375 Non-Member r $375 r $475 Retired Member & Allied Healthcare r $225 r $325 Office Staff (first attendee) r $125 r $175 Office Staff (subsequent attendees) r $50 r $100 RISK MANAGEMENT WORKSHOP ONLY REGISTRATION Includes all Risk Management Sessions and Continental Breakfast. [4 hours includes 1 hour Ethics] EARLY BIRD REGULAR before 01.08.16 after 01.08.16 TOMA Member r $225 r $325 Non-Member r $300 r $400 Retired Member & Allied Healthcare r $200 r $300 New! Presentation Binder A bound copy of the speaker presentations placed in your registration packet. Prepaid offer only r $20 Refund Policy All refund requests MUST be in writing. December 15, 2015 or before will receive full refund. December 16, 2015 January 13, 2016 will receive a refund less $25.00 administration fee. January 14, 2016 and after will only be applied to future meeting or membership dues. payment r Check (made payable to TOMA Foundation ) r Visa r MasterCard r Amex r Discover TOTAL $ CREDIT CARD NUMBER EXPIRATION DATE SEC. CODE CARDHOLDER NAME CARDHOLDER SIGNATURE BILLING ADDRESS BILLING CITY BILLING STATE BILLING ZIP Want fast and easy registration? Go online now to www.txosteo.org!

Texas Osteopathic Medical Association 1415 Lavaca Street Austin, Texas 78701-1634 www.txosteo.org Convenient Location Practice Management Workshop Risk Management Workshop Distinguished Speakers Hot Lecture Topics REGISTRATION INFORMATION 60th MidWinter Conference JANUARY 22-24, 2016 Omni DALLAS park west Dallas,Tx Texas Osteopathic Medical Association MIDWINTER CONFERENCE january 22-24, 2016 omni dallas park west dallas, tx REGISTRATION INFORMATION 22 Hours AOA Category 1a cme credits anticipated Sponsored by the TOMA Foundation, a 501(c)3 non-profit organization