2012 AAN Fall Conference


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2012 AAN Fall Conference

  1. 1. 17.5 CME. One weekend. October 26–28, 2012 Early Registration Deadline: October 1, 2012Hotel Reservation Deadline: September 24, 2012 www.aan.com/view/2012fall
  2. 2. 2012 Fall Conference Programming Earn CME with Clinical and Practice Updates The 2012 Fall Conference in Las Vegas provides two program tracks to help you stay current in clinical advances and keep your practice thriving. Take the courses you need most or choose a program track and save with special discounts. Clinical Sessions Three Neurology Update programs provide the latest information in several topics, including headache, neuro- ophthalmology, movement disorders, neuro-oncology, epilepsy, neuromuscular disease, dementia, neurologic complications of medical disease, and demyelinating disease. Test your knowledge with a multiple choice question review of Continuum: Lifelong Learning in Neurology ® curriculum. Continuum ® is designed to help fulfill the American Board of Psychiatry and Neurology’s Self-assessment component of Maintenance of Certification (MOC) and each issue offers up to 12 hours of AMA PRA Category 1 Credits™ to help fulfill the Lifelong Learning component of MOC. Refine your skills in a daylong botulinum toxin workshop, or a half day stroke update that focuses on the latest advances. Practice Sessions The practice programs provide coding and reimbursement updates as well as advice for taking advantage of incentives to increase your bottom line. Attend with your practice manager and bring him or her up to speed on optimizing the business side of your practice. Given the rapidly changing state of health care, we aim to educate attendees about practice issues that are important today and prepare them for the practice issues of tomorrow. Three interrelated courses will be offered: • Practice Management 101: Coding and Billing Today – A Case-based Approach (ICD-9-CM and CPT coding, fee for service reimbursement) • Practice Management 201: How to Succeed in an Environment of Transition (incentive programs, EHRs, strategies to avoid insurance denials) • Practice Management 301: Change Management and The Future of Neurology (value-based purchasing, bundled payments, ACOs) Members will be encouraged to attended all three courses to gain a full understanding of the landscape of health care. Quality and Convenience Each program is led by exemplary faculty, in a small format where you can interact with colleagues and directors to maximize your training and education budget. Whether you’re looking to brush up on neurologic topics, boost your revenue, or satisfy your CME— the Fall Conference is where you want to be. Meeting-at-a-Glance Friday, October 26 Saturday, October 27 7:50 a.m.–5:00 p.m. 8:00 a.m. –12:00 p.m. • Dystonia Skills Workshop • Neurology Update II 8:00 a.m.–12:00 p.m. • Practice Management 301: Change Management and • Stroke Update The Future Practice of Neurology • Practice Management 101: Coding and Billing 1:00 p.m.–5:00 p.m. Today—A Case-based Approach • Continuum ® Test Your Knowledge: A Multiple Choice 1:00 p.m.– 5:00 p.m. Question Review • Neurology Update I • Practice Management 201: How to Succeed in an Sunday, October 28 Environment in Transition 7:00 a.m.–11:00 a.m. • Neurology Update III Visit the Exhibit Hall Get information on the latest products and services from the neurologic community to assist with practice management and patient care. Complimentary food service will be provided to registered attendees. *Current as of 4/1/12. The American Academy of Neurology reserves the right to make programming and/or exhibition changes with orABPN-approved Program for Maintenance of Certification without notice. The AAN Fall Conference’s ABPN-approved programming is geared toward practitioners, academicians, residents, fellows, practice managers, and office administrators.The American Board of Psychiatry and Neurology has reviewed the 2012 AAN Fall Conference programsand has approved this product as part of a comprehensive lifelong learning program, which is mandatedby the American Board of Medical Specialties as a necessary component of maintenance of certification. 3
