Cost:

Free for HFMA Members
$399 for Non-members

Delivery Method:

QAS Self Study

Course Availability:

12 Months

Recommended for:

Billing
Healthcare Revenue Integrity
Physician Practice
Revenue Cycle

Career level:

Experienced Professional
Mid-Senior

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners

Field of Study:

Finance: 4.5 hours
Specialized Knowledge: 7.0 hours

Advance Preparation:

None

Prerequisites:

None
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...

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How To | Physician Practice Revenue

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

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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.

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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?

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How To | Physician Practice Revenue

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

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Certification | Intermediate | Physician Practice Revenue

Certified Specialist Physician Practice Management (CSPPM)

Certification | Intermediate | Physician Practice Revenue

Certified Specialist Physician Practice Management (CSPPM)

Description

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

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