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AMERICAN SOCIETY OF ANESTHESIOLOGISTS CONFERENCE ON PRACTICE MANAGEMENTJanuary 27-29, 2012BUENA VISTA PALACE • ORLANDO, FLORIDARegister byDecember 19, 2011and save money!Register Now at www.asahq.org/PM2012

AMERICAN SOCIETY OF ANESTHESIOLOGISTS CONFERENCE ON PRACTICE MANAGEMENTThis meeting is sponsored by the American Society of Anesthesiologistsand is designated as a continuing medical education activity for physicians.Intended AudiencePRACTICE MANAGEMENT 2012 is designed foranesthesiologists and practice administrators interested inacquiring, maintaining or expanding the skills needed toimprove practice management, quality and patient safety.OverviewThis premier educational event provides up-to-dateinformation about the state of practice management,including trends, changes in regulations and laws, and bestpractices to effectively manage an anesthesiology practice intoday’s environment.ACCREDITATIONThe American Society of Anesthesiologists is accreditedby the Accreditation Council for Continuing MedicalEducation to provide continuing medical educationfor physicians.ASA holds the highestACCME Accreditation Status –Accreditation With CommendationWhat Attendees Have Said:• “This is overall one of the best practice managementconferences I have attended. I obtained pertinentinformation I can apply to my practice right away.”• "Great Content! The conference brought me up to speedon new regulations and accreditation requirementsso my practice can be in compliance.”• "High quality program with knowledgeable anddynamic speakers."• "Excellent conference! One of the best meetingsI’ve attended in almost 20 years of myanesthesiology career."Pre-ConferencesFriday, January 27, 2012PRACTICE MANAGEMENT 2012 offers three ContinuingMedical Education (CME) pre-conference options. Pre-Conference 1:Basics in Practice Management, is designed specifically foranesthesiologists and administrators who are relatively new inpractice or have less experience in practice management. Pre-Conference 2: Advanced Practice Management is designed foranesthesiologists and practice administrators who understand thefundementals of a topic. Pre-Conference 3: Practice ManagementWorkshops, sponsored by the ASA Certificate in BusinessAdministration (CBA) Program, are designed for physicians andadministrators with experience in practice management.New this year –Poster Viewing!Abstract poster viewing will beavailable during the following hours:Friday, January 27 from4:30 to 5:00 p.m.and with the authorsfrom 6:30 to 7:00 p.m.Saturday, January 28 from7:00 a.m. to 5:00 p.m.Stop by to see the posters!Poster submission deadline isOctober 31, 2011.PRACTICE MANAGEMENT 20122

FRIDAY, JANUARY 27, 2012Pre-Conference 1:Basic PRACTICE MANAGEMENT ModulesThe Basics in Practice Management is an intensive onedayintroduction to a wide variety of subjects essential topractice management. Presenters represent a wide varietyof backgrounds and types of practices and consist of ASAmembers and staff, plus other experts in the practicemanagement field. The Basics pre-conference will provide afoundation of knowledge that is expanded upon during themain conference.CREDITSThe American Society of Anesthesiologists designatesthis live activity for a maximum of 8.25 AMA PRA Category1 Credit(s). Physicians should claim only the creditcommensurate with the extent of their participation inthe activity.ObjectivesAt the completion of the pre-conference, participants willbe able to:1. Define terms that comprise the lexicon of practicemanagement in anesthesia.2. Explain regulatory and accreditation requirements relevantto practice management.3. Apply the fundamentals of contracting, financialmanagement and quality improvement.4. Describe the traditional relationships betweenanesthesiologists, hospitals, and medical staffs.Agenda6:30-7:00 a.m. Continental Breakfast7:00-7:05 a.m. IntroductionJames R. Mesrobian, M.D.Joseph W. Szokol, M.D.leadership and professionalism7:05-7:35 a.m. Being a Good