Catalog
Courses | Certifications | Designations
| COURSES | DESCRIPTION | Hours | CPE |
|---|---|---|---|
| A Day in the Life of a Patient: A HIPAA Review | Follow a patient from admission to discharge, stopping along the way to see how everyone in a hospital, including the patient, is affected by HIPAA. | 0.5 | |
| Advance Directives and Bedside Registration | In this course we will cover the purpose of advance directives, list the general types of advance directives and explain what each covers, identify how to explain advance directives to the patient, and differentiate between bedside registration and traditional registration in terms of similarities and differences. | 0.5 | |
| Anatomy of Analytics: Three Critical Components Leadership Need to Know | This course will provide an overview of how analytics can drive operational execution, management, and control for leaders. By learning the three critical components of data analytics, you will gain actionable steps for leveraging analytics to lead teams and organizations. | 1 | |
| Basic Billing Rules and Payment Methodologies | Learn the basic billing rules for various healthcare providers as well as their payment methodologies. Develop knowledge about billing and payment processes for various healthcare providers including rural health clinics, hospice care and skilled nursing facilities. | 1 | |
| Best Practice (Patient Centric) Revenue Cycle Overview | This course will provide you with an overview of the consumer-centric revenue cycle model. The Revenue Cycle includes all of the major steps required to process a patient account from the request for service through closing the account with a zero balance and purging it from the system. | 0.75 | |
| Building Financial Competence in the Current Healthcare Environment | This course will explore the relationship between financial ratios, budgeting targets and techniques that will improve accuracy, incorporate a long-term perspective, and create financially sustainable decisions. | 3 | |
| Contract Management | Learn the basics of managed care contracting, including criteria-based contracting and how to monitor contract compliance. | 1.5 | |
| Cost Analysis & Management | This course explains how cost accounting helps organizations accurately predict the cost of providing services. It presents an overview of activity-based costing and describes how to develop and analyze cost information by product line. | 0.75 | |
| Cost Effectiveness of Health: An Introduction | This course will provide an overview of Cost Effectiveness of Health (CEoH) – the intersection of lower costs and better outcomes. By learning the impacts of CEoH you will understand how it can improve health not only for individuals but also for populations, while reducing unnecessary healthcare spending and directing health-related spending most effectively. | 1 | |
| Essentials of Medicare and Medicaid Managed Care | This course includes a brief history and overview of Medicare and Medicaid, a description of government organizations that regulate and administer this program, a discussion of Medicare reimbursement, and highlights recent changes in the laws affecting Medicare managed care contracting. | 1 | |
| Four Tactics to Successfully Lead Remote and Hybrid Employees | This course will help you understand the challenges and best practices associated with leading remote teams. By the end of this course, you will have practical strategies to build trust, deliver effective feedback, foster engagement, and recognize the contributions of remote employees, leading to more cohesive and successful remote and hybrid teams. | 1 | 1 |
| Fundamentals of Insurance Verification | This course highlights the various types of health insurance that your patients may present at registration. We’ll review the fundamentals of Medicare, Medicaid, and third-party liability plans along with the differences in commercial and managed care plans. You’ll learn how verifying a patient’s insurance eligibility and benefits affect the coordination of benefits process, which determines the primary payer and secondary payer on a claim. | 0.5 | |
| Healthcare Finance: The Big Picture | This course presents a big picture overview of the evolution of healthcare services delivery and payment. It highlights the healthcare transformations including the shift from volume to value, quality, payment satisfaction, competition on costs and the evolution of the payment system. | 1.5 | |
| Health Information Management (HIM) and Coding | At the end of this course, you will be able to identify the responsibility of Health Information Management (HIM) in the revenue cycle. | 2 | |
| Health Plans: An Overview | In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules, and minor claim payers and plans. | 0.5 | |
| HFMA Business of Healthcare | A comprehensive online program that presents an overview of today’s healthcare environment and highlights the shift in healthcare service delivery and evolving payment models. | 14 | 14 |