  3. 3. Friday, October 26 Friday, October 26Dystonia Skills Workshop CME Credits: 7.5 hours Practice Management 101: Coding and CME Credits: 3.5 hours7:50 a.m.–5:00 p.m. Billing Today—A Case-based ApproachProgram Director: Virgilio Gerald H. Evidente, MD, FAAN, Scottsdale, AZ 8:00 a.m.–12:00 p.m.Program Schedule and Faculty Program Director: Neil A. Busis, MD, FAAN, Pittsburgh, PA7:50 a.m.–8:00 a.m. Welcome and Introduction Virgilio Gerald H. Evidente, MD, FAAN Program Schedule and Faculty Scottsdale, AZ 8:00 a.m.–8:55 a.m. Case 1 Faculty8:00 a.m.–8:30 a.m. Pharmacology of Botulinum Toxin: Methods of Mark F. Lew, MD, FAAN Administration and General Principles for Use Los Angeles, CA 8:55 a.m.–9:50 a.m. Case 2 Faculty8:30 a.m.–9:10 a.m. The Use of Botulinum Toxin for Cranial and Virgilio Gerald H. Evidente, MD, FAAN 9:50 a.m.–10:05 a.m. Break Cervical Dystonia Scottsdale, AZ 10:05 a.m.–11:00 a.m. Case 3 Faculty9:10 a.m.–9:40 a.m. The Use of Botulinum Toxin in the Treatment of Mauricio R. Delgado, MD, FRCPC, FAAN Spasticity in Pediatrics Dallas, TX 11:00 a.m.–11:55 a.m. Case 4 Faculty9:40 a.m.–9:50 a.m. Break 11:55 a.m.–12:00 p.m. Q&A Faculty9:50 a.m.–10:30 a.m. The Use of Botulinum Toxin in Adult Spasticity Allison Brashear, MD, FAAN – Upper and Lower Limb Winston Salem, NC Program Faculty: Learning Objectives10:30 a.m.–11:00 a.m. The Use of Botulinum Toxin in the Treatment of Holly A. Shill, MD Jeffrey R. Buchhalter, MD, FAAN, Phoenix, AZ Upon completion of this program, participants Pain and Headache Sun City, AZ Neil A. Busis, MD, FAAN, Pittsburgh, PA will have knowledge of basic diagnosis, E/M,11:00 a.m.–11:30 a.m. The Use of Botulinum Toxin in Emerging Areas Holly A. Shill, MD Marc R. Nuwer, MD, PhD, FAAN, Los Angeles, CA and procedure coding for various sites of care, Such as Bladder, Hyperhidrosis, Sialorrhea, Sun City, AZ understand how these services and procedures Bryan Soronson, CRA, FACMPE, MPA, and Others are reimbursed, and have references for use Baltimore, MD11:30 a.m.–12:45 p.m. Working Lunch: Coding Tips and Pitfalls Allison Brashear, MD, FAAN in practice. Winston Salem, NC Program Description Recommended Audience12:45 p.m.–1:30 p.m. Introduction to Demonstration Sessions: Mark F. Lew, MD, FAAN Using a case-based approach, faculty will Trainees, General Neurologists, Specialist Anatomy and Dilution Los Angeles, CA present basic concepts of coding and billing that Neurologists, Neurology Practice Managers,1:30 p.m.–5:00 p.m. Demonstration Sessions (Participants will Faculty are fundamental to today’s neurologic practice. Billing Staff rotate through these sessions) Diagnosis coding, evaluation and management Core Competencies coding, procedure coding, and reimbursement Practice-Based Learning and Improvement,Program Description spasticity in both adults and children. Understand the issues will be discussed for each case. CasesDystonia and spasticity are characterized by typical dosages for each disorder with each type of Systems-Based Practice will be chosen to sample commonly encounteredsustained muscle contractions that frequently cause botulinum toxin and gain the knowledge you’ll need totwisting or repetitive movements and abnormal— describe to your patients the onset, duration of effect, neurologic conditions in various sites of servicesometimes painful—postures. Botulinum toxin and any potential side effects. and will cover commonly performed clinicalis playing an increasingly important role in the neurophysiology procedures. Primers for Participants should be able to describe the injectionmanagement of these disorders. technique for treatment of cranial dystonia, cervical ICD-9-CM and CPT coding for evaluation andFor this workshop, faculty will introduce attendees dystonia, limb dystonia, blepharospasm, hemifacial management (E/M) services and neurologicto the basic pharmacology of botulinum toxin and spasm, and limb spasticity; describe the typical procedures will be included in the writtenthe injection