Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners
Business Partners

Career level:

Experienced Professional
Student
Early Careerist

Recommended for:

Patient Access
Registration
Reimbursement

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

News | Medicare Payment and Reimbursement
Hospitals and health systems need to develop a well-informed plan of action to deal the the short-term and long-term financial impacts of COVID-19.
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Blog | Medicare Payment and Reimbursement
Summary of the top five CARES Act provisions impacting hospital finances and the open questions associated with those provisions.
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News | Medicare Payment and Reimbursement
Hospitals would garner $100 billion in funding support — as well as some desired policy tweaks — from a pending coronavirus stimulus package.
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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 March 9.
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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 March 2.
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Course | Basic | Medicare Payment and Reimbursement

Scheduling

Course | Basic | Medicare Payment and Reimbursement

Scheduling

Description

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
Estimated course completion time: 30 minutes
After this program, you'll be able to..
  • Recognize the name of one Medicare guideline used to determine which diagnoses, signs, or symptoms are payable

Related Courses | Medicare Payment and Reimbursement

Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 1 through 41

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 detailed information about the codes needed to fill in these data areas.


Estimated course completion time: 1 hour and 30 minutes

We also offer The UB-04 Billing Form: Form Locators 42 through 81 here.

Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 42 through 81

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.

Estimated course completion time: 1 hour and 30 minutes

We also offer the UB-04 Billing Form: Form Locators 1 through 41 here.

On Demand Webinar | Update | Legal and Regulatory Compliance

2020 Final Rule changes to Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Centers (ASC)

The ambulatory surgery center (ASC) payment system continues to evolve with the proposed changes to the hospital payment system (OPPS) for calendar year 2020. Fnd out what changes are proposed for implementation on January 1, 2020 for ASCs and hospital outpatient services in the CY2020 final rule. Physician practice managers will want to keep a close watch on the ASC and OPPS developments as more services migrate from one setting to another. Prepare your organization now for the proposed changes.

Topics Include:

  • Latest update on CMS' pricing transparency initiatives
  • 2020 OPPS changes to drugs, biological, and radiopharmaceuticals
  • 2020 340B drug rules
  • 2020 changes to OPPS for cancer hospitals and partial hospitalization services
  • 2020 changes to OPPS packaging
  • 2020 methods to control outpatient volume increases related to clinic visits
  • 2020 changes for ASCs
  • 2020 changes to hospital outpatient and ASC quality requirements
  • Additional changes to other policy areas such as prior authorizations and laboratory date of service rules
Original Live Webinar Date: 12/17/19

On Demand Webinar | Overview | Financial Leadership

Proposed Changes to the Physician Self-Referral (Stark) Law to Promote Value-Based Payments

The Centers for Medicare and Medicaid Services (CMS) has proposed the most sweeping changes to the regulations that interpret the physician self-referral law (the "Stark Law") in over twenty years. This webinar will principally focus on how the newly-proposed regulations, if finalized, would afford hospitals, physician groups, clinics, and other care providers significant additional flexibility to compensate physicians for collaboration on value-based care arrangements involving commercial, Medicare, or other patient populations. It will also provide an overview of other helpful proposed changes affecting an even broader array of physician compensation arrangements.

Original live webinar date: 11/18/19