Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Business Partners

Career level:

Experienced Professional
Student
Early Careerist

Recommended for:

Managed Care
Payer Contracting

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Course | Overview | Billing and Collections
At the end of this course, you will be able to identify the three levels of HCPCS modifiers and identify the reason why a chargemaster must be reviewed and updated regularly.<div><br></div><div>Estimated course completion time: 1 hour</div>
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On Demand Webinar | Update | Billing and Collections
A look at the latest healthcare regulatory and legislative issues moving through Congress, Health and Human Services (HSS) and the Center for Medicare &amp; Medicaid Services (CMS).
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Course | Overview | Billing and Collections
This course explains how to complete FL 1-41 of the UB-04 billing form. This course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers. The course describes each form locator and provides detaile...
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Course | Overview | Billing and Collections
This course explains how to complete FL 42-81 of the UB-04 billing form. The codes needed to fill in these data areas are described. The course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers....
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Course | Overview | Billing and Collections
This course explains the purpose of the 08/05 revised version of the 1500 Health Insurance Claim Form and describes how the form should be completed.<div><br></div><div>Estimated course completion time: 2 hours and 30 minutes</div>
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Course | Overview | Billing and Collections

Contract Management

Course | Overview | Billing and Collections

Contract Management

Description

This course provides an introduction to managed care contracting. The purpose of a contract and its key components are described. The course explains criteria-based contracting. In addition, it describes elements to monitor to ensure contract compliance.

Estimated course completion time: 1 hour and 30 minutes
After this program, you'll be able to..
  • Identify the purpose of a contract
  • Identify key components and common terms of a contract
  • Identify key components and common terms of a health plan/payer contract
  • Define criteria-based contracting and recognize an evaluation model
  • Identify elements to monitor for contract compliance during the contract term, at renewal, or when problems arise with the current contractor

Related Courses | Billing and Collections

Certification | Overview | Revenue Cycle

Certified Revenue Cycle Representative Recertification

The CRCR recertification program is recommended for active, eligible, HFMA CRCR certificants with an upcoming maintainance due date of May 31, 2020. Not sure when your CRCR expiration date is? Sign in, click your profile image in the upper right corner, select My Development, and then click on the Certifications tab near the center of the page. You'll see your certifications along with their expiration date. 


HFMA required that eligible CRCR certificants gain contuing competence in the revenue cycle arena by taking a short assessment every two years.  The program provides healthcare organizations with a means to ensure that their revenue cycle staff has the body of knowledge necessary to meet their demands. 

Click here to see the list of specific topics covered in this year's recertification course. 

Assessment information:
This online program includes the recertification course and a recertification assessment. The assessment has 50 multiple choice questions and you have 90 minutes to complete it in one sitting. The passing score is 70%. If you do not pass on the first attempt, there is a mandatory 30-day waiting period. Please keep this in mind, as the deadline to complete the recertification assessment (to maintain your certification) is May 31, 2020.


Course | Overview | Billing and Collections

Revenue Capture and Recognition

At the end of this course, you will be able to identify the three levels of HCPCS modifiers and identify the reason why a chargemaster must be reviewed and updated regularly.


Estimated course completion time: 1 hour

On Demand Webinar | Basic | Revenue Cycle

Managing financial complexity: Synchronizing revenue cycle and finance teams

Healthcare finance teams face many unique challenges that can slow down processes and negatively impact the patient satisfaction. Provider consolidation, new reimbursement models, and rising consumerism and technology changes can make insurance and patient payment processes time consuming, expensive and prone to error. This webinar will examine new strategies providers are simplifying processes, reducing costs, and building stronger collaboration between the revenue cycle and finance teams. Hear how these strategies can help your organization decrease cost to collect, reduce AR days, improve working capital, and enhance the patient payment experience.

Original live webinar date: 11/20/19

Course | Overview | Revenue Cycle

Cash Posting and Electronic Remittance - Advice and Fund Transfers

In this course we review internal controls for cash handling and posting, electronic funds transfer and electronic remittance advices.


Estimated course completion time: 30 minutes