Denials Mgt: Revenue Cycle Performance Improvement
This course introduces the idea that lasting performance improvement in the revenue cycle can only be achieved after changing the work culture. The course also describes the ambulatory payment classification (APC) system introduced by the Centers for Medicare and Medicaid Services (CMS) in 2000. It also explains the importance of correct charging in avoiding denials, overcharges, and undercharges and describes how hospitals can prevent inaccurate charging before claims are submitted to payers and how hospitals can use retrospective audits to recover lost revenue from previously paid claims.
Certified Specialist Physician Practice Management Recertification
The CSPPM recertification program is recommended for active, eligible, HFMA CSPPM certificants with an upcoming maintenance due date of May 31, 2020. Not sure when your CSPPM expiration date is? Sign in, click your profile image in the upper right corner, select My Development, and then click on the Certifications tab near the center of your page. You'll see your certifications along with their expiration date.
HFMA requires that eligible CSPPM certificants gain competence in the physician practice management arena by taking a short assessment every two years. This program provides healthcare organizations with a means to ensure that their staff has the body of knowledge necessary to meet their demands.
CSPPM recertification course outline:
- Encounter Processing
- Accounts Receivable: Collections, Policy, and Evaluation
- Budgeting and Benchmarking
- Integrated Health Systems and Managed Care
This online program includes the above recertification courses and a recertification assessment. The assessment has 50 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. Please keep this in mind, as the deadline to complete the recertification assessment (to maintain your certification) is May 31, 2020.
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.
Revenue Integrity Program Essentials
Balancing the need for a positive bottom line while maintaining compliance with a multitude of laws and regulations is more important now than ever before. A revenue integrity program is an excellent proactive approach to meet those needs.
The result of a focused, well-designed revenue integrity program and work plan will identify opportunities to reduce or eliminate revenue leakage, reduce claim management rework, and improve regulatory compliance.