185351 05/11/2010 a CITY OF CARMEL, INDIANA VENDOR: T0002688 Page 1 of 1
ONE CIVIC SQUARE MEDICARE PART B NEW PROVIDER BAgI�_
CARMEL, INDIANA 46032 101 SEMINAR -B4076 CHECK AMOUNT: $70.00
PO BOX 7191 CHECK NUMBER: 185351
INDIANAPOLIS IN 46207 -7191
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357004 70.00 EXTERNAL INSTRUCT FEE
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Medicare Part B New Provider Basic 101 Seminars 2010
Start Date: 5/27/2010 Start Time: 10:00 AM Attachments For This Event:
End Date: 5/27/2010 End Time: 4:00 PM 2010 Medicare Part B New Provider Basic 101
Event Description
The National Government Services, Inc., Medicare Part B Provider Who Should Attend:
Outreach and Education department is offering New Provider Basic Medicare Part B carrier providers recently established or soon to be
101 seminars throughout the states of Indiana and Kentucky in May- established practices. Staff with little or no Medicare billing
July 2010. This is a great learning experience for individuals who are experience; both front office and
new to the Medicare program or seasoned staff that may want a post payment. Staff serving as Medicare billing backup.
refresher course.
Registration Information:
Please select a registration /payment option:
Seminars cover:
Credit Car
Basic Medicare program coverage and guidelines O nline Electroni Check
Claim filing
Appeals Remarks:
Remittance Advice Registration begins at 9:30 a.m. The seminar begins at 10:00 a.m,
Advance Beneficiary Notice of Noncoverage Lunch is from 12 —1:00 p.m. Cost is $70 per attendee and includes
And much more! materials, refreshments, and lunch. Times are local time to the host
city.
We encourage providers to register early as seating is limited.
Register and make payment online:
Cancellation must be in writing 10 days prior to the event. Refunds
Cost to attend is $70 per person which includes materials, are not provided for no -shows or inclement weather.
refreshments, and lunch!
Additional Information:
Location Information: This program has prior approval of the American Academy of
Live event: IN, Indianapolis, Indianapolis Marriott North Professional Coders continuing education units for five (5) CEUs.
3645 River Crossing Parkway Granting of this approval in no way constitutes the academy's
Indianapolis, IN endorsement of the program, content, or the program sponsor.
Live Event: Marriott North
3645 River Crossing Parkway
Indianapolis, IN 47250
Phone: 317.705.0000
Contact Information:
Name: Carolyn Henson
Email: part.a.provider.training @anthem.com
http:// www. ngsmedicare. corn/ADC /EventList.aspx ?fromdatc =5/27 /2010 &todate= 5 /27 /2010 &disp... 4/29/2010
From: Part A Provider Training- WELLPOINT (Shared Mailbox)
[ma i Ito: PART. A.PROVIDER.TRAINING @anthem.com]
Sent: Thursday, May 06, 2010 9:04 AM
To: Snyder, Denise W
Subject: check payment for Michelle Harrington for Medicare Part B New Provider Basic 101 Seminar B
4076 May 27 Indy
Denise please mail the registration payment (check) to the address below and include all
of the information in the list for Michele's registration.
Contact Name: Denise Snyder
Facility: Marriott North, 3645 River Crossing Parkway, Indianapolis, IN May 27, 2010
Phone Number: 317- 571 -2600
Email address: dsnyder @carmel.in.gov
Name of Attendee: Michelle Harrington
The cost is 70.00 per person
Please mail check to the following:
Medicare Part B New Provider Basic 101 Seminar B 4076
P.O. Box 71.91
Indianapolis, Indiana 46207 -7191
Provider Outreach and Education
National Government Services, Inc.
From: Snyder, Denise W [mailto:DSnyder @carmel.in.gov]
Sent: Thursday, May 06, 2010 8:46 AM
To: Part A Provider Training WELLPOINT (Shared Mailbox)
Subject: FW:
Please advise what I need to do.
From: Snyder, Denise W
Sent: Friday, April 30, 2010 8:46 AM
To: part. a.provider.training @anthem.com'
Subject:
need to register someone for the Medicare B Basics class that is being held on May 27, 2010 in
Indianapolis, IN. Her name is Michelle :Harrington with the Carmel Fire Department. We are a government
agency and can not register her with a credit card or electronic check. I can send a check through the mail,
but I need to know who to make it out to and to what address it needs to be mailed to.
Any help you could offer would be greatly appreciated.
Thank you!
VOUCHER NO. WARRANT NO.
ALLOWED 20
i'dledicare Part B New Provider Basic 101 Semi
B4076 IN SUM OF
P.O. Box 7191
Indianapolis, IN 46207 -7191
$70.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 43- 570.04 $70.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
MAY 10 2010
A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev.,1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$70.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer