Cost:

Free for HFMA Members
$399 for Non-members

Audience:

Hospitals and Other Providers
Business Partners

Career level:

Experienced Professional
Student
Early Careerist

Recommended for:

Healthcare Revenue Integrity
Medical Records
Patient Access
Patient Accounts
Patient Financial Services
Revenue Cycle
Business Development
Claims
Admissions

Delivery Method:

QAS Self Study

Advance Preparation:

None

Field of Study:

Behavioral Ethics: 0.5 hour
Finance: 2.0 hours
Specialized Knowledge: 11.5 hours

Prerequisites:

One or more years of experience in revenue cycle activities

Course Availability:

18 Months

Live Webinar | Revenue Cycle
Sponsored By: <a title="" href="http://www.accessonemedcard.com" target="_blank">AccessOne</a><a href="javascript:nicTemp();"></a><br><br>As patients' out-of-pocket costs of care rise by double-digit percentages, the need for a highly trans...
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On Demand Webinar | Overview | Revenue Cycle
Many healthcare organizations apply tremendous effort and resources to ensure that patients have a positive experience. However, this good will is often diluted by a negative financial experience.&nbsp; Learn how to insulate the patient, an...
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Live Webinar | Revenue Cycle
Sponsored By: <a title="" href="https://www.accuregsoftware.com/ " target="_blank">AccuReg</a><br><br>A butterfly flaps its wings, causing a hurricane halfway around the world. Learn how to apply the butterfly effect by making minor changes...
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Article | Revenue Cycle
Idaho-based St. Luke’s Health System is allowing payers to access patient records directly through their EHR.
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News | Revenue Cycle
HFMA conference in New Orleans focuses on achieving a consumer-focused revenue cycle.
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Certification | Intermediate | Revenue Cycle

Certified Revenue Cycle Representative (CRCR)

Certification | Intermediate | Revenue Cycle

Certified Revenue Cycle Representative (CRCR)

Description

Get recognized as a valued contributor to your organization's revenue cycle performance when you earn HFMA's Certified Revenue Cycle Representative (CRCR) certification.

It's essential that front line staff have a broad understanding of today's revenue cycle. From reducing denials, to ensuring regulatory compliance, to enhancing the patient experience, it's more critical than ever to connect processes to financial outcomes.

HFMA's CRCR is the only content available that provides a national-level certification for addressing the contemporary patient-centric revenue cycle. Available online, 24/7, this certification, online program, certification maintenance and digital badging related costs are all included in HFMA membership.

"With HFMA and CRCR I was able to enhance my learning experience and use some of that knowledge during my internship to help write some new policies and work on how we communicate with our patients." - Morgan Coker, Revenue Cycle Manager

Course Outline:
Unit 1: Revenue Cycle in Health Care
Unit 2: Pre-Service - Financial Care
Unit 3: Time of Service - Financial Care
Unit 4: Post-Service - Financial Care

Assessment Information:
This online program includes a key concepts guide, the course modules listed above and a certification assessment. The assessment has 75 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. You'll have access to the exam summary and the course while you wait for your next attempt. The exam summary will show you how you did on the questions from each unit of the online program.

Estimated course completion time: 10-14 hours

If you need to recertify, please click here.

Note: If you are an HFMA member and currently registered for this program and need additional time because it is expired or expiring soon, please email elearning@hfma.org to request an extension.
After this program, you'll be able to..
  • Identify processes and techniques for both enhancing the patient experience and improving financial performance
  • Explore the most effective ways to reduce denials and simplify collections
  • Review regulations to assure compliance
  • Outline effective ways to increase interdepartmental cooperation, heighten staff confidence and improve work satisfaction
  • Create effective ways to measure revenue cycle staff proficiency, recognize staff knowledge and expertise, and decrease turnover
Online program last updated: 3/29/2017

Related Courses | Revenue Cycle

Course | Basic | Billing and Collections

Basic Billing Rules and Payment Methodologies

At the end of this course, you will be able to recognize billing requirements utilized by healthcare providers and health plans.


Estimated course completion time: 1 hour

Course | Intermediate | Patient Experience

Patient Experience and Satisfaction

In this course we will address the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey, patients' expectations as consumers, and the role revenue cycle team members plays in a patient's experience and satisfaction. We'll also review the impact that failed communication, poor customer service and quality breakdowns may have on patient satisfaction and revenue cycle outcomes.


Estimated course completion time: 30 minutes

Course | Overview | Health Plan Payment and Reimbursement

Health Plans - An Overview

In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules and minor claim payers and plans.


Estimated course completion time: 30 minutes

Course | Intermediate | Denials Management

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 denials can be managed both before and after denials take place. The course describes types of denials and discusses key strategies for preventing and correcting some common causes of denials.


Estimated course completion time: 1 hour