<!DOCTYPE html> <html> <head> <meta charset="utf-8"><meta name="robots" content="index, nofollow"> <title></title> <style type="text/css"> #bodyId { background: #ffffff; font-family: helvetica,arial,sans-serif; font-size: 14px; text-align: center; margin: 0px; padding: 0px; } div#outerWrapDiv { position: relative; height: 100%; width: 100%; } div#innerWrapDiv { position: relative; background: #ffffff; padding: 0px; margin-left: auto; margin-right: auto; margin-top: 15px; margin-bottom: 0px; text-align: left; } /* Width of Full Page */ div#innerWrapDiv { width: 775px; } /* Main Content Area - Controls height of page */ div#mktContent { background: #eeeeee; font-family: helvetica,arial,sans-serif; font-size: 14px; position: relative; height: 650px; width: 100%; } /* Thin Column in Content */ div#mktColumn { height: 100%; width: 200px; position: absolute; right: 0px; top: 0px; background: #dddddd; } div#mktHeader { height: 100px; background: #cccccc; } div#mktFooter { height: 50px; background: #cccccc; } </style> <link rel="shortcut icon" href="/favicon.ico" type="image/x-icon" > <link rel="icon" href="/favicon.ico" type="image/x-icon" > <style id='mktoDesktopStyle'> .lpeCElement { position:absolute; } .imageSpan img{ width:100%; height:auto; } #lpeCDiv_25614 {display:none;} #lpeCDiv_25615 {min-width:50px; z-index:15; min-height:50px; left:211px; top:498px; } #lpeCDiv_25616 {width:703px; z-index:15; left:-84px; top:419px; } #lpeCDiv_25617 {height:417px; width:1131px; z-index:15; left:-273px; top:-12px; } #lpeCDiv_25617 img.lpimg{width:100%; height:100%; } #lpeCDiv_25618 {z-index:15; left:16px; top:478px; } </style> <style id='mktoMobileStyle'> @media only screen and (max-width: 480px), only screen and (max-device-width: 480px), only screen and (max-device-height: 480px) { .imageSpan{ display:block; } .imageSpan img{ width:100% height:auto; } #bodyId .lpeCElement {position:static;} #bodyId .mktoMobileHide {display:none;} #bodyId .mktoMobileShow {width:auto; height:auto; padding:0; margin:0; background:none; border:none; -webkit-box-shadow:none; -moz-box-shadow: none; box-shadow:none;} body#bodyId {width:auto !important; height:auto !important; padding:10px; margin:0; max-width:100%;} #bodyId .mktoForm .mktoButtonRow { display:block; text-align:right; } #bodyId .mktoForm .mktoButtonRow .mktoButtonWrap { margin-left:0 !important; } #lpeCDiv_25614 {display:none;} #lpeCDiv_25615 {display:block; width:auto; height:auto;} #lpeCDiv_25616 {display:block; width:auto; height:auto;} #lpeCDiv_25617 {display:block; width:auto; height:auto;} #lpeCDiv_25618 {display:block; width:auto; height:auto;} } @media only screen and (max-device-width: 480px) and (min-aspect-ratio: 3/2), only screen and (max-device-height: 480px) and (min-aspect-ratio: 3/2){ body#bodyId {padding:10px 10%;} } </style> <style type="text/css"> BODY#bodyId{background-color: rgb(255,255,255); } DIV#mktColumn{background-color: rgb(255,255,255); height: 300px; } DIV#mktContent{background-color: rgb(255,255,255); height: 300px; } DIV#mktFooter{background-color: rgb(255,255,255); background-image: rgb(255,255,255); } DIV#mktHeader{background-color: rgb(252,252,252); } DIV#outerWrapDiv{}</style> <style type="text/css">@media only screen and (max-width: 480px), only screen and (max-device-width: 480px), only screen and (max-device-height: 480px){</style> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0"> </head> <body id="bodyId" class="mktEditable mktoMobileShow" align="center"> <div id="outerWrapDiv" class="mktEditable mktoMobileShow"> <div id="innerWrapDiv" class="mktoMobileShow"> <div class="mktoContent mktoMobileShow"><div id='lpeCDiv_25614' class='lpeCElement GroPro2019headerpng'><span class='lpContentsItem imageSpan'><img class="lpimg" src="/rs/818-VLF-558/images/FIDHeader2019.png" /></span></div> <div id='lpeCDiv_25615' class='lpeCElement HTML_1'><div class='lpContentsItem rawHtmlSpan'><script> window.ZIProjectKey = "d7da1bb3ce1679919230"; var zi = document.createElement('script'); (zi.type = 'text/javascript'), (zi.async = true), (zi.src = 