techniques for dystonia and spasticity dosages used for each disorder with each of the syllabus for reference. ICD-10 coding will bein both adults and children. Participants will rotate different types of botulinum toxin; and describe the introduced briefly.in small groups to demonstration sessions featuring onset, duration of effect, and potential side effectsElectronic Virtual Injection Stimulator (ELVIS) for each type of botulinum toxin.mannequins and videos with case discussions. Ample Recommended Audiencetime will be allotted for questions and interactive Practitioners, Residents, Fellowsdiscussions. Core CompetenciesLearning Objectives Medical Knowledge, Patient Care, Interpersonal andAs an attendee, you should discover how botulinum Communication Skills, Professionalism, Practice-toxin is playing an increasingly important role in the Based Learning and Improvementmanagement of dystonia and spasticity. Learn aboutthe injection technique for treatment of cranial,cervical, limb, blepharospasm, hemifacial spasm, and4 www.aan.com/view/2012fall 5
  4. 4. Friday, October 26 Friday, October 26Stroke Update CME Credits: 3.5 hours Neurology Update I CME Credits: 3.5 hours8:00 a.m.–12:00 p.m. 1:00 p.m–5:00 p.mProgram Director: Bruce Ovbiagele, MD, MSc, FAAN, San Diego, CA Program Directors: Steven L. Lewis, MD, FAAN, Chicago, IL Cynthia L. Comella, MD, FAAN, Chicago, ILProgram Schedule and Faculty8:00 a.m.–8:05 a.m. Welcome and Introductions Bruce Ovbiagele, MD, MSc, FAAN Program Schedule and Faculty San Diego, CA 1:00 p.m.–2:15 p.m. Headache David W. Dodick, MD8:05 a.m.–8:55 a.m. Acute Ischemic Stroke Management: Harold P. Adams Jr, MD, FAAN Phoenix, AZ What’s New, What’s True? Iowa City, IA 2:15 p.m.–3:30 p.m. Neuro-Ophthalmology Mark L. Moster, MD, FAAN8:55 a.m.–9:45 a.m. Stroke Imaging: Is What You Get, What Steven Warach, MD, PhD, FAAN Philadelphia, PA You See? Austin, TX 3:30 p.m.–3:45 p.m. Break9:45 a.m.–10:00 a.m. Break 3:45 p.m.–5:00 p.m. Movement Disorders Janis Miyasaki, MD, FAAN10:00 a.m.–10:50 a.m. Optimizing Intracranial Hemorrhage J. Claude Hemphill, MD, MAS, FAAN Toronto, ON Canada Outcomes: Are We There Yet? San Francisco, CA Program Description Learning Objectives10:50 a.m.–11:40 a.m. Secondary Stroke Prevention: Cos’ One Bruce Ovbiagele, MD, MSc, FAAN This program will provide a review and update Upon completion, participants should be able to Is Enough! San Diego, CA in key areas of clinical neurology, including identify the important advances in major areas11:40 a.m.–12:00 p.m. Panel Discussion Faculty headache, movement disorders, and neuro- of clinical neurology, apply new knowledge to ophthalmology. Emphasis will be placed on the practice and teaching of clinical neurology,Program Description ample opportunity for participants to ask updates for diagnosis, management, and the and provide the most up-to-date care forThe management of stroke patients continues questions on the cases discussed, present most current treatment modalities that have neurologic patients.to evolve rapidly. Keeping abreast of advances their own cases to the faculty panel, or discuss practical applications for the neurologist. Recommended Audiencein the field has become a challenge for additional stroke management issues of Faculty was selected based on noted expertise Practitioners, Academicians, Residents, Fellowsclinicians, especially generalists and non- interest. Audience participation will be strongly in their field and excellent teaching skills. Thestroke specialists. Several recently published encouraged during case presentations and Core Competencies Neurology Update programs will be offered overclinical trials will have a substantial and panel discussions. Patient Care, Medical Knowledge, Practice- three days to allow participants to take partdefinitive impact on stroke treatment. On the Based Learning and Improvement, Learning Objectives in other programs, visit the exhibits, or enjoyother hand, published data on some aspects of Professionalism Upon completion, paticipants should be able leisure activities.stroke management are conflicting, and leave