Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Delivery Method:

Self Study

Course Availability:

18 Months

Recommended for:

Billing
Patient Access
Patient Accounts
Revenue Cycle

Career level:

Early Careerist
Experienced Professional
Student

Audience:

Business Partners
Hospitals and Other Providers

Advance Preparation:

None

Prerequisites:

None
News | Patient Access

In 2018, 1.9 million fewer people were covered by some type of health insurance, and they were most likely former Medicaid enrollees, according to new federal survey data.

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Live Webinar | Patient Access

Sponsored By: Access One

In an era of increasing high deductibles, steady shifting of healthcare costs from payers to individuals not only intensifies pressure on patients' pocketbooks, but also changes their attitude toward payment....

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Course | Basic | Patient Access

In this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. It will also pr...

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Course | Basic | Patient Access

In this course we highlight the various types of health insurance that your patients may present at registration. We'll review the fundamentals of Medicare, Medicaid, and third-party liability plans. You'll learn how verifying a patient's i...

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Course | Basic | Patient Access

In this course we will address scheduling processes, including

  • Patient identification
  • Requested service
  • Medical necessity screening
  • Medicare Advance Beneficiary Notice of Noncoverage processing
  • Pa...

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Course | Overview | Patient Access

PAE: Health Plans - An Overview

Course | Overview | Patient Access

PAE: Health Plans - An Overview

Description

In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules and minor claim payers and plans.
After this program, you'll be able to..
  • Recognize the basic features of major government-funded health plans
  • Identify the basic features of other health plans including commercial plans and smaller government-funded plans

Related Courses | Patient Access

Course | Basic | Patient Access

PAE: Pre-Registration and Insurance Verification

In this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. It will also provide an overview of the Medicare Secondary Payer screening process.

Course | Basic | Patient Access

PAE: Importance of Insurance Verification

In this course we highlight the various types of health insurance that your patients may present at registration. We'll review the fundamentals of Medicare, Medicaid, and third-party liability plans. You'll learn how verifying a patient's insurance eligibility and benefits affect the coordination of benefits process, which determines the primary payer and secondary payer on a claim.

Course | Basic | Patient Access

PAE: Scheduling

In this course we will address scheduling processes, including

  • Patient identification
  • Requested service
  • Medical necessity screening
  • Medicare Advance Beneficiary Notice of Noncoverage processing
  • Patient instructions
  • Scheduler instructions
  • Order Requirements

Course | Basic | Patient Financial Communications

PAE: Patient Financial Communication

In this course we will address the Patient Financial Communications Best Practices through concepts of financial counseling. We'll review patient financial care concepts, which include negotiating account resolution, identifying and initiating financial assistance processes (charity), pursuing time-of-service collections and achieving account resolution.