Corporate CitizenJohn Zerwas, M.D.7:35-8:05 a.m. Organization of a Group PracticeJames R. Mesrobian, M.D.8:05-8:35 a.m. Medical Staff IssuesJoseph W. Szokol, M.D.8:35-9:05 a.m. Risk Management/ComplianceJeffrey S. Vender, M.D.9:05-9:15 a.m. Questions and Answers9:15-9:30 a.m. Break in Exhibit HallBasics of FINANCE, Billing AND Coding9:30-10:15 a.m. Nuts and Bolts of Billingand CodingSharon K. Merrick, M.S., CCS-P10:15-10:45 a.m. Financial Data: What You ShouldKnow at a MinimumGenie G. Blough, M.B.A., FACMPE10:45-11:15 a.m. Evaluating a Billing CompanyHoward M. Schapiro, M.D.11:15-11:30 a.m. Questions and Answers11:30 a.m.-12:30 p.m. Lunch in Exhibit HallDotting Your I’s, Crossing Your T’s12:30-2:00 p.m. Contracting With Your Hospital:Negotiating Your EmploymentContractJudith Jurin Semo, J.D.2:00-2:30 p.m. Accreditation and RegulatorySurveysJerry A. Cohen, M.D.2:30-2:45 p.m. Questions and Answers2:45-3:00 p.m. Break in Exhibit HallQUALITY: DATA COLLECTION, MEASUREMENT,AND REPORTING3:00-3:30 p.m. Quality and Regulatory BodiesJason Byrd, J.D.3:30-4:00 p.m. Quality Measurement: DataCollection and ReportingRichard P. Dutton, M.D., M.B.A.4:00-4:30 p.m. Setting Up a Quality Program inYour DepartmentJames R. Mesrobian, M.D.4:30-4:45 p.m. Questions and Answers3 PRACTICE MANAGEMENT 2012

Pre-Conference 3:PRACTICE MANAGEMENT WorkshopsThe Practice Management Workshops are designed for thosephysicians and administrators experienced in managinganesthesiology practices. These sessions are taught by ASA'sCertificate in Business Administration (CBA) faculty andoffer an in-depth focus on two topics.CREDITSThe American Society of Anesthesiologists designates this liveactivity for a maximum of 7.5 AMA PRA Category 1 Credit(s).Physicians should claim only the credit commensurate withthe extent of their participation in the activity.WORKSHOP 1: The New World OfPractice Models AfterHealth System ReformIvan Wood, J.D.Using current legal theory and experiences in a rapidly evolvinghealth care delivery system, this workshop will focus on participantswho require skill and insight into the white-water legal challengesand options in their practice environment. Topics includethe following:• Hospital Employment• Group Practices without Walls• Co-Management Agreements• Changing Payment Methodologies• Accountable Care Organizations - An Actual Model• The Company ModelObjectives• Evaluate the benefits and risks associated withhospital employment.• Assess options related to health system reform suchas group practices without walls and co-managementagreements.• Identify opportunities and risks associated with changingpayment methodologies.• Relate the experiences associated with an actualaccountable care organization.• Explain the risks associated with the company model.AGENDA6:30-7:00 a.m. Continental Breakfast7:00-11:45 a.m. (9:30-10:00 a.m. Break)11:45 a.m.-1:00 p.m. Lunch in Exhibit HallWORKSHOP 2: Leadership Strategies forConstant ChangeStanley G. Harris, Ph.D.Asa C. Lockhart, M.D., M.B.A.Using contemporary leadership and change managementtheory and best practices literature, this workshop will focuson participants who require skill and insight into framebreakingchanges in their practice environment. Topicsinclude the following:• Why Leadership Matters in Times of Change• Transformational Leadership Strategies in Times of Change• Cultivating Followership and Commitment toChange Initiatives• The Leadership and Change Challenges Posed byNew Forms of Practice ManagementObjectives• Diagnose and plan needed leadership requirementsduring times of profound cultural and practicemanagement changes.• Design and build commitment to change initiatives.• Discuss appropriate leadership techniques to facilitateeffective institutional processes in an increasingly virtualwork environment.AGENDA1:00-4:45 p.m.(2:30-3:00 p.m. Break)5 PRACTICE MANAGEMENT 2012