| HFMA Business of Healthcare for CME | Jointly provided by HFMA and PIM – Postgraduate Institute for Medicine, this program offers ONLY the study materials. The assessment (CME post-test) is taken via PIM’s CME University. This activity has been designed to meet the CME educational needs of physicians, pharmacists, registered nurses, dentists, and other healthcare providers. HFMA Business of Health Care® for CME 2021 is a comprehensive online program that presents an overview of today’s healthcare environment and highlights the shift in healthcare service delivery and evolving payment models. | 13.5 | |
| HIPAA: Protecting Patient Information | This course explains the basics of HIPAA’s Privacy Rule and what you need to consider when handling patients’ Protected Health Information (PHI). It also outlines the rights that patients have under HIPAA. | 1.5 | |
| How Price Transparency Improves Patient Satisfaction | This course shares how to prepare a price estimate, the role of price estimates in patient financial care, and how pricing information is used to prepare and present price estimates. | 1 | |
| Internal Controls for Cash Posting and Electronic Funds Transfers | In this course we review internal controls for cash handling and posting, electronic funds transfer (EFT) and electronic remittance advices. | 0.5 | |
| Key Performance Indicators in the Revenue Cycle | In this course you will learn about the key performance indicators (KPIs) and benchmarking that can raise the level of accounts receivable department performance. This course also covers the various techniques used to measure accounts receivable activity. | 5 | |
| Managed Care Reimbursement Methodologies | This course discusses financial management, the central thread that interconnects the various elements of managed care. It explains various reimbursement methodologies commonly used in managed care and the underlying assumptions and risk management funding mechanisms that are responsible for these reimbursement methodologies. This course describes basic and advanced reimbursement methodologies used for hospital services and basic reimbursement methodologies used for physicians and other professionals. | 1.25 | |
| Medicare Inpatient Reimbursement Fundamentals | In this course, you will learn about the Inpatient Prospective Payment System and how it is structured to reimbursement healthcare providers for the items and services furnished to Medicare beneficiaries. This course will also provide you with a general understanding of various payment delivery mechanisms within the IPPS. | 2 | 2 |
| Patient Access Essentials | This four-part training program provides an overview of best practice recommendations to enhance the knowledge, competencies and productivity in patient-facing positions. | 4 | |
| Patient Experience and Satisfaction | In this course we will address the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey, patients’ expectations as consumers, and the role revenue cycle team members play in a patient’s experience and satisfaction. We’ll also review the impact that failed communication, poor customer service and quality breakdowns may have on patient satisfaction and revenue cycle outcomes. | 0.5 | |
| Patient Financial Communications – Advance of Service | Discover when and how best to communicate, including on the phone. Get tools for explaining key terms, handling questions and comments, and helping patients understand and meet their financial obligations. | 1 | |
| Patient Financial Communications – Emergency Department | Discover when and how best to communicate in the emergency department. Get tools for explaining key terms, handling questions and comments, and helping patients understand and meet their financial obligations. | 1 | |
| Patient Financial Communications – Time of Service | Discover when and how best to communicate in non-emergency situations. Get tools for explaining key terms, handling questions and comments, and helping patients understand and meet their financial obligations. | 1 | |
| Patient Scheduling Basics | 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 and order requirements. | 0.5 | |
| Pre-Registration and Insurance Verification | In this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. | 0.5 | |
| Revenue Capture and Recognition | At the end of this course, you will be able to identify the three levels of HCPCS modifiers and identify the reason why a chargemaster must be reviewed and updated regularly. | 1 | |
| Seven Key Leadership Skills to Overcome Burnout | Participants will use active listening, empathetic communication, boundary-setting and stress management techniques to navigate leadership scenarios with confidence and compassion. Learners will emerge with actionable insights and strategies to enhance their leadership effectiveness, promote employee well-being, and cultivate thriving, resilient teams in the face of adversity. | 1 | |
