Free for HFMA Members
$399 for Non-members


Hospitals and Other Providers
Business Partners

Career level:

Experienced Professional

Recommended for:

Financial Planning
Cost Containment

Delivery Method:

QAS Self Study

Advance Preparation:

General knowledge and familiarity with cost accounting principles, budgeting concepts, cash management, financial reports, and internal control concepts

Field of Study:

Accounting: 3.5 hours
Finance: 10.5 hours


Two or more years in health care is recommended

Course Availability:

18 Months

On Demand Webinar | Update | Accounting and Financial Reporting
This overview of current and proposed financial reporting requirements from various groups includes recent actions from GASB and FASB and explores impacts on your financial reporting. The session also includes a review of the latest HFMA Pr...
On Demand Webinar | Overview | Accounting and Financial Reporting
This session will discuss the impact of the coronavirus on Moody's ratings and the forward-view on credit post containment and reopening. You'll also examine recent rating activity and the incorporation of federal and state support in credi...
On Demand Webinar | Update | Accounting and Financial Reporting
The new Stark law and Anti-Kickback Statute changes provide exciting new opportunities to providers to better coordinate care. But with these new opportunities come new areas of compliance that will need to be addressed. This session will p...
On Demand Webinar | Overview | Accounting and Financial Reporting
The year 2020 brought a new challenge to healthcare in the form of a global pandemic. HFMA remains committed to supporting our members through all the professional challenges they may face. In this sessions, you'll hear from HFMA President ...
On Demand Webinar | Overview | Accounting and Financial Reporting
Learn how to leverage an internal audit function at your healthcare organization. Whether your organization already engages in internal audit activities, is considering an internal audit function or you want to learn about the role of an in...
Certification | Intermediate | Accounting and Financial Reporting

Certified Specialist Accounting and Finance (CSAF)

Certification | Intermediate | Accounting and Financial Reporting

Certified Specialist Accounting and Finance (CSAF)


Get recognized as a valued contributor to your organization's financial performance when you earn HFMA's Certified Specialist Accounting and Finance (CSAF) certification.

Those who earn this certification have demonstrated mastery in reading and analyzing financial reports and statement, risk-sharing arrangements, managed care contracts, and profitability ratios.

Available online, 24/7, this certification, online program, certification maintenance, and digital badging related costs are all included in HFMA membership.

Course Outline:
Cost Analysis and Management
Reimbursement and Managed Care
Financial Planning and Budgeting
Capital Planning and Financing
Investments and Cash Management
Accounting Oversight and Internal Control
Financial Reporting: Liabilities and Long-Term Debt
Financial Reporting: Relationships and Procedures
Medicare and Medicaid Reimbursement Systems
Fraudulent Acts and Other Compliance Risks
Malpractice Insurance and Risk Management
Financial Reporting: Revenue and Assets

Assessment information:
The online program includes 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 the assessment on the first attempt, there is a mandatory 30-day waiting period. You'll have access to the exam summary and the course modules while you wait for your next attempt. The exam summary will show you how you did on the questions from each course module of the online program.

Estimated course completion time: 12-14 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 to request an extension.
After this program, you'll be able to..
  • Compare various types of budgets
  • Identify types of cost behaviors
  • Recognize the types of risk-sharing arrangements in managed care contracts
  • Identify capital investment evaluation techniques
Online program last updated: 5/24/2018

Related Courses | Accounting and Financial Reporting

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 | Basic | Financial Leadership

Reducing Cost by Eliminating Waste

Learn about strategies to evaluate waste versus cost with the patient experience in mind. You'll learn about Virginia Mason's areas of focus that have contributed favorably to the health system's margin. 

Original Live Date: 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 | Intermediate | Financial Leadership

Why you should replace adjusted discharges

The use of adjusted discharges as a metric of output to assess facilitywide productivity and efficiency is flawed and leads to invalid conclusions. It does not account for the increasing volume and complexity of outpatient procedures. During this session, Providence St. Joseph Health System will share how it effectively uses equivalent discharges and demonstrate why this metric is better suited to health systems.

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