PRACTICE MANAGEMENT 2012FRIDAY, JANUARY 27 – SUNDAY, JANUARY 29, 2012PRACTICE MANAGEMENT 2012 is the premier CME event for the latest information that impacts anesthesiology practices.Regulatory, legislative and accreditation changes are discussed and debated, best practices and workable solutions arepresented, and networking events allow for dialogue with speakers, peers and exhibitors. Thought leaders and experts examinethe rapidly evolving health care environment, and offer their insights and predictions on what will work or not work. Designedfor physicians and practice administrators, this annual educational event delivers the latest information you need to navigate intoday’s complex practice environment.Keynote PresentersMAIN CONFERENCEMr. Patrick JordanContent SpecialistDisney InstituteCelebration, FloridaRoss J. Musumeci, M.D., M.B.A.Anaesthesia Associatesof MassachusettsWestwood, MassachusettsJerry A. Cohen, M.D.PresidentAmerican Society ofAnesthesiologistsAssociate ProfessorUniversity of FloridaCollege of MedicineGainesville, FloridaCONFERENCE CMEThe American Society of Anesthesiologists designates thislive activity for a maximum of 13.5 AMA PRA Category 1Credit(s). Physicians should claim only the creditcommensurate with the extent of their participation inthe activity.OBJECTIVESAt the completion of the Conference, participantswill be able to:1. Apply lessons learned on leadership from DisneyCompany to leadership in healthcare.2. Compare and contrast possible new paymentmethodology, especially Shared-Risk Systems, andtheir impact on anesthesiology group income.3. Explain the current legal and regulatoryconsiderations resulting from health care reform andthe impact on anesthesia payment andpractice management.4. Examine how emotional intelligence affects everyday interactions and how to utilize to improveleadership effectiveness.5. Identify trends in federal and state regulations.6. Examine different group structures and their impacton governance, clinical care, and quality.PRACTICE MANAGEMENT 20126

AGENDAFRIDAY, JANUARY 27, 20124:30-5:00 p.m. Poster Viewing5:00 p.m. Welcome and AnnouncementsAmr E. Abouleish, M.D., M.B.A.5:15-6:30 p.m. “Leading Through Turbulent Times”Mr. Patrick Jordan, Disney InstituteA down economy can be a time for caution. It can also be a chanceto outpace your competition. In true Disney Institute style, you’llexperience a highly interactive format along with Disney stories andbest practices designed to motivate and inspire. In this engagingsession, you’ll learn time-tested business philosophies that will providecreative ways to weather the economic climate and effectively meet thechallenges of today’s business environment.6:30-7:00 p.m. Poster Viewing with Authors7:00-8:30 p.m. Welcome and Wine TastingReceptionSATURDAY, JANUARY 28, 20126:30-7:00 a.m. Registration and ContinentalBreakfast7:00 a.m.-5:00 p.m. Poster Viewing7:00-8:00 a.m. Welcome and AnnouncementsAmr E. Abouleish, M.D., M.B.A.ASA President’s UpdateJerry A. Cohen, M.D.Shared Risk Systems And PossibleFuture Payment Systems 18:00-8:30 a.m. Introduction: Setting, Cast ofCharacters, TerminologyLoveleen Singh8:30-9:00 a.m. Medicare ACONorman A. Cohen, M.D.9:00-9:30 a.m. Shared Risk and Private PayersSharon K. Merrick, M.S., CCS-P9:30-10:00 a.m. Break in Exhibit HallShared Risk Systems And PossibleFuture Payment Systems 210:00-10:30 a.m. Bundled PaymentsMichael P. Schweitzer, M.D., M.B.A.10:30-11:00 a.m. Know Your BATNA: Converting ToNew PaymentsStanley W. Stead, M.D., M.B.A.11:00-11:30 a.m. Surgical (Perioperative) HomeMark A. Warner, M.D.Abstract Poster Awards11:30-11:45 a.m. Announcement of topthree winners11:45 a.m.-1:00 p.m. Lunch in Exhibit HallEmotional Intelligence1:00-2:00 p.m. Ross J. Musumeci, M.D., M.B.A.Introduction by:Frank A. Rosinia, M.D.Regulations and Billing Update2:00-3:30 p.m. Sharon K. Merrick, M.S., CCS-PAvalanche of RegulationsJason Byrd, J.D.3:30-4:00 p.m. Break in Exhibit HallDebate: Training Non-Anesthesiologist InDeep Sedation Is Giving Away Our BusinessAnd Economic Viability4:00-5:00 p.m. Moderator:James R. Mesrobian, M.D.Pro: Hector Vila, M.D.Con: Beverly K. Philip, M.D.TABLE DISCUSSIONS5:15-6:45 p.m. Discussion Tables withTimed RotationSUNDAY, JANUARY 29, 20126:30 -7:00 a.m. Registration andContinental Breakfast7:00-7:15 a.m. AnnouncementsAmr E. Abouleish, M.D., M.B.A.All Politics Is Local7:15-8:00 a.m. Health Care Reform: The Endof the World As We Know ItJason Byrd, J.D.8:00-8:45 a.m. ASA Washington UpdateRonald Szabat, J.D., LL.M.8:45-9:30 a.m. State IssuesLisa C. Albany, J.D.9:30-10:00 a.m. Break in Exhibit Hall7 PRACTICE MANAGEMENT 2012

