Cost:

Free for HFMA Members
Buy HFMA Membership to Attend

Audience:

Hospitals and Other Providers
Physicians and Other Practitioners
Business Partners

Career level:

Executive
Experienced Professional
Mid-Senior

Recommended for:

Payer Contracting
Physician Practice
Population Health

Delivery Method:

Self Study

Advance Preparation:

None

Prerequisites:

Familiar with development of Medicare planning strategies

Course Availability:

1 Year

News | Medicare Payment and Reimbursement
Hospitals and health systems need to develop a well-informed plan of action to deal the the short-term and long-term financial impacts of COVID-19.
Save
Blog | Medicare Payment and Reimbursement
Summary of the top five CARES Act provisions impacting hospital finances and the open questions associated with those provisions.
Save
News | Medicare Payment and Reimbursement
Hospitals would garner $100 billion in funding support — as well as some desired policy tweaks — from a pending coronavirus stimulus package.
Save
Course | Basic | Medicare Payment and Reimbursement
In this course we will address scheduling processes, including<div><ul><li>Patient identification</li><li>Requested service</li><li>Medical necessity screening</li><li>Medicare Advance Beneficiary Notice of Noncoverage processing</li><li>Pa...
Save
News | Medicare Payment and Reimbursement
A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of March 9.
Save
On Demand Webinar | Intermediate | Medicare Payment and Reimbursement

Developing and operationalizing a successful Medicare Advantage strategy

On Demand Webinar | Intermediate | Medicare Payment and Reimbursement

Developing and operationalizing a successful Medicare Advantage strategy

Description

As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingly faced with the strategic questions of how best to engage with this rapidly expanding segment of their business portfolio. This question is further complicated by market disruptors, who are entering markets across the U.S. to aggregate independent physicians to manage this population.

The focus of this webinar is to raise awareness and understanding of the key considerations for:
  • Develop a market-tailored Medicare Advantage strategy
  • Define payer/contracting approaches and value propositions
  • Identify appropriate infrastructure and analytics
  • Establish high-performance networks and realizing successful execution
After this program, you'll be able to..
  • Assess the key considerations for developing a market-specific approach to pacing a transition to Value/Risk-based Medicare Advantage strategy
  • Review the spectrum of operational deliverables needed to support a successful Medicare Advantage strategy
  • Identify critical priorities behind each of those operational deliverables

Related Courses | Medicare Payment and Reimbursement

Course | Basic | Medicare Payment and Reimbursement

Scheduling

In this course we will address scheduling processes, including

  • Patient identification
  • Requested service
  • Medical necessity screening
  • Medicare Advance Beneficiary Notice of Noncoverage processing
  • Patient instructions
  • Scheduler instructions
  • Order requirements
Estimated course completion time: 30 minutes

Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 1 through 41

This course explains how to complete FL 1-41 of the UB-04 billing form. This course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers. The course describes each form locator and provides detailed information about the codes needed to fill in these data areas.


Estimated course completion time: 1 hour and 30 minutes

We also offer The UB-04 Billing Form: Form Locators 42 through 81 here.

Course | Basic | Payment, Reimbursement, and Managed Care

The UB-04 Billing Form: Form Locators 42 through 81

This course explains how to complete FL 42-81 of the UB-04 billing form. The codes needed to fill in these data areas are described. The course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers.

Estimated course completion time: 1 hour and 30 minutes

We also offer the UB-04 Billing Form: Form Locators 1 through 41 here.

On Demand Webinar | Update | Legal and Regulatory Compliance

2020 Final Rule changes to Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Centers (ASC)

The ambulatory surgery center (ASC) payment system continues to evolve with the proposed changes to the hospital payment system (OPPS) for calendar year 2020. Fnd out what changes are proposed for implementation on January 1, 2020 for ASCs and hospital outpatient services in the CY2020 final rule. Physician practice managers will want to keep a close watch on the ASC and OPPS developments as more services migrate from one setting to another. Prepare your organization now for the proposed changes.

Topics Include:

  • Latest update on CMS' pricing transparency initiatives
  • 2020 OPPS changes to drugs, biological, and radiopharmaceuticals
  • 2020 340B drug rules
  • 2020 changes to OPPS for cancer hospitals and partial hospitalization services
  • 2020 changes to OPPS packaging
  • 2020 methods to control outpatient volume increases related to clinic visits
  • 2020 changes for ASCs
  • 2020 changes to hospital outpatient and ASC quality requirements
  • Additional changes to other policy areas such as prior authorizations and laboratory date of service rules
Original Live Webinar Date: 12/17/19