Q1 Revenue Cycle & Financial Strategies Forum

Speaker Application Form

Mid-Atlantic | Philadelphia | December 4th

Presenters, speakers, and facilitators must represent a Hospital, Health System, or Healthcare Provider. All registrations are subject to approval by a Q1 Productions leadership team member.

Innovation Partners, Suppliers, Solution Providers, and Consultants may request more information here: https://www.q1productions.com/learn-more/

Contact Details | Tell us about yourself!

Attendee Count

First Name

Last Name

Title

Organization

Phone Number

Email Address

Company/Organization Address

City

State

Topic Selections | Tell us what topics you're interested in!

Please select from the list below the discussion topics & areas that you would be interested in leading (check all that apply)

If "Other" , feel free to enter your topic suggestions here:

Would you like to be considered for the Executive Keynote Panel? The Executive Keynote Panel features a selected group of healthcare executives engaging in a 60-minute, moderator-guided discussion focused on strategic priorities & innovation.

YesNoMaybe

Speaker Insights | Tell us what you're working on!

In your current position, which of the following areas best describes your area of responsibility:

Which best describes your area of oversight:

What are your biggest pain points within the revenue cycle and/or finance functions?

What are your key performance indicators (KPIs) for revenue cycle success?

Additional Feedback | Tell us what you're interested in!

What additional event locations are you interested in?

What other types of learning & networking opportunities would you be interested in?

Please list any colleagues or peers you would like to recommend for a speaking role:

Click “Submit Form” to complete your application.
Our team will review your information and reach out soon with next steps. By submitting, you agree to be considered for a speaking opportunity at an upcoming Q1 Productions Healthcare Forum and to be featured on the event agenda if selected.

Thank you for your interest in sharing your expertise with our community!