to understand current and future approacheslingering questions about how best to proceed to acute ischemic stroke management;with treatment. Faculty will present current appreciate the roles/applications of the variousevidence-based guideline-recommended neuroimaging modalities in stroke management;approaches to the comprehensive management understand practical and state-of-the-artof the stroke patient across the continuum of techniques in the treatment of intracranialcare. Acute stroke treatment, neuroimaging hemorrhage; and understand the basis formodalities, intracranial hemorrhage conventional and emerging secondary strokemanagement, and secondary stroke prevention prevention therapies.therapies will be discussed. When an approach Recommended Audienceis unclear or unproven, faculty will discuss General Neurologists; Non-stroke Specialists;their experience with a particular strategy. Neurologists Specializing in Vascular NeurologyThe presentations will provide concise, usefulinformation that may be directly applied to the Core Competenciesparticipant’s practice. Case discussions will Patient Care, Medical Knowledge, Practice-include common yet challenging scenarios in Based Learning and Improvementstroke management. The session will provide6 www.aan.com/view/2012fall 7
  5. 5. Friday, October 26 Saturday, October 27Practice Management 201: How to Succeed CME Credits: 3.5 hours Neurology Update II CME Credits: 3.5 hoursin an Environment in Transition 8:00 a.m.–12:00 p.m.1:00 p.m.–5:00 p.m. Program Directors: teven L. Lewis, MD, FAAN, Chicago, IL SDirector: Orly Avitzur, MD, MBA, FAAN, Tarrytown, NY Cynthia L. Comella, MD, FAAN, Chicago, ILProgram Schedule and Faculty Program Schedule and Faculty1:00 p.m.–1:50 p.m. Reimbursements in Flux: How to Identify Marc Raphaelson, MD 8:00 a.m.–9:15 a.m. Neuro-Oncology Amy A. Pruitt, MD Losing Services in Your Practice Leesburg, VA Philadelphia, PA1:50 p.m.–2:40 p.m. How to Maximize Efficiency and Reduce Steven Zuckerman, MD, FAAN 9:15 a.m.–10:30 a.m. Epilepsy Gregory D. Cascino, MD, FAAN Costs in a Solo Practice Baton Rouge, LA Rochester, MN2:40 p.m.–2:55 p.m. Break 10:30 a.m.–10:45 a.m. Break2:55 p.m.–3:45 p.m. Reduce Insurance Denials: Tips for Orly Avitzur, MD, MBA, FAAN 10:45 a.m.–12:00 p.m. Neuromuscular Disease A. Gordon Smith, MD, FAAN Monitoring New and Changing Codes Tarrytown, NY Salt Lake City, UT3:45 p.m.–4:35 p.m. Capturing Incentives and Avoiding James C. Stevens, MD, FAAN Program Description Learning Objectives Penalties Fort Wayne, IN This program will provide a review and update Upon completion, participants should be able to4:35 p.m.–5:00 p.m. Panel Discussion Faculty in key areas of clinical neurology, including identify the important advances in major areas epilepsy, neuro-oncology, and neuromuscular of clinical neurology, apply new knowledge toProgram Description It’s critical to take an active role in your disease. Emphasis will be placed on updates the practice and teaching of clinical neurology,In the next few years, health care will undergo practice’s management, understand why and for diagnosis, management, and the most and provide the most up-to-date care forextensive transformation. The transition when insurers are denying payments, and adopt current treatment modalities that have practical neurologic patients.period will require vigilance and flexibility on strategies to pre-empt denials. It’s equally applications for the neurologist. Faculty was Recommended Audiencethe part of neurologists who wish to remain essential to identify losing services, particularly selected based on noted expertise in their field Practitioners, Academicians, Residents, Fellowsin practice. Otherwise, by 2015 many of the 45 as reimbursement for procedures changes. and excellent teaching skills. The Neurologypercent of neurologists who work in private Process improvements and new technologies Core Competencies Update programs will be offered over threepractice may risk being out of business. The can help practices become more productive and Patient Care, Medical Knowledge, Practice- days to allow participants