Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Health Plans
Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Executive
Mid-Senior

Recommended for:

Clinical Operations
Managed Care
Physician Practice
Reimbursement

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

Basic understanding of shared savings contracts

Course Availability:

1 Year

Fact Sheet | Payment, Reimbursement, and Managed Care
HFMA presents a comprehensive summary of the FY21 IPPS final rule, released by CMS.
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Fact Sheet | Payment, Reimbursement, and Managed Care
HFMA presents this overview of the CMS FY21 IPPS final rule.
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Fact Sheet | Payment, Reimbursement, and Managed Care
HFMA presents an executive summary highlighting the key provisions of the Quality Payment Program contained in the CY 2021 physician fee schedule proposed rule.
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Blog | Payment, Reimbursement, and Managed Care
HFMA's Katie Gilfillan says the E/M coding changes taking place January 1, 2021, will have significant impacts not only to primary care physicians but also will have significant impact on specialist’s reimbursement.
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Fact Sheet | Payment, Reimbursement, and Managed Care
HFMA presents a detailed summary of the CY 2021 physician fee schedule proposed rule.
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On Demand Webinar | Intermediate | Payment, Reimbursement, and Managed Care

Understanding the medicare shared savings program pathways to success final rule

On Demand Webinar | Intermediate | Payment, Reimbursement, and Managed Care

Understanding the medicare shared savings program pathways to success final rule

Description

On December 21, CMS finalized the Medicare Shared Savings Program Pathways to Success rule. The final rule represents the most sweeping changes to the program since its inception. While accelerating the transition to risk, the rule's changes to the benchmarking methodology and expanded opportunities to use telehealth, beneficiary incentives, and skilled nursing facility waivers increase opportunities for ACOs to succeed financially in the program. However, like under prior program rules, for ACOs to successfully improve patient outcomes and reduce the total cost of care, they will need an aligned funds flow model, infrastructure to support care redesign and individualized care plans, and strong partnerships with post-acute networks.

Original live webinar date: 1/24/2019
After this program, you'll be able to..
  • Learn how CMS determines the default level of risk at which each ACO begins and how to identify options
  • Choose the participation option that best fits your organization's experience with risk
  • Understand the financial impact of changes in the benchmarking methodology
  • Develop strategies to manage risk and succeed under the new MSSP rules

Related Courses | Payment, Reimbursement, and Managed Care

On Demand Webinar | Update | Legal and Regulatory Compliance

How to accelerate financial results of a specialty pharmacy service

Prepare your organization now for the proposed CY21 changes to the ambulatory surgery center (ASC) payment system and the hospital outpatient payment system (OPPS) CY21. Find out what changes are proposed for implementation on January 1, 2021, for ASCs and hospital leaders will not want to keep a close watch on ASC and OPPS developments as more services migrate from one setting to another.

Topics include proposed 2021 changes to:

  • APC groupings
  • OPPS changes to drugs, biological, and radiopharmaceuticals
  • OPPS for packaging
  • Inpatient Only List
  • ASCs
  • Hospital outpatient and ASC quality requirements
  • Additional changes to other policy areas

On Demand Webinar | Intermediate | Revenue Cycle

Creating a work-from-home playbook

Even prior to COVID-19, many organizations began experimenting with work-from-home arrangements, especially in the revenue cycle space. In this session, you'll hear one organization's experience with employing a work-from-home committee to transform a system policy approach into one that worked for all aspects of the revenue cycle - back, middle and front end. In addition, you'll learn how they created metrics to monitor and measure productivity as well as establish quality monitoring.


Original Live Date: HFMA Digital Annual Conference (7/17/2020)

On Demand Webinar | Basic | Revenue Cycle

Engaging a Multigenerational Workforce with Gamification

In an increasingly tight labor market, patient account representative engagement is more important than ever, especially in light of increased patient experience expectations. Engaging patient account representatives is challenging yet critical for every provider. Learn how one organization tackled this challenge through a multi-generational approach to gamificiation that can improve productivity and staff focus on organizational and individual goals, as well as reduce turnover. Understanding the tendencies of each generation can assist in creating pathways for representative engagement.


Original Live Date: HFMA Digital Annual Conference (7/17/2020)

On Demand Webinar | Intermediate | Patient Experience

Diagnosis Financial Strain:One Organization's Approach to the Patient Financial Experience

This session will present an effective process for assessing physician financial performance from an operational and strategic standpoint. The speakers will share a defined process to manage physician financial performance, including how to use cost accounting concepts to establish and manage appropriate operating budget results as well as how to use ROI concepts to assess and monitor strategic benefits in comparison to subsidy loss levels.


Original Live Date: HFMA Digital Annual Conference (7/17/2020)