Promote Yourself: Financial Compliance

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

Assessment information:
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.

In 2018, the Centers for Medicare and Medicaid Services released the CY 2019 Revisions to Payment Policies under the Physician Fee Schedule and other Revisions to Medicare Part B, which included policies related to Medicare Quality Payment Program (QPP).

Clinicians have two tracks to choose from in the QPP based on their practice size, specialty, location, patient population, and Alternative Model participation: 1.) Merit-based Incentive Payment System (MIPS) or 2.) Advanced Alternative Payment Models.

This webinar will focus on the requirements of physicians' involvement in the QPP and their reimbursement ramifications of participation. Physicians will be made aware of their current participation level and how this will affect their practices and continued improvement of care delivered to patients.

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.

This course explains the qui tam provisions under the False Claims Act, and the different ways in which a qui tam action may proceed. The course also explains the potential awards available to relators in qui tam actions.