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Medicaid Billing, Coding and Documentation: Order Form

The Medicaid training series is available on DVD and video tape. Please be sure to make the appropriate selection. Shipping is included in the cost.

Members

To assure sales tax exemption please enter your NY State tax exempt number below and fax a copy of the form to 212-742-2080, attention Karyn Krampitz.

Tax ID Number:

Description	Format	Cost
Billing Medicaid 101	DVD	$50.00
	VHS	$25.00
Medicaid Compliance	DVD	$60.00
	VHS	$30.00
Medicaid Document and Coding	DVD	$60.00
	VHS	$30.00
Complete Series Medicaid Billing	DVD	$150.00
	VHS	$75.00

Non-Members

To assure sales tax exemption please enter your NY State tax exempt number below and fax a copy of the form to 212-742-2080, attention Karyn Krampitz.

Tax ID Number:

Description	Format	Cost
Billing Medicaid 101	DVD	$200.00
	VHS	$100.00
Medicaid Compliance	DVD	$250.00
	VHS	$125.00
Medicaid Document and Coding	DVD	$250.00
	VHS	$125.00
Complete Series Medicaid Billing	DVD	$650.00
	VHS	$325.00