Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Business Partners
Physicians and Other Practitioners

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Course | Overview | Billing and Collections
At the end of this course, you will be able to recognize billing requirements utilized by healthcare providers and health plans.<div><br></div><div>Estimated course completion time: 1 hour</div>
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Course | Overview | Billing and Collections
At the end of this course, you will be able to identify the three levels of HCPCS modifiers and identify the reason why a chargemaster must be reviewed and updated regularly.<div><br></div><div>Estimated course completion time: 1 hour</div>
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On Demand Webinar | Update | Billing and Collections
A look at the latest healthcare regulatory and legislative issues moving through Congress, Health and Human Services (HSS) and the Center for Medicare &amp; Medicaid Services (CMS).
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Course | Overview | Billing and Collections
This course explains how to complete FL 1-41 of the UB-04 billing form. This course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers. The course describes each form locator and provides detaile...
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Course | Overview | Billing and Collections
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....
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Course | Overview | Billing and Collections

Compliance: Billing Risks

Course | Overview | Billing and Collections

Compliance: Billing Risks

Description

This course covers a set of four compliance risk areas identified by the Office of Inspector General (OIG) that healthcare providers need to be aware of before they submit healthcare claims to federal agencies for approval. The course also discusses the nature of these risks and the potential sanctions and consequences for healthcare providers if they take these risks while submitting claims to federal agencies.

Estimated course completion time: 30 minutes
After this program, you'll be able to..
  • Identify the risk of billing for services not rendered
  • Recognize the risk of billing for medically unnecessary services
  • Recognize the potential sanctions and consequences
  • Recognize the risk of duplicate billing
  • Recognize the risk of billing for discharge in lieu of transfer

Related Courses | Billing and Collections

Certification | Overview | Revenue Cycle

Certified Revenue Cycle Representative Recertification

The CRCR recertification program is recommended for active, eligible, HFMA CRCR certificants with an upcoming maintainance due date of May 31, 2020. Not sure when your CRCR expiration date is? Sign in, click your profile image in the upper right corner, select My Development, and then click on the Certifications tab near the center of the page. You'll see your certifications along with their expiration date. 


HFMA requires that eligible CRCR certificants gain continuing competence in the revenue cycle arena by taking a short assessment every two years.  The program provides healthcare organizations with a means to ensure that their revenue cycle staff has the body of knowledge necessary to meet their demands. 

Click here to see the list of specific topics covered in this year's recertification course. 

Assessment information:
This online program includes the recertification course and a recertification assessment. The assessment has 50 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. Please keep this in mind, as the deadline to complete the recertification assessment (to maintain your certification) is May 31, 2020.


Course | Overview | 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 | Overview | Billing and Collections

Revenue Capture and Recognition

At the end of this course, you will be able to identify the three levels of HCPCS modifiers and identify the reason why a chargemaster must be reviewed and updated regularly.


Estimated course completion time: 1 hour

Course | Overview | Revenue Cycle

Cash Posting and Electronic Remittance - Advice and Fund Transfers

In this course we review internal controls for cash handling and posting, electronic funds transfer and electronic remittance advices.


Estimated course completion time: 30 minutes