AGENDASUNDAY, JANUARY 29, 2012 (continued)You Are 15-Person Group. Time For Change:What Are You Going To Do?Moderator:Amr E. Abouleish, M.D., M.B.A.10:00-10:25 a.m. Vertical Integration:Join the Healthcare SystemJames R. Mesrobian, M.D.10:25-10:50 a.m. Horizontal Integration: MergeWith Other Physician GroupsPatrick Giam, M.D.10:50-11:15 a.m. Being Assimilated: Accept aBuy-out From a National CompanyHoward M. Greenfield, M.D.11:15-11:40 a.m. What You Need To Know BeforeYou Sign the ContractJudith Jurin Semo, J.D.11:40 a.m.-Noon Questions and AnswersNoonConference AdjournsRESIDENT TRACK SCHEDULESATURDAY, JANUARY 28, 2012Designed for anesthesiology residents transitioning intopractice, this one-day track covers essential elements of practicemanagement. This is core content to practice managementand is not covered in residency programs. This fast-paced sessionuses didactic lectures, panel discussions, discussion tables andexpert one-on-one critiques to provide the basics for an effectivetransition from resident to practicing physician.RESIDENT TRACK AND CONFERENCE CMEThe American Society of Anesthesiologists designates this liveactivity for a maximum of 13.5 AMA PRA Category 1 Credit(s).Physicians should claim only the credit commensurate with theextent of their participation in the activity.OBJECTIVESAt the completion of the track, participants will be able to:1. Define key considerations for successfully entering today’sjob market.2. Differentiate ancillary services and ways to meet hospital needsfor these services.3. Identify essential elements of negotiating and contracting.4. Explain the fundamentals of physician payment, hospitaland medical staff relations, and compliance.RESIDENT TRACK SCHEDULEAGENDASATURDAY, JANUARY 28, 20126:30-7:00 a.m. Registration and ContinentalBreakfast7:00-8:00 a.m. Practice Management GeneralSessions8:00-8:05 a.m. Residents Move to ResidentTrack Room8:05-8:45 a.m. Rules of Engagement: GettingPaid for What You DoStanley W. Stead, M.D., M.B.A.8:45-9:30 a.m. Evaluating a Prospective PracticeDavid A. Cross, M.D.9:30-10:00 a.m. Break in Exhibit Hall10:00-10:45 a.m. Hospital/Medical Staff RelationsAsa C. Lockhart, M.D.10:45-11:30 a.m. CompliancesLars E. Helgeson, M.D.11:30-11:45 a.m. Practice Management GeneralSession11:45 a.m.-1:00 p.m. Mix and Mingle Lunch inthe Room1:00-2:00 p.m. “Pearls” in Negotiating WithYour Hospital or GroupJudith Jurin Semo, J.D.2:00-2:30 p.m. The AnesthesiologyJob Market TodayHoward M. Greenfield, M.D.2:30-3:00 p.m. The Alphabet Soup of QIInitiatives: Lots of Noodles,Where’s the Meat?Brian G. McAlary, M.D.3:00-3:30 p.m. Basics of CV PreparationDavid A. Cross, M.D.3:30-4:00 p.m. Break in Exhibit HallDavid A. Cross, M.D.Resident Track ChairPRACTICE MANAGEMENT 20128

General InformationPLAN TO VISIT THE EXHIBITSExhibiting companies will represent anesthesia billing andcoding companies, staffing services, anesthesia informationmanagement systems, and other business consultingorganizations related to anesthesia.• Learn about state-of-the-art advances in practicemanagement;• Enjoy breaks, lunch service and a welcome and wine tastingreception throughout the meeting in the Exhibit Hall;• Network with colleagues;• Explore and compare the latest products and services.Exhibit Dates and Hours:The Exhibition Hall will be open to attendees as follows:Friday, January 27, 2012 – 11:15 a.m.-8:30 p.m.andSaturday, January 28, 2012 – 9:00 a.m.