Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Experienced Professional
Early Careerist

Recommended for:

Patient Accounts
Revenue Cycle
Claims
Admissions
Healthcare Revenue Integrity
Managed Care
Reimbursement

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Fact Sheet | Payment, Reimbursement, and Managed Care
HFMA presents a comprehensive summary of the FY21 IPPS proposed rule, released by CMS.
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Fact Sheet | Payment, Reimbursement, and Managed Care
HFMA presents this overview of the CMS FY21 IPPS proposed rule.
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Column | Payment, Reimbursement, and Managed Care
The COVID-19 crisis raises important questions for the U.S., including how it should prepare for the inevitable occurence of other potential serious pandemics in the future.
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News | Payment, Reimbursement, and Managed Care
Some health plans are accelerating payment processing or offering advances to help stabilize hospitals strained by the effects of the ongoing pandemic.
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Fact Sheet | Payment, Reimbursement, and Managed Care
Highlights of interim final rule that, for the duration of the COVID-19 public health emergency (PHE), offers providers flexibility by reinterpreting regulations.
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Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 42 through 81

Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 42 through 81

Description

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.

Estimated course completion time: 1 hour and 30 minutes

We also offer the UB-04 Billing Form: Form Locators 1 through 41 here.
After this program, you'll be able to..
  • Identify revenue codes and their descriptions
  • Define the Healthcare Common Procedure Coding System (HCPCS)
  • Recognize modifiers and their uses Identify non-covered charges
  • Recognize line item date of service requirements 
  • Identify the Health Insurance Plan ID
  • Identify the assignment of benefits indicators
  • Recognize the National Provider Identifier (NPI)
  • Recognize relationship codes
  • Recognize the Insured's Unique Identifier
  • Identify where to find additional information
  • Identify the Medicare records/health information management responsibilities
  • Recognize the principal diagnosis assignment
  • Define E Codes
  • Identify the procedure code requirements
  • Recognize the PPS/DRG assignment
  • Define Present on Admission Indicators (POA)

Related Courses | Payment, Reimbursement, and Managed Care

On Demand Webinar | Update | Financial Leadership

Into a Brave New World: Health System Strategy for the COVID-19 Era

This presentation will provide an overview of the major implications of the changing environment for health system strategy, with a particular focus on how broader consumer-focused trends, already in motion, will be impacted in the aftermath of the pandemic. Particular attention will be paid to implications for payer and employer contracting, physician alignment, and consumer engagement.

On Demand Webinar | Overview | Financial Leadership

The Business of Caring: Increasing Value Through Outcomes-Based Staffing

The linkage between nursing care and patient outcomes is widely accepted, yet it is often difficult to achieve an evidence-based allocation of nursing resources that is understood and accepted by all. Join representatives from HFMA, AONL, and ANA in an exploration of the evolution from conventional, quasi-adversarial nursing/finance working relationships to patients-first interprofessional collaboration. Walk away with a collaborative action plan to improve nursing resource allocation and thereby improve the value of care that patients receive. 


Original Live Date: HFMA Digital Annual Conference (6/26/2020)

On Demand Webinar | Intermediate | Financial Leadership

Maximun Payment Adjustments: Best Practice in Quality Reporting

With a focus on small and rural practices, you'll learn some of the "behind the curtain" insights into the Quality Payment Program (AKA MACRA) and explore what goes into achieving an exceptional performance score. Topics will include quality measures selection and performance management, promoting interoperability performance improvement, and improvement actvities selection and compliance.


Original Live Date: HFMA Digital Annual Conference (6/26/2020)

On Demand Webinar | Overview | Financial Leadership

What's your (new) financial persona?

Where do you fit when looking at diversifying future revenue streams: Do you lean toward a defensive position - reverting to your core business; or an offensive position - focusing on growth strategies that will generate new and diversified revenue streams and capture margin? This challenge has taken on a new urgency in a post-COVID-19 economy. In this session, you'll explore potential paths for organizational recovery that depend less on traditional core revenue streams. Rather, you'll be challenged to think about co-owning margins with new partners and solutions, examine what it would take to capture the equivalent NPR from strategic diversification, and create a framework for the future that is metric as well as outcome-based.


Original Live Date: HFMA Digital Annual Conference (6/26/2020)