Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Business Partners
Health Plans
Hospitals and Other Providers
Physicians and Other Practitioners

Career level:

Executive
Experienced Professional
Mid-Senior

Recommended for:

Clinical Operations
Physician Practice
Revenue Cycle

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

None

Course Availability:

1 Year

Fact Sheet | Compliance
HFMA summarized in detail the OIG's proposed rule amending its civil money penalty regulations.
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Blog | Compliance
HFMA's Chad Mulvany reviews some of the U.S. Department of Health & Human Service's changes to the terms and conditions related to the CARES Act Provider Relief Fund.
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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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Live Webinar | Compliance
This webinar, which will focus on requirements of physician involvement in the Medicare Quality Program (QPP), is based on the Centers for Medicare and Medicaid Services CY 2020 Revisions to Payment Policies under the Physician Fee Schedule...
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News | Compliance
Despite recommendations for practices to add support personnel to coordinate the care of their frail elderly patients, few small, independent practices employ such staff, new research found.
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On Demand Webinar | Basic | Compliance

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

On Demand Webinar | Basic | Compliance

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

Description

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.
After this program, you'll be able to..
  • Understand what differences between MIPS, MIPS/APM, and Advanced APM ramifications on a practice and their physicians
  • Self-categorize and understand performance levels in these programs
  • Incorporate future QPP rules and regulations that will pertain to the future of their practice and delivery of care

Related Courses | Compliance

On Demand Webinar | Intermediate | Revenue Cycle

Living in a price transparent world

Increasing federal and state regulations are causing many hospitals to struggle to stay up to date with ever-changing coding and compliance rules, as well as developing and maintaining a defensible and transparent pricing strategy. This presentation is designed to address the regulatory requirements for satisfaction. We will also address next steps for you to consider when preparing for upcoming price transparency requirements. With the help of a hospital revenue cycle leader, we will dive into the challenges providers face and discuss solutions for tackling the complexities of living in a price transparent world.

On Demand Webinar | Intermediate | Coronavirus

Key cybersecurity considerations during COVID-19

The quick onset of COVID-19 forced the majority of health care organizations to change their business models in a significantly accelerated manner to ensure the continuity of their operations.  This has introduced unanticipated risks in the process, which can have a subsequent impact of data loss, data corruption or compliance failures.

This webinar will help health professionals maintain an oversight role for critical risks.  Real world professionals will provide guidance to navigate and address the uptick in cyber threat activity, a significantly expanded IT footprint brought about the increased remote workforce, new cloud technologies for virtual care and the regulatory impacts on expansion of access to protected health information on expansion of access to protected health information and HIPPA compliance.

Original Live Webinar Date: 5/12/2020

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 October 1, 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 October 1, 2020*,

*During this unprecedented time HFMA is committed to meeting the need of its certified individuals. HFMA is implementing a certification maintenance grace period to allow for additional time to meet the recertification requirement. The maintenance deadline will be extended from May 31, 2020 to October 1, 2020.

Course | Advanced | hfma:content/topic/physician_paymentandreimbursement

Physician Practice Management 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