-4 p.m.HOTELThe American Society of Anesthesiologists has secured ablock of rooms at a special rate at the Buena Vista PalaceHotel & Spa listed below. This special rate expires Tuesday,December 27, 2011, or when the negotiated room blockhas been filled. Make your reservations early, and be sure tomention that you are with the American Society ofAnesthesiologists (ASA) to receive the group rate.Buena Vista Palace Hotel & Spa1900 E. Buena Vista Drive, Lake Buena Vista, Florida 32830$179 single/double with Resort Fee Benefits includedfor all ASA guests.Hotel Reservations: (866) 397-6429Check in time: 4:00 p.m. – Check-out time: 11:00 a.m.Parking: Complimentary Self Parking,Valet $8 for the day, $16 overnight.Alamo/National Car Rental Agencies are on site at the hotel.TRAVEL INFORMATIONAssociation Travel Concepts (ATC) –ASA’s official air travel programASA has contracted with ATC, a leading travel managementcompany that provides travel and meeting services exclusivelyto the association market. Since 1995, ATC has been managingtravel for hundreds of associations and thousands of meetingsnationwide.ATC’s distinctive focus on the association market allows it tooffer a unique perspective that truly sets the company apart in theindustry. The site will streamline ASA’s travel needs and providea new and improved travel tool for booking cost-efficient traveland provide excellent customer service to our ASA membership.AIRPORTOrlando International Airport (MCO)TRANSPORTATIONThe Buena Vista Palace Resort & Spa is approximately 30 minutesfrom the Orlando International Airport.CabsThe cab fare from the airport to the resort is approximately$55, one way.Rental CarsOrlando has one of the nation’s largest fleets of vehicles and verycompetitive rates.ShuttlesTransportation from the airport is accessible on a 24-hour basisoutside baggage claim for easy transfer to all area hotels.To make travel reservations, please contactAssociation Travel Concepts at:Phone: (800) 755-38998:30 a.m. – 7 p.m. (EST) – Monday-FridayOnline: associationtravelconcepts.com11 PRACTICE MANAGEMENT 2012

General InformationASA MEMBERSHIPThe American Society of Anesthesiologists is the leading sourceof practice management resources and clinical information forphysicians in the specialty. Join ASA today and take advantageof these benefits designed to help you practice more effectively:• Members receive free access to ASA’s Manual for AnesthesiaDepartment Organization and Management (MADOM),the Society’s indispensible guide to tools, standards andpractice guidelines (non-members pay $100).• ASA is constantly updating members on changes to thespecialty and cutting-edge medical techniques. Our newestadvisory, on The Prevention, Diagnosis, and Managementof Infectious Complications Associated with NeuraxialTechniques as well as an updated Practice Guidelines forPerioperative Transesophageal Echocardiography are twoexamples of new available content.• Members can stay informed about timely clinical topicsthrough our award-winning journal, Anesthesiology, aswell as ASA monographs and FAQs, such as our FAQ’s onAnesthetic Considerations for Elderly Patients.ORLANDOEscape to Florida and enjoy the pristine beaches, shop the outlets,and visit numerous theme parks such as Walt Disney WorldResort, Universal Studios Orlando and SeaWorld Orlando. Playa round of golf on any one of the 176 courses designed by golflegends such as Palmer, Watson, Nicklaus, and Norman. Enjoyculinary cuisine at award-winning restaurants and the Orlandonightlife. There’s something for everyone in Orlando. Go towww.VisitOrlando.com for value offers and vacationplanning tips.Be a part of an organization that advocates for professionalprinciples, patient safety and the highest ethical conduct.Contact ASA’s member services department at (847) 825-5586,or via e-mail at members_assist@asahq.org to see if youqualify for membership.REGISTER EARLY AND SAVE MONEY!Take advantage of the early-bird discount by registeringby December 19, 2011, and save money on yourregistration for the PRACTICE MANAGEMENT 2012event. In addition, make your hotel reservation for theconference by December 27, 2011, to take advantageof the special ASA rate.PRACTICE MANAGEMENT 201212

