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.
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.