'https://js.zi-scripts.com/zi-tag.js'), document.readyState === 'complete'? document.body.appendChild(zi): window.addEventListener('load', function(){ document.body.appendChild(zi) }); </script></div></div> <div id='lpeCDiv_25616' class='lpeCElement Please_fill_out_the_fields_below_to_receive_the_complete_program_brochure_for_the_Research_Billing_C'><span class='lpContentsItem richTextSpan'><div style="text-align: center;"><span style="color: #202124; font-family: verdana, geneva; font-size: 16px; font-style: normal; font-variant-ligatures: none; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.1px; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: pre-wrap; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; float: none; display: inline !important;">Please fill out the fields below to download the complete program brochure for the <span style="color: #0d7cb3;"><strong>Clinical Research Billing Compliance Summit 2025!</strong></span></span></div></span></div> <div id='lpeCDiv_25617' class='lpeCElement 112W25-WebBannerpng'><span class='lpContentsItem imageSpan'><img class="lpimg" src="/rs/818-VLF-558/images/112W25-WebBanner.png" /></span></div> <div id='lpeCDiv_25618' class='lpeCElement 112W25-_Clinical-Billing-InPerson112W25-BD-WEB-FORM'><span class='lpContentsItem formSpan'> <script src="/js/forms2/js/forms2.min.js"></script> <form class="mktoForm" id="mktoForm_4156"> </form> <script> (function (){ var formDescriptor = {"Id":4156,"Vid":4156,"Status":"approved","Name":"112W25- Clinical-Billing-InPerson.112W25-BD-WEB-FORM","Description":"","Layout":"left","GutterWidth":10,"OffsetWidth":10,"HasTwoButtons":true,"SubmitLabel":"Submit","ResetLabel":"Clear","ButtonLocation":"120","LabelWidth":100,"FieldWidth":150,"ToolTipType":"none","FontFamily":"Helvetica, Arial, sans-serif","FontSize":"13px","FontColor":"#333","FontUrl":null,"LineMargin":10,"ProcessorVersion":2,"CreatedByUserid":1183,"ProcessOptions":{"language":"English","locale":null,"profiling":{"isEnabled":false,"numberOfProfilingFields":3,"alwaysShowFields":[]},"socialSignOn":{"isEnabled":false,"enabledNetworks":[],"cfId":null,"codeSnippet":null}},"EnableDeferredMode":0,"EnableCaptcha":0,"EnableGlobalFormValidationRule":1,"ButtonType":null,"ButtonImageUrl":null,"ButtonText":null,"ButtonSubmissionText":"Please Wait","ButtonStyle":{"id":13,"className":"mktoRound","css":".mktoForm .mktoButtonWrap.mktoRound .mktoButton {\ncolor:#fff;\nborder:1px solid #a3bee2;\n-webkit-border-radius:5px;\n-moz-border-radius:5px;\nborder-radius:5px;\nbackground-color:#779dd5;\nbackground-image: -webkit-gradient(linear, left top, left bottom, from(#779dd5), to(#5186cb));\nbackground-image: -webkit-linear-gradient(top, #779dd5, #5186cb);\nbackground-image: -moz-linear-gradient(top, #779dd5, #5186cb);\nbackground-image: linear-gradient(to bottom, #779dd5, #5186cb);\npadding:0.4em 1em;\nfont-size:1em;\n}\n.mktoForm .mktoButtonWrap.mktoRound .mktoButton:hover {\nborder:1px solid #45638c;\n}\n.mktoForm .mktoButtonWrap.mktoRound .mktoButton:focus {\noutline:none;\nborder:1px solid #45638c;\n}\n.mktoForm .mktoButtonWrap.mktoRound .mktoButton:active{\nbackground-color:#5186cb;\nbackground-image: -webkit-gradient(linear, left top, left bottom, from(#5186cb), to(#779dd5));\nbackground-image: -webkit-linear-gradient(top, #5186cb, #779dd5);\nbackground-image: -moz-linear-gradient(top, #5186cb, #779dd5);\nbackground-image: linear-gradient(to bottom, #5186cb, #779dd5);\n}\n","buttonColor":null},"ThemeStyle":{"id":6,"displayOrder":4,"name":"Round","backgroundColor":"#FFF","layout":"left","fontFamily":"Helvetica, Arial, sans-serif","fontSize":"13px","fontColor":"#333","offsetWidth":10,"gutterWidth":10,"labelWidth":100,"fieldWidth":150,"lineMargin":10,"useBackgroundColorOnPreview":false,"css":"","href":"css\/forms2-theme-round.css","buttonStyleId":13},"ThemeStyleOverride":"\/* Add your custom CSS below *\/\n\u003Cscript\u003E\n window.ZIProjectKey = \"d7da1bb3ce1679919230\"; \n var zi = document.createElement('script');\n (zi.type = 'text\/javascript'),\n (zi.async = true),\n (zi.src = 'https:\/\/js.zi-scripts.com\/zi-tag.js'),\n document.readyState === 'complete'?