to take part in otherfinancial demands of keeping up with regulatory lessen waste. Based Learning and Improvement, programs, visit the exhibits, or enjoy leisurerequirements and the looming salary decline due Professionalism Learning Objectives activities.to procedural reimbursement cuts and evolving Upon completion of this program, participantspayment changes may prove to be catastrophic. should understand availability and requirementsIn order to stay competitive, neurologists must of incentive programs, obtain useful tips andsystematically evaluate their practice design. If strategies to avoid insurance denials and leavingyou’re still doing business the way you did five money on the table, learn how to recognizeyears ago, you need to take a closer look. Even losing services, and understand how to practiceif your waiting room is full and your appointment at maximal efficiency.waiting time is lengthy, if you aren’t looking at Recommended Audiencethe numbers, you may be making poor decisions. Trainees, General Neurologists, SpecialistIn order to avoid harsh penalties, practices Neurologists, Neurology Practice Managers,in transition will be required to invest in an Billing Staffelectronic health record that complies with Core Competenciesmeaningful use standards, participate in the Practice-Based Learning and Improvement,physician quality reporting system (PQRS), Systems-Based Practiceand use e-prescribing. Running an efficient,streamlined office is of paramount importance.8 www.aan.com/view/2012fall 9
  6. 6. Saturday, October 27 Saturday, October 27Practice Management 301: Change Management CME Credits: 3.5 hours Continuum® Test Your Knowledge: CME Credits: 3.5 hoursand The Future Practice of Neurology A Multiple Choice Question Review8:00 a.m.–12:00 p.m. 1:00 p.m.–5:00 p.m.Program Director: David A. Evans, MBA, Dallas, TX Program Director: Ralph F. Józefowicz, MD, FAAN, Rochester, NYProgram Schedule and Faculty Program Schedule and Faculty8:00 a.m.–8:55 a.m. Regulatory Overview and Environmental Scan Laura Powers, MD, FAAN 1:00 p.m.–1:45 p.m. Epilepsy Gregory D. Cascino, MD, FAAN Knoxville, TN Rochester, MN8:55 a.m.–9:50 a.m. What Will Future Quality Measures Look Like? Eric M. Cheng, MD, MS 1:45 p.m.–2:30 p.m. Neuro-Ophthalmology Mark L. Moster, MD, FAAN Los Angeles, CA Philadelphia, PA9:50 a.m.–10:05 a.m. Break 2:30 p.m.–3:15 p.m. Movement Disorders Janis Miyasaki, MD, FAAN10:05 a.m.–11:45 a.m. Practical Business Strategies to Survive and David A. Evans, MBA Toronto, ON Canada Leverage Future Payment Models Dallas, TX and 3:15 p.m.–3:30 p.m. Break Joseph V. Fritz, PhD 3:30 p.m.–4:15 p.m. Neuro-Oncology Amy A. Pruitt, MD Amherst, NY Philadelphia, PA11:45 a.m.–12:00 p.m. Panel Discussion Faculty 4:15 p.m.–5:00 p.m. Dementia Jody Corey-Bloom, MD, PhD La Jolla, CAProgram Description Learning ObjectivesSince the passing of the Patient Protection and Upon completion, participants should Program Description Learning ObjectivesAffordable Care Act (PPACA), neurologists understand the regulations contained within This course is designed to help neurologists Upon completion participants should be able toare facing significant changes to their clinical PPACA, ACOs, and Clinical Quality Measures. stay current in clinical practice. The format uses increase and refresh their knowledge of corepractice as well as their business model. Faculty Attendees will also learn about the potential case-based, multiple choice questions and brief topics in neurology through presentation ofwill discuss the myriad of regulatory changes financial impact of regulatory change and didactic presentations exclusively. With the aid common and not-so-common clinical problems.impacting neurologists including: Accountable strategies to implement to minimize loss of of the audience response system, faculty will The five core topics include: epilepsy, neuro-Care Organizations (ACOs), Clinical Quality revenues and position their organization for engage participants in clinical problem solving. ophthalmology, movement disorders, neuro-Measures, and the evolution and impact of the future. The