AttendeeProgram

2013ANNUALCONVENTION

FEBRUARY 26-27HILTON IRVINE/ORANGE COUNTY AIRPORT HOTEL18800 MACARTHUR BLVD. IRVINE, CA 92612

DIRECT IONSFROM JOHN WAYNE A IRPORT: Exit airport and turn right on MacArthur. Turn left on Douglas, and the hotel is located on the corner of Douglas and MacArthur. Drive time: 1 min.

FROM I -405 NORTH OR SOUTH: Exit MacArthur Boulevard South. The hotel is on the left-hand side, at the corner of MacArthur and Douglas.

FROM LOS ANGELES INTERNATIONAL A IRPORT: Take Freeway 405 South for 30 miles. Exit on MacArthur Boulevard, turn left on MacArthur, and the hotel is on the left side of the street, on the corner of Douglas and MacArthur. Drive time: 60 mins.

FROM LONG BEACH AIRPORT: Take Freeway 405 South for 25 miles. Exit on MacArthur Boulevard, turn left on MacArthur, and the hotel is two lights down, on the left side of the street on the corner of Douglas and MacArthur. Drive time: 30 mins.

C O N F E R E N C E H I G H L I G H T S H O T E L I N F O R M AT I O N

ROOM RATES : $156 S INGLE $156 DOUBLE

PHONE RESERVATIONS : 800-445-8667, ASK FOR CAMPS RATE

RESERVATION CUTOFF : CAMPS has reserved a block of rooms at the special rates listed above. Rooms are subject to availability. Must book room by February 21, 2012.

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HILTON IRV INE/ORANGE COUNTY A IRPORT18800 MacArthur Blvd. l I rv ine CA

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KEYNOTE LUNCHEON SPEAKER: LOUIS FEUER, PRESIDENT OF DYNAMIC SEMINARS & CONSULTING, INC.NOON - 1 :30 PM I F D ISNEY RAN YOUR HOME CARE COMPANY

HOMECARE EMPLOYERS AND PREPARATION FOR COMPLIANCE WITH AFFORDABLE CARE ACT MARK H IGLEY, VGM 1:30 - 2 :30 PM

TUESDAY, FEBRUARY 26

TUESDAY, FEBRUARY 26TUESDAY, FEBRUARY 26

STATE OF THE STATEBOB ACHERMANN3:45 - 5 :00 PM

Generally, the focus on the Affordable Care Act relates to its insurance reform provisions and the changes to Medicare Parts A and B. Changes to HME, home care and hospice are meaningful and substantial.

• As employers, there are mandates thatevery provider needs to understand and pre-pare for. While the ACA does not require busi-impact CAMPS members. He has a BA in Political Science, a JD degree

and is a member of the California Bar Association. nesses to provide health benefits to their workers, larger employers face penalties starting in 2014 if they don’t make affordable cover-age available. Mark will present a simple flowchart to illustrate how those employer responsibilities work.

• Asproviders,theACAwillincuradditionalregulatoryburdentooperations and require adaption to a leaner payment environment.

This session will suggest measures for providers to ready them-selves on the fiscal and policy front, as well as to prepare for man-dates and policy changes affecting employers.

Bob Achermann has represented the DME and medical supply industry in California for more then 25 years. He serves as Executive Director and legislative advocate for CAMPS. Mr. Achermann regularly interacts with the State Legislature and state agencies that administer Medi-Cal and other health care programs, as well as regulatory agencies that

The Hilton Irvine/Orange County Airport is located in the center of Orange County, the heart of Irvine, and almost half way between Los Angeles and San Diego. With a complimentary shuttle to/from Santa Ana Airport, this Orange County hotel is nearby several attractions and shopping malls. It welcomes guests with luxury comforts. Enjoy wonderful views through expansive, floor-to-ceiling windows in newly renovated guest rooms and suites.

No other company in world has done a better job of enhancing the customer’s experience. This program brings a new understanding of how to insure a positive customer experience learned and initiated by Disney after more than 30 years of inviting guests into his business. Learn how to incorporate the Disney business model into your homecare company. How to reward employees, treat patients as guests and to bring new light to the “experience” you are trying to create for your patients and customers. Learn how Disney makes that happen and so can you! Put your Mickey Mouse ears on as Louis takes you back to the Magic Kingdom and translates the Disney business strategy, mission and concept to your company. (If haven’t seen me in my Mickey Mouse hat and mittens, you have not lived!)

1. To understand the philosophy and mission of one of the nation’s leading corporations and how it can be ap-plied to your homecare company.2. To identify practice and business strategies that will positively affect the patient experience.3. To understand how Disney’s workforce philosophy can work in your setting and impact your productivity and efficiency.

Presented by Louis Feuer, MA, MSW, President of DSC. Since 1977 Dynamic Seminars has been presenting dynamic seminars in the healthcare industry and continues to bring the industry the most insightful, dynamic and educational programs ever presented. Thousands of health care organizations, corporations and associations have turned to Louis Feuer for strategic advice regarding building business, motivating staff, increasing sales, improving customer service and creating an educational event that will leave every attendee wanting more.

