(CONVENTION LOGO)

							Continuing Education Certificate of
Completion for AHIMA Credentials
Complete the identification information:

Name: (Last)                                   (First)                                               (Middle)

ID Number:______________________________

Identification :    O RHIA           O RHIT          O CCS          O CCS-P         O CCA        O CHP            O CHPS

       Attending the sessions listed below makes you eligible to earn continuing education hours. This form serves as
        verification of attendance.
       Complete identification information above
       Record the number of hours attended for each session (please note the maximum hours allowed per day).
       All attendees are responsible for maintaining their records. Please retain this form as verification of attendance in the
        event you are selected for an audit.

Saturday, September 25, 2010
                                                                 Program        Max CE Units       Hours         Total CE
                   Program/Event Titles
                                                                  Times          Available        Attended      Units Earned




                                 CEU EARNED FOR THE DAY (Maximum of 7 per day):

Sunday, September 26, 2010
                                                                 Program        Max CE Units       Hours         Total CE
                   Program/Event Titles
                                                                  Times          Available        Attended      Units Earned




                                 CEU EARNED FOR THE DAY (Maximum of 6 per day):

Monday, September 27, 2010
                                                                 Program        Max CE Units       Hours         Total CE
                   Program/Event Titles
                                                                  Times          Available        Attended      Units Earned




                                 CEU EARNED FOR THE DAY (Maximum of 7 per day):
Tuesday, September 28, 2010
                                                           Program        Max CE Units    Hours       Total CE
                 Program/Event Titles
                                                            Times          Available     Attended    Units Earned




                               CEU EARNED FOR THE DAY (Maximum of 8 per day):

Wednesday, September 29, 2010
                                                           Program        Max CE Units    Hours       Total CE
                 Program/Event Titles
                                                            Times          Available     Attended    Units Earned




                               CEU EARNED FOR THE DAY (Maximum of 9 per day):

Thursday, September 30, 2010
                                                                             Maximum
                                                                                          Hours       Total CE
                 Program/Event Titles                     Program Times      CE Units
                                                                                         Attended    Units Earned
                                                                             Available




                               CEU EARNED FOR THE DAY (Maximum of 6 per day):

                                                                           Maximum CE Units       Total CE Units
                              Day and Date
                                                                               Available          Earned Per day
Saturday, September 25, 2010                                                       7
Sunday, September 26, 2010                                                         6
Monday, September 27, 2010                                                         7
Tuesday, September 28, 2010                                                        8
Wednesday, September 29, 2010                                                      9
Thursday, September 30, 2010                                                       6
                                                           Grand Totals           43

NOTE: Based on CE maintenance guidelines, to calculate a final daily total, half hours must be rounded down to the
next whole number.