multiple choice questions and supporting oncology, and dementia. Participants shouldnew payment models. The final presentation Recommended Audience materials are derived from recent issues of also learn to work through difficult clinicalwill discuss the impact of regulatory change Trainees, General Neurologists, Specialist Continuum: Lifelong Learning in Neurology ® . presentations both logically and successfully.to the practice of neurology and how best to Neurologists, Neurology Practice Managers, Expert faculty will use the question-basedprepare your organization, as well as use the Recommended Audience Billing Staff format as a springboard for discussion of timely Trainees, General Neurologists, Specialistchanging regulatory landscape to a competitive and important topics and developments across Core Competencies Neurologistsadvantage. the spectrum of neurology. Core topics in Practice-Based Learning and Improvement, Core Competencies Systems-Based Practice neurology and current literature searches Medical Knowledge and Patient Care are stressed. This program will cover five subjects, each Note: This course will provide Self- presented by a pre-eminent expert in the field assessment CME credits, which are now who has also demonstrated superior skills required by the ABMS and ABPN for at presenting material of this type to large Maintenance of Certification. audiences. Topics include: epilepsy, neuro- ophthalmology, movement disorders, neuro- oncology, and dementia.10 www.aan.com/view/2012fall 11
  7. 7. Sunday, October 28 Hotel InformationNeurology Update III CME Credits: 3.5 hours September 24, 2012 Participants must identify themselves as being with 2012 AAN Fall Conference to receive the7:00 a.m.–11:00 a.m. Hotel Reservation Deadline special rate.Program Directors: teven L. Lewis, MD, FAAN, Chicago, IL S Encore at Wynn Las Vegas Cynthia L. Comella, MD, FAAN, Chicago, IL 3131 Las Vegas Boulevard South Reservation deadline:Program Schedule and Faculty Las Vegas, NV 89109 5:00 p.m., PST, September 24, 20127:00 a.m.–8:15 a.m. Dementia Jody Corey-Bloom, MD, PhD Reservations (866) 770-7555 All reservations must be guaranteed with a La Jolla, CA deposit equal to one night’s room/suite rate8:15 a.m.–9:30 a.m. Neurologic Complications of Medical Neeraj Kumar, MD Special Rates and Room plus tax and must be received no later than 14 Disease Rochester, MN days after reservation is made. All credit cards Reservation Deadline9:30 a.m.–9:45 a.m. Break utilized for deposits will be charged when the The AAN has negotiated a sleeping room deposit is made. Check in time is 3:00 p.m. and9:45 a.m.–11:00 a.m. Demyelinating Disease Stephen Krieger, MD rate of: $209.00 single/double, plus tax check out time is noon. New York, NY (additional person: $50.00 plus tax for more The resort will require a pre-authorization than two occupants). There is a charge ofProgram Description Learning Objectives of $150.00 for each night’s stay to cover $50.00 per room, per night for double queenThis program will provide a review and update Upon completion, participants should be able to incidentals, which will take place upon check in. accommodations for weekday and $70.00 perin key areas of clinical neurology, including identify the important advances in major areas Cash or credit card will be accepted. If a debit room, per night for weekends.demyelinating disease, dementia, and the of clinical neurology, apply new knowledge to card is utilized, the pre-authorization will act asneurologic complications of medical disease. the practice and teaching of clinical neurology, a direct withdrawal from your bank account.Emphasis will be placed on updates for and provide the most up-to-date care fordiagnosis, management, and the most current neurologic patients. Cancellation Policytreatment modalities that have practical Recommended Audience Hotel allows individual attendees to cancel theirapplications for the neurologist. Faculty was Practitioners, Academicians, Residents, Fellows guest room reservations without penalty upselected based on noted expertise in their field to 48 hours prior to