Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Experienced Professional
Student
Early Careerist
Mid-Senior

Recommended for:

Claims
Physician Practice
Reimbursement
Revenue Cycle

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

News | Medicare Payment and Reimbursement
Federal assistance programs should stabilize hospital cash through the summer, when Medicare repayments will create major financial pressure.
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News | Medicare Payment and Reimbursement
CMS wants hospitals to start reporting median health plan payment rates and may use the information to help determine Medicare rate changes.
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News | Medicare Payment and Reimbursement
The federal government has begun to release financial assistance targeted to rural hospitals as they struggle with cash shortfalls amid the shutdown of elective procedures.
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News | Medicare Payment and Reimbursement
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of May 4.
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News | Medicare Payment and Reimbursement
Hospitals will have additional terms and conditions with which to comply if they accept a share of $20 billion in new federal assistance.
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Course | Intermediate | Medicare Payment and Reimbursement

The Outpatient Prospective Payment System

Course | Intermediate | Medicare Payment and Reimbursement

The Outpatient Prospective Payment System

Description

This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective payment system. The course can be used as a basis for understanding compliance issues relating to the OPPS.

Estimated course completion time: 30 minutes
After this program, you'll be able to..
  • Recognize the history of the Medicare outpatient prospective payment system
  • Identify how payment is made under the Medicare outpatient prospective payment system
  • Identify what services are not paid under the Medicare outpatient prospective payment system
  • Recognize the statutory history of ambulatory payment classifications
  • Recognize reimbursement is determined using ambulatory payment classifications
  • Define pass-through payments

Related Courses | Medicare Payment and Reimbursement

On Demand Webinar | Overview | Coronavirus

Patient care in crisis: How to launch, code and bill telehealth services (Spring 2020 Virtual Conference On-demand)

Due to the coronavirus/COVID-19 crisis, physicians and health leaders are under tremendous pressure to meet the demands of patient care while stabilizing operational and financial health. This session will showcase a telehealth demonstration and discuss how providers can implement telehealth quickly and efficiently.


Original live session date: 4/9/2020

Course | Intermediate | Denials Management

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.


Estimated course completion time: 3 hours

Course | Overview | Medicare Payment and Reimbursement

Essentials of Medicare and Medicaid Managed Care

This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recent changes in the law affecting Medicare managed care contracting. This course also identifies the rights and responsibilities of Medicare enrollees. It also provides an overview of the Medicare Part D pharmacy benefit and points out some successes and failures of Medicaid managed care.


Estimated course completion time: 1 hour

Course | Basic | Coding

Health Information Management (HIM) and Coding

At the end of this course, you will be able to identify the responsibility of Health Information Management (HIM) in the revenue cycle.


Estimated course completion time: 2 hours