CMS 107 Workshop Registration

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Full Name

City/Town

State/Province

Organization Name

Which best describes your organization?

Are you a student?

Yes

Select the situation that most closely applies.

I have a proposal/application submitted for the use of Medicare data.

I currently have access to Medicare data.

None of the above.

What is your experience with healthcare administrative data? (select all that apply)

I have experience with Medicare FFS data.

I have experience with other healthcare administrative data.

I have experience with Medicare Encounter data.

I have no experience with healthcare administrative data.

Which best describes your primary role with Medicare data projects?

Please re-enter your email address.

The information you have provided is solely for the purpose of registration for and communication about the June 6, 2025 CMS 107 Workshop hosted by ResDAC. Your information will not be stored, shared, sold, or otherwise used for marketing purposes.

CMS 107 Workshop Registration

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