Pre-Registration and Insurance Verification
n this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. It...
Patient Scheduling Basics
In this course we will address scheduling processes, including patient identification, requested service, medical necessity screening, Medicare Advance Beneficiary Notice of Noncoverage processing, patient instructions, scheduler instructions and order requirements....
Advance Directives and Bedside Registration
This course describes the types of advance directives and explains the role of the registrar in identifying the existence of advance directives and processing such directives when they exist. It...
Basic Billing Rules and Payment Methodologies
Learn the basic billing rules for various healthcare providers as well as their payment methodologies. The course also addresses telehealth service billing. Estimated course completion time: 1 hour. Learning Objectives:...
Key Performance Indicators in the Revenue Cycle
In this course you will learn about the key performance indicators (KPIs) and benchmarking that can raise the level of accounts receivable department performance. This course also covers the various...
Managed Care Reimbursement Methodologies
This course discusses financial management, the central thread that interconnects the various elements of managed care. It explains various reimbursement methodologies commonly used in managed care and the underlying assumptions...
Essentials of Medicare and Medicaid Managed Care
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition,...
Completing the 1500 Health Insurance Claim Form
This course explains the purpose of the 1500 Health Insurance Claim Form and describes how the form should be completed. Estimated course completion time: 2 hours and 30 minutes. Learning...
Strategies to Prevent Claims Denials
This course defines claims denial management and explains the impact of claims denials on hospitals. It highlights the benefits to hospitals of managing claims denials effectively and describes how claims...
HFMA Business of Health Care®
HFMA Business of Health Care® is a comprehensive online program that presents an overview of today’s healthcare environment and highlights the shift in healthcare service delivery and evolving payment models....