Free for HFMA Members
$399 for Non-members


Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Experienced Professional

Recommended for:

Healthcare Revenue Integrity
Physician Practice
Revenue Cycle

Delivery Method:

QAS Self Study

Advance Preparation:


Field of Study:

Finance: 4.5 hours
Specialized Knowledge: 7.0 hours



Course Availability:

18 Months

How To | Physician Practice Revenue

Health systems seeking to acquire physician practices should first develop a thoughtful physician acquisition strategy that considers factors such as whether the focus will be on primary care physicians or specialists and the extent to whic...

How To | Physician Practice Revenue

Thoughtful strategies surrounding physician practice acquisition can help set the stage for success.

How To | Physician Practice Revenue

Physician specialty practices face the daunting task of recalibrating their revenue cycle management processes to optimize their financial performance under value-based care.

Q&A | Physician Practice Revenue

At what size should a medical practice consider hiring a controller and what is the current salary for such a position?

How To | Physician Practice Revenue

The cause of your physician practice’s financial pains might be your revenue cycle processes.

Certification | Intermediate | Physician Practice Revenue

Certified Specialist Physician Practice Management (CSPPM)

Certification | Intermediate | Physician Practice Revenue

Certified Specialist Physician Practice Management (CSPPM)


This online program discusses the full range of topics and techniques that are central to the effective management of physician practices. The program provides an overview of the revenue cycle, with emphasis on the accounts receivable and collection phases. Managed care payment issues, bad debts and charity accounts, and use of collection agencies are among the topics covered. Coding and payment systems, which establish the potential revenue of the physician practice are also explained. Other topics include fee schedules and relative value systems as well as compliance and rules for teaching physicians.

Information systems are a significant investment and this program describes the process of implementing an information system from the RFP stage to the integration of financial and clinical information.

Budget preparation techniques are presented, along with methods of assessing financial performance, projecting revenue, and evaluating capital projects. The program describes the value of cost accounting and how it is performed. In addition, the program explains methods for evaluating and negotiating payer contracts.
After this program, you'll be able to..
  • Identify the key contributory elements of evaluation and management services
  • Recognize the Resource Based Relative Value System (RBRVS) and its components
  • Identify the elements of managing third-party receivables and self-pay receivables
  • Name techniques commonly used to measure accounts receivable
  • Recognize the difference between bad debt and charity accounts
  • Identify activities for evaluating and acquiring a medical group information system
  • Identify three types of data used to estimate demand for a medical group's practice
  • Define components of a comprehensive budget
  • Define ratios valuable in monitoring financial performance of a practice
  • Define cost accounting
  • Recognize how break-even analysis can be of use to the medical group
  • Identify processes for evaluating a contract
  • Recognize Stark legislation and the laws it has developed for regulation of the medical group
  • Identify elements of strategic planning and the role of marketing

Related Courses | Physician Practice Revenue

Course | Basic | Physician Payment and Reimbursement

PPM: Coding and Payment Systems

This course discusses coding and payment systems, which establish the potential revenue of the physician practice. Other topics include fee schedules and relative value systems as well as compliance and rules for teaching physicians.

Course | Basic | Physician Group Revenue Cycle

PPM: Legal and Regulatory Issues

This course describes specific laws and regulations that should be understood managers of physician practices. The influence of Medicare regulations on private-payer requirements is also discussed. The course also describes the purpose and role of specific federal agencies such as CMS and the IRS.

On Demand Webinar | Overview | Revenue Cycle Technology

Intelligent surgery & the use of data to drive alignment throughout Banner Health's robotics service line

Currently facing health care organizations are the challenges of reducing the total cost to treat patients. Through data, executives may be able to demonstrate that a well-coordinated robotics service line has the potential to reduce clinical, financial, and operational variation.

This webinar will help you identify the practical metrics needed to evaluate surgical performance within your own hospitals. We will share insights in using data correctly to potentially drive positive clinical and economic outcomes. In addition, we will provide the tools to support you in the identification of best practices, standardization in the operating room, and enable you to discover areas of optimization for your robotics program.

On Demand Webinar | Intermediate | Revenue Cycle

Realizing your return on analytics

The Healthcare Financial Management Association (HFMA) and the American Association for Physician Leadership (AAPL) are honored to collaborate to provide education and experiences that bring together clinical and financial leaders in healthcare. Attend the upcoming webinar series, sponsored by Kaufman Hall, on Improving Clinical and Financial Outcomes in Healthcare Organizations. This webinar series is available to HFMA and AAPL members at no cost.

Generating data alone does not bring clarity. A healthcare organization's ability to sustain high-value care delivery and ensure its long-term strategic financial viability increasingly depends on how effectively it can apply data analytics to inform improvement efforts related to quality, cost, and patient experience.

At the most basic level, the purpose of analytics is to get the right information to the right people to help them make the right decisions. During this webinar, we will review a framework and share examples of how hospitals and health system can progress from identifying strategic opportunities to executing solutions that achieve each opportunity's full potential and deliver the expected return on analytics.