\n document.body.appendChild(zi):\n window.addEventListener('load', function(){\n document.body.appendChild(zi)\n });\n \u003C\/script\u003E","LiveStreamSettings":null,"rows":[[{"Id":18618,"Name":"FirstName","IsRequired":true,"Datatype":"string","Maxlength":255,"InputLabel":"First Name:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":130,"LabelWidth":102,"ValidationMessage":"This field is required."},{"Id":18619,"Name":"LastName","IsRequired":true,"Datatype":"string","Maxlength":255,"InputLabel":"Last Name:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":130,"ValidationMessage":"This field is required."}],[{"Id":18621,"Name":"Title","IsRequired":true,"Datatype":"string","Maxlength":255,"InputLabel":"Job Title:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":130,"LabelWidth":102,"ProfilingFieldNumber":0,"ValidationMessage":"This field is required."},{"Id":18620,"Name":"Company","IsRequired":true,"Datatype":"string","Maxlength":255,"InputLabel":"Company Name:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":130,"ProfilingFieldNumber":0,"ValidationMessage":"This field is required."}],[{"Id":18617,"Name":"Email","IsRequired":true,"Datatype":"email","Maxlength":255,"InputLabel":"Email Address:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":130,"LabelWidth":102,"ValidationMessage":"Must be valid email. \u003Cspan class='mktoErrorDetail'\u003Eexample@yourdomain.com\u003C\/span\u003E"},{"Id":18622,"Name":"Phone","IsRequired":true,"Datatype":"phone","Maxlength":255,"InputLabel":"Phone Number:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":130,"ProfilingFieldNumber":0,"ValidationMessage":"Must be a phone number. \u003Cspan class='mktoErrorDetail'\u003E503-555-1212\u003C\/span\u003E"}],[{"Id":18623,"Name":"City","Datatype":"hidden","Maxlength":255,"InputLabel":"City:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":90,"LabelWidth":37,"ProfilingFieldNumber":0},{"Id":18624,"Name":"State","Datatype":"hidden","Maxlength":255,"InputLabel":"State:","InputInitialValue":"","InputSourceChannel":"constant","VisibleRows":4,"FieldWidth":102,"LabelWidth":49,"ProfilingFieldNumber":0},{"Id":18625,"Name":"Country","Datatype":"hidden","Maxlength":255,"InputLabel":"Country:","InputInitialValue":"","InputSourceChannel":"constant","FieldWidth":110,"LabelWidth":66,"ProfilingFieldNumber":0}]],"fieldsetRows":[],"action":"\/index.php\/leadCapture\/save2","munchkinId":"818-VLF-558","dcJsUrl":"","invalidInputMsg":"Invalid Input","formSubmitFailedMsg":"Submission failed, please try again later.","isPreview":null}; MktoForms2.setOptions({baseUrl:"/js/forms2/"}); var isDev = false; if(isDev && window.console && window.JSON){ console.log(JSON.stringify(formDescriptor, null, " ")); } formDescriptor.lpId = 7419; var form = MktoForms2.newForm(formDescriptor, function (form){ var lpFields = {"lpId":7419,"subId":87,"munchkinId":"818-VLF-558","lpurl":"\/\/go.momentumevents.com\/112W25-Clinical-Billing-InPerson_112W23-BD-WEB-LP.html?cr={creative}&kw={keyword}"}; var pageFields = MktoForms2.getPageFields(); form.addHiddenFields(lpFields); form.addHiddenFields(pageFields); if(window.mktoPreFillFields){ form.setValuesCoerced(mktoPreFillFields); } if(!form.EnableDeferredMode){ form.render(); } }); })() </script> <noscript> <form class='mktoForm mktoNoJS'> <input type="hidden" name="formid" value="4156" /> </form> <p>Please enable Javascript to view this form.</p> </noscript> </span></div> </div> <div id="mktHeader" class="mktEditable mktoMobileHide">  </div> <div id="mktContent" class="mktEditable mktoMobileHide">  <div id="mktColumn" class="mktEditable mktoMobileHide">  </div> </div> <div id="mktFooter" class="mktEditable mktoMobileHide">  </div> </div> </div> <script type="text/javascript" src="//munchkin.marketo.net//munchkin.js"></script><script>Munchkin.init('818-VLF-558', {customName: '112W25-Clinical-Billing-InPerson_112W23-BD-WEB-LP', wsInfo: 'j1RR'});</script> <script type="text/javascript" src="/js/stripmkttok.js"></script></body> </html>

CINXE.COM