Talking Points. Certification Information: Promotion Details: Qualifiers:

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1 Talking Points Certification Information: n The American College of Medical Practice Executives (ACMPE) develops and implements national standards for competency in medical practice management and provides comprehensive credentialing for MGMA through Board Certification and Fellowship programs. n The Certified Medical Practice Executive (CMPE) credential has set the industry standard for more than 57 years as the most significant benchmark of ability and experience. n Developed by medical practice administrators, board certification evaluates and validates your knowledge and skills in key competencies that drive the success of your practice. n The CMPE community includes 6,600 of your peers working to elevate medical care delivery. n For medical practice professionals with three or more years of experience, certification is the next step in professional and personal development. n Requirements to apply for certification: Must have documentation of two years of healthcare management experience, including a minimum of six months in a supervisory role. Pay a one-time $250 application fee. Must be a national MGMA member (must continue membership to maintain credential) Promotion Details: n MGMA wants to help you advance your success with board certification. To help you take the next step, MGMA is offering your first year of national membership for free! n Simply apply for board certification, and once you are approved for the program your free one year national membership will begin. Qualifiers: 1. Must be a current MGMA State member. 2. Cannot be a current national MGMA member. 3. Must be a qualified applicant for certification, application must be accepted to receive free one year national MGMA membership. Once the member is a part of the certification program, either a nominee or credentialed member, they must continue their national membership with MGMA in order to keep their status. Regular annual membership fees apply to these members after the first free year expires. Offer not valid combined with other offers or incentives. Offer only available through December 31, 2015.

2 It s time to get recognized for your skills, knowledge and experience as a medical practice professional; become a Certied Medical Practice Executive (CMPE) today! Apply today and receive your rst year of national MGMA membership FREE! Get the professional recognition you deserve by becoming board certied through the American College of Medical Practice Executives and joining a community of more than 6,600 of your peers who are transforming medical care delivery every day. Ask your State Forum Rep for more details, or visit us online at mgma.org/state-certiàcation to learn more and apply today! Must be a current state member and not a current national MGMA member to qualify for free one year membership. Applicant must meet requirements for board certication and be accepted into the program before free one year national MGMA membership is awarded. Once CMPE credential is awarded, member must maintain their national MGMA membership to keep the credential. Offer not valid combined with other offers or incentives. Offer only available through December 31, 2015.

3 State Certification Program Details Certification information: MGMA national is teaming up with your state to encourage you to apply for your Certified Medical Practice Executive (CMPE) credential today! MGMA will waive your first year of national membership fees when you are accepted into the program. In order to qualify for this incentive, you: 1. Must be a current state member. 2. Cannot be a current national member. 3. Must be a qualified applicant for certification, and your application must be accepted. Get started: To apply for board certification through ACMPE you must: 1. Pay a one-time $250 application fee. 2. Complete and submit an application form. Requires two years of healthcare management experience. Requires six months experience in a supervisory role. Maintaining credential: Once you are accepted to the certification program, you are required to maintain your national MGMA membership to keep your status. Regular annual membership fees apply after the first free year expires. Offer not valid combined with other incentives or offers. Free national membership offer expires December 31, How to apply: 1. Complete this application in full. 2. Applications can be submitted by: to acmpe@mgma.org attn: Mary Gallegos Mailed to MGMA Service Center PO Box Denver, CO Once accepted into the certification program, you will receive notification via that your free one year national membership has been activated.

4 Board Certification through ACMPE Application Form Congratulations on taking the first step toward earning board certification and the Certified Medical Practice Executive (CMPE) designation through the American College of Medical Practice Executives (ACMPE). Board Certification Agreement I understand that to be eligible to participate in board certification through ACMPE, I must have a minimum of two years experience in an ambulatory or other healthcare management position that contributes to the mission of MGMA, including at least six months in a supervisory role. To qualify for the complimentary one-year national membership, you: 1. Must be a current state member 2. Cannot be a current national member 3. Must be a qualified applicant for certification, and your application accepted. ** Once you are a part of the certification program, either as a nominee or a credentialed member, you must continue your national MGMA membership in order to keep your status and/or credential. Regular annual national membership fees apply after the first free year expires. 1. Applicant information First/Middle/Last State MGMA state member ID Phone 2. Healthcare management experience Feel free to cut and paste sections from your resume to complete the section below. Position Company Length of time employed in this position: Do you have at least two years of healthcare management experience? Briefly describe your healthcare management responsibilities: Board Certification Application Form MGMA. All rights reserved. MGMA 104 Inverness Terrace East Englewood, CO toll-free: phone: mgma.org

5 Please provide information below on additional healthcare experience if the position above does not include six months supervisory experience. Position Company Length of time employed in this position: Do you have at least six months of supervisory experience? Briefly describe your supervisory responsibilities within healthcare management: 3. ACMPE program agreement By submitting this application, I agree to support the mission, principles and core values that protect the integrity of the medical practice management profession and promote quality patient care. I understand that to achieve the Certified Medical Practice Executive (CMPE) designation, I must pass a 175-item multiple choice exam, and a three-question written essay exam*. I must also earn a cumulative total of 50 continuing education hours in subjects relevant to medical practice management (from up to one month prior to acceptance into the board certification program). To maintain the credential, I will earn and submit 50 continuing education hours every three years thereafter. *Exam fees paid separately. 4. Payment 5. Submission instructions $250.00* (check one): Visa MasterCard American Express Check enclosed (payable to MGMA) Card Number Name on Card Expiration Date to acmpe@mgma.org Mail to MGMA Service Center PO Box Denver, CO Please allow up to two weeks for your application to be reviewed. Cardholder s Signature Date Questions? Feel free to contact our certification department anytime with questions regarding this application or the process itself. us at acmpe@mgma.org Or, call us toll-free at , ext State code: STCERT Board Certification Application Form MGMA. All rights reserved. MGMA 104 Inverness Terrace East Englewood, CO toll-free: phone: mgma.org

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