MEMBERSHIP APPLICATION

The mission of the international society for Research in Healthcare Financial Management (the Society) is to advance international research, education, and practice in healthcare financial management and related professions. In order to achieve this mission, the Society actively promotes the collaboration of clinicians, managers, practitioners and academics in developing an interdisciplinary approach to healthcare financial management and policy throughout the world. Membership is limited to qualified healthcare financial management-related professionals who have distinguished themselves through outstanding accomplishment and service. Associate membership is available to students and others with an active interest in pursuing the Society's mission.

The Society is a voluntary, professional organization that is primarily Internet-based. Qualifying individuals may become members of the Society at the following annual rates: Full Membership dues US $120 per year, Associate Membership dues US $70 per year. Membership includes a one-year subscription to the premier annual publication Research in Healthcare Financial Management, and eligibility for reduced rates on Society conferences, publications and services. Associate members are eligible to serve on Society committees by appointment, but are not eligible to hold an elected Society office or vote in Society elections. The Society is chartered as a nonprofit 501(c)3 corporation, isRHFM, Ltd., and Members agree to uphold the mission and Bylaws of the Society.

Please check the category of membership for which application is made:
Full Member (Requires a minimum of 100 points)  
Associate Member (Requires a minimum of 40 points)  
Please check your preferred address for correspondence
Business Address  
Home Address  

 

Business Information
First Name
Middle Name
Last Name
Title
Employer Organization
Business Street Address
City
State / Province
Zip / Postal Code
Telephone Country Code
Telephone City Code
Voice Telephone Number
Fax Number City Code
Fax Number
E-mail Address
Internet Website URL
Personal Information  
Home Street Address
City
State / Province
Zip / Postal Code
Telephone Country Code
Telephone City Code
Voice Telephone Number
Fax Number City Code
Fax Number
E-mail Address
Internet Website URL
   
Please complete the appropriate items and score your education, experience and certification qualifications for Membership.
Education
 
Number
Points Each
Total Points
Bachelors degree or equivalent (allow one only)
40
Masters degree or equivalent
(please list all)
10
Ph.D., Dr.P.H., DBA, Sc.D., MD, DDS, Pharm.D., JD or equivalent
(please list all)
30
Experience
(Award 10 points for each full year of RHFM-related experience in the following areas. If you have concurrent experience in more than one area, duplicate credit cannot be claimed.)
Clinical Practice
10
Administration / Management / Marketing
10
Policy / Regulation
10
Reimbursement / Insurance
10
Quality Management / Performance Development
10
Law
10
Economics
10
Accounting / Finance
10
Information Systems
10
Corporate Compliance
10
Education (as full-time faculty member)
10
Grant / Contract, Research / Administration
10
Other (please specify)
10
Certification
(Award 10 points for each active professional license and/or certification. Please list all license or certification titles in full; attach an additional page if necessary.)
E.g.: CCM, CDMSC, CFE, CFP, CISA, CMA, CMPA, CPA, CRC, FACHE, FHFMA, LCSW, NCP, NP, OT, PA, PT, RN, R.Ph, etc.
Please specify
Total (at least 100 points required for Full Membership, 40 points for Associate Membership)

Notes and Comments

I hereby certify that the above is true and correct to the best of my knowledge, and that I have never been convicted of a felony or a healthcare fraud and abuse offense. Falsification of any information on this application is grounds for denial or revocation of Membership. If this application is accepted, I agree to uphold the mission and Bylaws of the international society for Research in Healthcare Financial Management.
Credit Card Information
Charge My:
Visa
MasterCard
Card Number:
Security Code (3 or 4 digit code at the back of the card, after the credit card number)
Expiration Date
Cardholder Name (as shown on card)
(May take a few moments)

 

 

Edited at
UTSA College of Business