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_____________________________________________Your Name_____________________________________________________Company_____________________________________________________Address_____________________________________________________Phone Fax_____________________________________________________Email

BUSINESS TYPE   Sole Proprietor   Partnership  Distributor    Regional Chain  National Chain   Pharmacy  Hospital Based   Nursing Home  HMO   Other________________________

Rate your company’s top revenue producers in numerical order   DME   Oxygen   PEN    Disposable  Rehabilitation   Hospital Based  Nursing Home   HMO  Other____________________________________  Business Volume____________________________

MEMBERSHIP CLASSIF ICAT IONRegular: A sole proprietorship, partnership, firm or corporation currently engaged in the retail/wholesale, rental or distribution of any type of medical equipment, products, services or supplies for home use in the care and treatment of patients. A regular member shall have full voting rights. Dues are based on annual gross sales amount.

Associate: A person, partnership, firm or corporation not otherwise qualified for regular membership that engages, through manufacturing, wholesale, or otherwise, in a business that supports or enhances a regular member’s health care business.

DUES CLASSIF ICAT ION (CONF IDENTIAL)Gross Sales $0 - $1,000,000 $1,000,001 - $5,000,000 $5,000,001 - $10,000,000 $10,000,001 and Above Associates/Manufacturer

Dues Amount$550 + $55/branch$850 + $55/branch$1,150 + $55/branch$1,500 + $55/branch$900

CONVENTION REGISTRATIONM = Member NM = Non-Member FP = First Person AP = Additional Person

PAYMENT INFORMATION  Check made payable to CAMPS  Please charge my:  MasterCard  VISA  AmEx____________________________________________________Credit Card Number

____________________________________________________Exp. Date CV2

____________________________________________________Name on Card

____________________________________________________Signature CANCELLATIONSCancellations must be made in writing by February 1, 2013. A refund, less a $50Administrative fee will be assessed. No refunds will be issued after February 1, 2013.

SPECIAL NEEDSCAMPS events comply with the Americans with Disabilities Act. Please Indicate below if you have a disability and require any special assistance:

REG ISTRATION OPT IONS1. ONLINE registration at www.campsone.org, click events then Annual Convention.2. MAIL this form with payment to CAMPS Headquarters: CAMPS Convention, One Capitol Mall, Suite 320, Sacramento, CA 958143. FAX registrations are accepted with CC payments: 916.444.7462

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M E M B E R S H I P A P P L I C AT I O N R E G I S T R AT I O N F O R M *NON MEMBERS Join CAMPS with your Convention registration & receive a $100 discount off your first year’s membership.

MEMBERSHIP INFORMATION Please print clearly

_____________________________________________Key Contact

_____________________________________________Company

_____________________________________________Address

_____________________________________________Phone Fax

_____________________________________________Email

INFORMATION Please print clearly

FOR OFFICE USE ONLYRevd____ Due____ Pd____

Invcd_____ Badge _____ Confd _____

BILL ING & PAYMENT INFORMATION

Payments to CAMPS are not deductible as charitable contributions for federal income tax purposes. However, such payments may be deduct-ible under other provisions of the Internal Revenue Code. In addition, a portion of your dues is not deductible as a business expense because of the association’s lobbying activity. The nondeductible portion is 24%.

Questions? Call 916-443-2115. events@campsone.org

Dues Classification (as indicated above): = $_________(Total dues for any one company and its branches cannot exceed $3,000.)

Branch Dues (For addn’l branches. Does not apply to first location):

# of branches _____ x $55 each = $_________

TOTAL AMOUNT DUE = $_________

Check made payable to CAMPS Bill my credit card (Included with Registration)

B ILL ING OPT IONS :If you wish to pay on a quarterly or semiannual basis, please indicate so below and submit your first installment payment with this form.

Quarterly Semi-Annually

CERT IF ICAT IONBy the signature affixed below, I hereby certify that the information submitted in this application is true, complete and correct to the best of my knowledge and belief. I acknowledge that I have read and understood the CAMPS Code of Ethics and agree to conduct my business in accordance with its principles. I also understand that my membership in CAMPS may be terminated for failure to comply with the principles enumerated in the Code of Ethic.

______________________________________________________Signature Date

DISCOUNT ON 2ND

PERSON60%M

EARLY BIRD Full Conference

NM EARLY BIRD Full conference

M Full

Conference

NM Full

conference

Resna ATP Exam Prep

Expo passes

Cost $125 FP $75 AP

$225 FP $175 AP

$175 FP $125 AP

$275 FP$225 AP $200

Name(s) of Registrants:Name badges will be pre-printed to allow access to paid event

TOTAL

INFORMATION Please print clearly

$25

EARLY BIRD DEADLINE: JANUARY 15.

2013 ANNUAL CONVENTIONOne Capitol Mall, Suite 320Sacramento, CA 95814

PRESORTEDFirst Class

U.S. POSTAGEPAID

PERMIT NO. 2484SACRAMENTO, CA

EARLY -BIRD REGISTRATION DEADLINE

JANUARY 15

HOTEL ROOMRESERVATION DEADLINE

FEBRUARY 11