the attendee’s scheduled Core Competenciesand excellent teaching skills. The Neurology arrival date. Hotel will charge one (1) night Patient Care, Medical Knowledge, Practice-Update programs will be offered over three guaranteed guest room rate plus tax for Based Learning and Improvement,days to allow participants to take part in cancellation within 48 hours of the scheduled Professionalismother programs, visit the exhibits, or enjoy arrival date or failure of the individual to check-leisure activities. in on the scheduled arrival date. Attire Dress for the 2012 AAN Fall Conference is casual. Since meeting room temperatures and personal comfort levels vary, a light sweater or jacket is recommended for the educational activities. Join the AAN and Save up to $1,120 Become an Academy member and save on your Fall Conference registration with your member discount. Compare member and nonmember pricing on page 15.12 www.aan.com/view/join 13
  8. 8. CME and Disclosures Register by October 1, 2012, and Save!Accreditation views represent neither those of the AAN/AANI nor constitute AAN ID Number________________________________ Degree________________________________________________The American Academy of Neurology Institute (AANI) endorsement by the AAN/AANI. The AAN/AANI disclaims any Last Name_____________________________________ First Name_____________________________________________(fka, American Academy of Neurology) is accredited by the and all liability for all claims which may result from the use ofAccreditation Council for Continuing Medical Education information, publications, products, and/or services discussed Address___________________________________________________________________________________________(ACCME) to provide continuing medical education for at the AAN Fall Conference.physicians. City___________________________________ State______ Zip_________ Country________________________________ Faculty’s Disclosure of Commercial RelationshipsAMA PRA Credit Consistent with the AAN/AANI and ACCME policies, faculty Phone_______________________ Fax ________________________ Email______________________________________The AAN/AANI designates these educational activities for a must disclose any significant financial or other relationship Five Easy Registration Stepsmaximum number of hours in Category 1 Credit™ toward the with the manufacturer(s) of any commercial product(s) orAMA Physician’s Recognition Award. The number of credits service(s) discussed in their presentation. This policy is 1. Select your registration status.  unior and J  Member  Nonmemberassigned to each individual program is outlined in the program’s intended to make participants aware of all speakers’ financial Non- Neurologist Junior and Non-neurologist member includes: Student, Intern, Junior, Business  Nonmemberdescription. Physicians should only claim credit commensurate or other relationship(s), so that attendees may form their own neurologist Administrator, Research Scientist, Research Scientist Fellow, Research  Member Office Staffwith the extent of their participation in the activity. judgments about material discussed during the educational Member Coordinators, and Non-neurologist Clinician Office Staff*Certificates for Non-physicians activity. Full disclosure of faculty’s commercial relationships Member Neurologist includes: Honorary, Senior, Fellow, Active, and AssociateNon-physicians participating in the programs will receive an will appear in the individual program materials. All faculty mustacknowledgement of participation indicating attendance at an sign an AANI letter of agreement stating explicitly that they *Member Name:activity designated for AMA PRA Category 1 Credit ™. understand and will adhere to ACCME and AANI Disclosure 2. Select the program(s) you would like to attend. Statement guidelines that require full disclosure of commercialEducation Disclaimer relationships, unlabeled use of products, and identification of Discounted Program TracksThe primary purpose of the AAN Fall Conference is to provide data sources. Neurology Includes Neurology Update I, II, and