Save these Dates!PRACTICE MANAGEMENT 2013January 25-27, 2013Paris Las Vegas Hotel, Las Vegas, NVASA Upcoming Events and ResourcesPRE-ORDER 2012 CODING RESOURCES2012 CROSSWALK ® :A Guide for Surgery/Anesthesia CPT ® CodesProvides the CPT ® anesthesia code (00100-01999) that mostspecifically describes the anesthesia service for a particulardiagnostic or therapeutic CPT ® procedure code.2012 Relative Value Guide ® :A Guide for Anesthesia ValuesContains the most up-to-date CPT ® codes and full descriptorsfor anesthesia services, including the ASA’s anesthesia baseunit values and more.2012 Reverse CROSSWALK ®The CD-ROM lists the CPT ® anesthesia codes and crossreferences all the applicable CPT ® procedure codes that maybe associated with a particular anesthesia code.ANESTHESIOLOGY 2012October 13-17, 2012Walter E. Washington Convention Center,Washington, D.C.Certificate in BusinessAdministration ProgramThe Woodlands Resort, Woodlands, TX• March 24-25, 2012• August 11-12, 2012• November 3-4, 2012• February 9-10, 2013The 2012 Coding Combo PackageThe combo package provides the best value in anesthesiacoding. This package price offers a substantial savings overpurchasing products individually. This convenient packagecontains one copy each of all anesthesia coding productsavailable from the American Society of Anesthesiologistsincluding the 2012 CROSSWALK ® Book, 2012 CROSSWALK ®CD-ROM, 2012 Reverse CROSSWALK ® CD-ROM, 2012Relative Value Guide ® Book and 2012 Relative Value Guide ®CD-ROM.Take advantage of substantial savings with multi-user and multibookpricing. For more information and to order these and otherASA Resources visit www.asahq.org/Shop-ASA.Visit www.asahq.org for more information on theseupcoming events as they get closer.13 PRACTICE MANAGEMENT 2012

A SPECIAL THANK YOU TO ASA CORPORATE SUPPORTERSASA Corporate Supporters provide generous unrestricted support for the vital functions of ASA – which includemember resources, professional development programming, and advancement of the specialty.ASA is proud to acknowledge and recognize the following ASA Corporate Supporters for their generous support of theAmerican Society of Anesthesiologists and PRACTICE MANAGEMENT 2012.ASAINDUSTRY SUPPORTERS2011 ASA PRACTICEMANAGEMENT SUPPORTERSFor information about the ASA Corporate Supporter Program, please contact Sara Moser, Director of Corporate Developmentand Sponsorships, at (847) 268-9230 or s.moser@asahq.org.Registration Information for PRACTICE MANAGEMENT 2012FRIDAY PRE-CONFERENCE SESSIONSRegistration for one of the three all-day Pre-Conference tracksis open to those who register for PRACTICE MANAGEMENT2012. The Basic and Advanced Workshops (Preconference 1 and2) are limited to 150 registrants each; the Practice ManagementWorkshop (Preconference 3) is limited to 100 registrants. Spaceis limited so register early. Registration includes ContinentalBreakfast, two Refreshment Breaks, Buffet Lunch, and coursematerials for the track selected.PRACTICE MANAGEMENT 2012Registration includes two Continental Breakfasts, two Receptions,one Lunch and four Refreshment Breaks and course materialsin a printed format. A flash drive may be obtained for $25 byindicating this option on the registration form.Resident TrackA separate track is offered all day on Saturday specificallyfor residents and includes Continental Breakfast, Lunch, twoRefreshment Breaks and course materials. Residents are invitedto all other PRACTICE MANAGEMENT 2012 events, excludingthe Pre-Conference sessions.The Early-Bird Discount is available until December 19, 2011 byregistering online at www.asahq.org/PM2012 using promocode REGBROCH. You may also use the registration form in thisbrochure. Register early and save money!REGISTRATION FEESFriday Pre-Conference SessionsEarly-Bird Discount Regular Fee(Until 12/19/11) (After 12/19/11)$ 275 $ 300PRACTICE MANAGEMENT 2012ASA Active Member $ 495 $ 595ASA Resident Member $ 99 $ 99AAA Member $ 495 $ 595Nonmember $1,155 $1,255AnesthesiologyResident