Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers

Career level:

Experienced Professional
Mid-Senior

Recommended for:

Claims

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

12 Months

News | Compliance
Although proposed Stark Law exceptions have drawn praise in comments from many healthcare stakeholders, others see reasons for caution.
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On Demand Webinar | Basic | Compliance
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 ...
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Course | Overview | Compliance
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.<div><br></div><div...
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Course | Overview | Compliance
This course discusses the regulation and accreditation of the healthcare field. It provides overviews of various legislation, such as the HMO Act of 1973, the Employee Retirement Income Security Act of 1974 (ERISA), state regulations, and t...
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Course | Overview | Compliance
This course covers a set of four compliance risk areas identified by the Office of Inspector General (OIG) that healthcare providers need to be aware of before they submit healthcare claims to federal agencies for approval. The course also ...
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Course | Intermediate | Compliance

Promote Yourself: Financial Compliance

Course | Intermediate | Compliance

Promote Yourself: Financial Compliance

Description

Explore patient rights under HIPAA, learn how privacy and security differ, what can be disclosed and to whom, what makes an authorization valid, and more. Find out what's covered under the False Claims Act and dig into Medicare coding issues. This online program consists of 9 courses that provide overviews of each of the compliance and regulatory topics listed below. Each course has its own assessment:
  • EMTALA: Definitions and Requirements
  • The False Claims Act
  • HIPAA Privacy: An Introduction
  • The HIPAA Privacy Rule
  • HIPAA Privacy: Uses and Disclosures
  • HIPAA Security Standards
  • HIPAA Privacy: Authorizations
  • IRS Regulation Section 501(r)
  • Medicare Compliance Concerns
After this program, you'll be able to..
  • Ensure your team's operations conform with pertinent laws and regulations
  • Understand current compliance requirements

Related Courses | Compliance

Certification | Overview | Physician Practice Revenue

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

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.

On Demand Webinar | Basic | Compliance

What does the CMS Quality Payment Program (QPP) final rule mean for me

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.

Course | Basic | hfma:content/topic/physician_paymentandreimbursement

PPM: Coding and Payment Systems

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.


Estimated course completion time: 1 hour

Course | Overview | Compliance

Compl: False Claims Act: Whistle Blower

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.


Estimated course completion time: 2 hours