| Seven Qualities of an Emotional Intelligent Leader | This course will provide an overview of emotional intelligence and how it impacts leadership and your life. By learning the seven qualities of an emotional intelligent leader, you will gain actionable steps for applying these qualities to lead teams and organizations. | 1 | 1 |
| Strategies to Prevent Claims Denials | This course explains what claims denial management is and why you should be concerned about this important function. This course covers six types of denials: technical denials, medical denials, partial payments, claim suspensions, discrepancies, and late payments. This course also explores how to prevent and correct some common causes of denials | 1 | |
| The 1500 Health Insurance Claim Form | This course explains the purpose of the 1500 Health Insurance Claim Form and describes how the form should be completed. | 2.25 | |
| The UB-04 Billing Form (Locators 1 through 41) | Learn how to complete FL 1-41 of the UB-04 billing form as it applies to all payers, including Medicare, Medicaid and commercial payers. Learners will become familiar with each form locator and understand detailed information about the codes needed to fill in these data areas. | 1.5 | |
| The UB-04 Billing Form (Locators 42 through 81) | Learn how to complete FL 42-81 of the UB-04 billing form as it applies to all payers, including Medicare, Medicaid and commercial payers. | 1.5 | |
| Three Key Components for Effective Leadership Storytelling | This course will provide you with an overview of how to use storytelling as an effective and powerful leadership tool. By learning the three key components for storytelling you will gain actionable steps for gaining and enhancing your leadership skills. | 1 | 1 |
| Three Key Leadership Strategies for Managing Labor and Productivity | This course will provide an overview of how managing labor and productivity can drive operational execution and efficiency management for leaders. By learning the three key leadership strategies for managing labor and productivity, you will gain actionable steps for leading productive teams and organizations. | 1 | 1 | Three Secrets of Influential Leadership | In this course, you will delve into the concept of authentic influence and its relevance in healthcare finance leadership. Through practical examples, you will explore the three secrets of influential leadership, equipping yourself with valuable tools to enhance your ability to influence stakeholders authentically. | 1 | 1 |
| CERTIFICATIONS | DESCRIPTION | Hours | CPE |
|---|---|---|---|
| NEW! Certified Hospital Cost Report Specialist (CHCRS)* | The Certified Hospital Cost Report Specialist (CHCRS) program content reviews an in-depth presentation of key components of hospital cost reporting. | 10 | 10 |
| Certified Healthcare Financial Professional (CHFP) | Dive into the new financial realities of health care and come up with a better business skill set, new ideas on financial strategy, and insights into future trends. | 14 | 14 |
| Certified Revenue Cycle Representative (CRCR) | Increase your knowledge, competencies, and productivity with best-practices recommendations to positively impact the revenue cycle and enhance patient experience. | 14 | 14 |
| Certified Specialist Account and Finance (CSAF) | Strengthen your skills and mastery of financial reports and statements, risk-sharing arrangements, managed care contracts, and profitability ratios. | 14 | 14 |
| Certified Specialist Business Intelligence (CSBI) | Learn methods for looking at data and using tools to ensure the right information is illuminated and used to enable powerful actions and decisions. | 10 | 10 |
| Certified Specialist Payment & Reimbursement (CSPR) | Get recognized as a valued contributor to your organization’s financial performance when you earn HFMA’s Certified Specialist Payment & Reimbursement (CSPR) certification. | 12 | 12 |
| Certified Specialist Physician Practice Management (CSPPM) | Demonstrate your physician practice finance, cost accounting, revenue cycle, coding, reimbursement, and payer contracting acumen. | 11.5 | 11.5 |
| DESIGNATIONS** | DESCRIPTION |
|---|---|
| New! Executive of Healthcare Revenue Cycle (EHRC) | This designation demonstrates commitment to leadership within the revenue cycle area of healthcare as well as continued involvement and education in healthcare revenue cycle.** |
| Fellow of HFMA (FHFMA) | Fellowship is awarded to HFMA members who have demonstrated financial expertise and leadership through the use of personal financial knowledge and skills in voluntary community service. |
* Fees apply for HFMA members and non-members.
** Designations are earned through a variety of activities, not by taking an exam. There are no official hours or CPEs.