Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Business Partners
Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Experienced Professional
Mid-Senior
Student
Early Careerist

Recommended for:

Physician Practice

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

18 Months

Course | Basic | Physician Payment and Reimbursement

PPM: Coding and Payment Systems

Course | Basic | Physician Payment and Reimbursement

PPM: Coding and Payment Systems

Description

This course discusses coding and payment systems, which establish the potential revenue of the physician practice. Other topics include fee schedules and relative value systems as well as compliance and rules for teaching physicians.
After this program, you'll be able to..
  • Recognize the features of CPT-IV-Coding
  • Recognize the features of ICD-10 CM
  • Identify the three components of resource consumption under the RBRVS system
  • Recognize internal and external benchmarking applications
  • Recognize the individual components of a compliance program

Related Courses | Physician Payment and Reimbursement

Course | Basic | Physician Group Revenue Cycle

PPM: Legal and Regulatory Issues

This course describes specific laws and regulations that should be understood managers of physician practices. The influence of Medicare regulations on private-payer requirements is also discussed. The course also describes the purpose and role of specific federal agencies such as CMS and the IRS.

Certification | Intermediate | Physician Practice Revenue

Certified Specialist Physician Practice Management (CSPPM)

This online program discusses the full range of topics and techniques that are central to the effective management of physician practices. The program provides an overview of the revenue cycle, with emphasis on the accounts receivable and collection phases. Managed care payment issues, bad debts and charity accounts, and use of collection agencies are among the topics covered. Coding and payment systems, which establish the potential revenue of the physician practice are also explained. Other topics include fee schedules and relative value systems as well as compliance and rules for teaching physicians.

Information systems are a significant investment and this program describes the process of implementing an information system from the RFP stage to the integration of financial and clinical information.

Budget preparation techniques are presented, along with methods of assessing financial performance, projecting revenue, and evaluating capital projects. The program describes the value of cost accounting and how it is performed. In addition, the program explains methods for evaluating and negotiating payer contracts.