Nonmember $ 125 $ 125Registration fee must be included in order to process registration.Disclosure PolicyThe American Society of Anesthesiologists adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of continuing medical education. In accordancewith the ACCME Standards for Commercial Support of CME, the ASA implemented mechanisms, prior to the planning and implementation of this CME activity, to identify and resolveconflicts of interest for all persons in a position to control content of this CME activity. All faculty and planning committee members are required to disclose any financial relationships.Special Needs StatementThe American Society of Anesthesiologists is committed to making its activities accessible to all individuals. If you are in need of an accommodation, please do not hesitate to calland/or submit a description of your needs in writing in order to receive service.PRACTICE MANAGEMENT 201214

JANUARY 27-29, 2012 n ORLANDO, FLRegistration FormThe Early-Bird Discount is available until December 19, 2011 by registering online at www.asahq.org/PM2012 using promo code REGBROCHor completing this registration form. Register early and save money! Registration fee must be included in order to process registration.First Name Middle Initial Last Name TitleProfessional DesignationAffiliationAddress Suite/Apt. # City State ZIP Code CountryPhone Fax E-mailEmergency Contact Name Daytime Phone Evening PhoneCancellation PolicyAttached is a description of my accessibility needs.A full refund will be issued for written cancellations received at least five days prior to the start of the meeting. No refunds or credits after that date.Friday Pre-Conference Registration: (Open to full Conference Registrants only.)Select one track: Early-Bird Discount Registration Fee TOTALUntil 12/19/11 After 12/19/11q Basic $ 275 $ 300 $________________q Advanced $ 275 $ 300 $________________q Workshops $ 275 $ 300 $________________Conference Registration:q ASA Member $ 495 $ 595 $________________q ASA Resident Member $ 99 $ 99 $________________q MGMA AAA Member $ 495 $ 595 $________________q Nonmember $1,155 $1,255 $________________q Anesthesiology Resident Nonmember $ 125 $ 125 $________________PRACTICE MANAGEMENT 2012 Course MaterialsA printed syllabus is included with registration. A flash drive is available for a $25 fee.Please indicate if you wish to order a flash drive: q Flash Drive @ $25 $________________PRE-CONFERENCE/CONFERENCE Registration and Course Materials – GRAND TOTAL:Payment Method:q American Express q MasterCard q VISA q Check (Payable to American Society of Anesthesiologists)$____________________________________________________________________________________________________________________________Credit Card Number Expiration Date: Month/Year SignatureOnline registration is available at www.asahq.org/PM2012. Use promo code REGBROCH when you register online.Payment by credit card may be faxed to (847) 825-1692.Mail registration form and check to: American Society of Anesthesiologists, 520 N. Northwest Highway, Park Ridge, IL 60068-2573Questions?Contact Marcie Pallante, CMP at (847) 268-9139 or via e-mail at m.pallante@asahq.org.15 PRACTICE MANAGEMENT 2012

520 N. Northwest HighwayPark Ridge, IL 60068-2573Register forand receive the following benefits:• Learn about healthcare reform legislation andregulations and how this will impact your anesthesiologypractice.• Obtain best practices and strategies to effectively lead anorganization in today’s challenging times.• Explore new payment methodologies including sharedrisk systems.• Gain insight from leading experts on strategies to makeyour practice more successful.• Earn continuing medical education credits.• Visit numerous exhibitors showcasing state-of-the-artindustry products and services.Register Now at www.asahq.org/PM2012• Network with peers and speakers to share knowledge andsolutions to today’s challenges.• Experience Orlando – One of the world’s premiertravel destinations.Register byDecember 19, 2011and save money!