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

Blog | Medicare Payment and Reimbursement
Recommendations from healthcare economists for savings to preserve Part A Trust Fund focus more on taxes and less on providers.
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Blog | Medicare Payment and Reimbursement
HFMA's Chad Mulvany explains why a small percentage point increase in the uninsured rate could significantly impact the UC DSH dollars available to safety net hospitals at a time when they are financially struggling due to COVID-19.
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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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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

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 | Advanced | Payment Trends

Healthcare Finance: The Big Picture

Next to national defense, the healthcare industry in the United States is one of the largest sectors of the economy. Currently making up almost 20 percent of the nation's gross domestic product, health care in the U.S. will be a significant factor in the national economy for the foreseeable future.


Estimated course completion time: 1 hour and 30 minutes

Course | Basic | Billing and Collections

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

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