III, Stroke Update, andeducational programs. Information presented, as well as  $449  $899  $1,569 Update Continuum (save 10%)publications, technologies, products and/or services discussed, Unlabeled Use Disclosure The AANI requires all faculty members to disclose if a product Practice Includes Practice Management 101, Practice Management 201,are intended to inform attendees about the knowledge,  $269  $539  $949 is not labeled for the use being discussed or that the product Management and Practice Management 301 (save 10%)techniques, and experiences of physicians who are willing to is still investigational. Such disclosures will appear in the Individual Programsshare such information with colleagues. A diversity of opinionsexists in the medical field, and the view of the program’s faculty individual program materials. Dystonia Skills Workshop (7:50 a.m.–5:00 p.m.)  $355  $460  $610is offered solely for educational purposes. Faculty members’ Stroke Update (8:00 a.m.–12:00 p.m.)  $99  $199  $349 Practice Management 101: Coding and Billing Today—ARegistration Is Quick and Easy Friday,  $99  $199  $349 Case-based Approach (8:00 a.m.–12:00 p.m.) October 26 Practice Management 201: How to Succeed in an Environment  $99  $199  $349 in Transition (1:00 p.m.–5:00 p.m.) Neurology Update I (1:00 p.m.–5:00 p.m.)  $99  $199  $349Take Your Pick Neurology Update II (8:00 a.m.–12:00 p.m.)  $99  $199  $349 up online at www.aan.com/view/2012fall Sign Practice Management 301: Change Management and The Saturday,  $99  $199  $349 Fax in your registration using the attached form at (415) 293-4071 Future Practice of Neurology (8:00 a.m.–12:00 p.m.) October 27 Mail in your registration using the attached form Continuum: Test Your Knowledge: A Multiple Choice Question  $99  $199  $349 Review (1:00 p.m.–5:00 p.m.) Sunday,Registration Deadline for cancellations received on or before Neurology Update III (7:00 a.m.–11:00 a.m.)  $99  $199  $349 October 28The deadline for advance registration rates October 1, 2012. Refunds will not be issued 3. Total $ $ $is October 1, 2012. Registrations received for cancellations received after that date. 4. Register one of four ways: after this date will be charged an additional Special Needs Online www.aan.com/view/2012fall / Fax (415) 293-4071 / Telephone (800) 676-4226 (US/Canada) or (415) 979-2283 (Int’l)fee of $100. If you have needs that require special Mail Attn: AAN/CMR Registration – 33 New Montgomery, Suite 1100, San Francisco, CA 94105Cancellation Policy accommodation to attend this meeting, Registrations received after October 1 will be charged an additional fee of $100.Programs are subject to cancellation if contact Lori Strachota at lstrachota@aan.com 5. Method of payment:enrollment is insufficient. In the event of or (612) 928-6029. Full payment in US funds must accompany registration form. Include credit card information or enclose a check made payable to thecancellation, registration will be fully refunded. On-Site Registration Details American Academy of Neurology. Registrations will be processed according to date of receipt. Registrations received after October 1The AAN is not responsible for airfare, hotel, or Attendees can register and pick up their will be processed at on-site rates.other costs incurred by participants in the event conference materials at the on-site 2012 I authorize the AAN to charge the amount determined by the AAN as registration fees on my credit card.of cancellation. Fall Conference registration counter. Credit Card Type:  Visa  MasterCard  American Express  Diner’s ClubRefund Policy Additional details will be included in your Credit Card or Check Number:________________________________________________ Expiration Date:________________The AAN will assess a $50 administrative fee registration confirmation. _________________________________________________________________________________________________ Name on Card FedID# 41-0726167 AANI14 15
  9. 9. 201 Chicago Avenue Minneapolis, MN 55415Register by October 1 and save with early registration discounts. Visit ww.aan.com/view/2012fall or call (800) 676-4226.