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This course discusses the full range of topics and techniques that are central to the effective management of physician practices. The course provides an overview of the revenue cycle, with emphasis on the accounts receivable and collection phases. Managed care payment issues, bad debts and charity accounts and use of collection agencies are among the topics covered. Coding and payment systems, which establish the potential revenue of the physician practice, also are explained. Other topics include fee schedules and relative value systems as well as compliance and rules for teaching physicians.
Information systems are a significant investment and this course describes the process of implementing an information system from the RFP stage to the integration of financial and clinical information.
Budget preparation techniques are presented, along with methods of assessing financial performance, projecting revenue, and evaluating capital projects. The course describes the value of cost accounting and how it is performed. In addition, the course explains methods for evaluating and negotiating payer contracts.
The intended audience for this course includes but may not be limited to accountants, financial analysts, and chief financial officers. Key areas of responsibility are medical practice operations, financial management, payer relations, and staff management in a medium to large medical group practice setting. This setting may be either an independent group practice or an integrated health care delivery system. The course is most appropriate for those individuals with a minimum of two years of experience.
Pricing: $400 (HFMA members & non-members)Instructional Method: Self-studyPrerequisites: NoneLevel: IntermediateAdvance Preparation: NoneRecommended Experience: At least two years in health care at a manager level or aboveFormat: Online
Read additional information about CPEs for CPA licenses and education credits for HFMA certification maintenance.
Tom Myers, chief strategy officer, The SSI Group, discusses the shifting payment environment and how it affects providers' patient access and claims management processes.
Jeff Chester, senior vice president and chief revenue officer at Availity, shares his thoughts on "Revenue Cycle 2.0" and how to best meet its challenges.
Mitch Morris, vice chair and global leader, healthcare, Deloitte, and Michael O'Rourke, senior vice president and chief information officer, Catholic Health Initiatives (CHI), share perspectives on the need for transformational IT in health care today.
Brian Kueppers, founder and CEO, Apex, discusses the importance of a robust patient payment strategy in boosting organization revenue and enhancing patient satisfaction.
Brian Grazzini, CFO, HealthPort, describes the importance of efficient and compliant information exchange and audit management in helping HIM staff spend less time on paperwork and more on mission-critical projects.
Cindy Matthews, executive vice president, Community Hospital Corporation, discusses how rural and community hospitals can use collaborative partnering to position for success through tough market conditions.
Rick Heise, senior vice president, revenue cycle, at Cerner Corporation, discusses the importance of integrating clinical and financial data to excel in health care’s changing payment environment.
Russ Graney, founder and CEO for Aidin, and John Laursen, head of business development for Aidin, share insights on how to improve care transitions between acute and post-acute care settings and incentivize high-quality patient outcomes.
Scott Elston, strategic accounts manager, GE Healthcare Services, describes how substantial cost reduction in health care requires rethinking business strategy and asset use.
Robert Williams, MD, director, Deloitte Consulting LLP, and Arielle Freiberger, product strategist, ConvergeHEALTH by Deloitte, explain how sophisticated retrospective, real-time, and predictive data analytics can inform decision making to reduce costs and improve care.
Stuart Hanson, director of business development (healthcare solutions) at Citi Retail Services, discusses how improving the payment experience can benefit consumers and healthcare providers.
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HFMA’s Certified Revenue Cycle Representative (CRCR) program advance your revenue cycle proficiency and technical expertise.
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