Denials Mgt: Successfully Appealing Denials
This course explains how improving management of the claims denial process can have a positive effect on a hospital's bottom line. It presents best practices that will help to capture a significantly higher proportion of claims and increase collections, including steps and strategies for successful appeals.
Compl: False Claims Act: Whistle Blower
This course explains the qui tam provisions under the False Claims Act, and the different ways in which a qui tam action may proceed. The course also explains the potential awards available to relators in qui tam actions.
Billing: The 1500 Health Insurance Claim Form
This course explains the purpose of the 08/05 revised version of the 1500 Health Insurance Claim Form and describes how the form should be completed.
Certified Revenue Cycle Representative (CRCR)
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
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
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