Revenue Cycle Educational Solutions for Finance
Every healthcare organization is interested in improving its revenue cycle. By combining MC Strategies and HFMA curriculum your hospital can be provided a comprehensive education solution that addresses revenue cycle improvement across the entire enterprise. This training curriculum provides education for staff members in every department that has an impact on the revenue cycle within your facility. The curriculum also provides customized lessons for revenue policies specific to your facility. This training curriculum strengthens your entire financial management team by integrating performance improvements throughout your complete revenue cycle.
EduCode Reimbursement Essentials
The EduCode Regulatory Essentials Curriculum provides practical information concerning HIPAA privacy and confidentiality issues that may be provided as yearly education to hospital staff. Topics covered in the Privacy and Confidentiality course include an overview of HIPAA, patient rights, the HIPAA privacy notice, employee responsibilities, authorizations for release of information, and business associate agreements. Also provided in this curriculum is information on general compliance issues that are highlighted in the recommended OIG compliance programs. With a focus on PFS, HIM and billing office staff, topics include fraud and abuse, teaching physician rule, basics of a compliance program, medical necessity, Medicare as secondary payer, advanced beneficiary notices, and general documentation requirements.
HFMA Finance Suite
The HFMA Healthcare Finance program provides the information that healthcare finance professionals use daily in the healthcare environment. Both new learners and experienced professionals can benefit from this combination of in-depth knowledge and overview of healthcare finance. Topics include Capital Planning and Financing, Investments, Patient Financial Services, Managed Care, and many more topics central to healthcare financial management. Authored by the Healthcare Financial Management Association (HFMA).
HFMA Avoiding Claims Denials Curriculum
HFMA presents a series of e-learning lessons to help organizations develop a successful claims denial management program with an emphasis on avoiding claims denials. Many of the lessons are geared toward helping front-line staff understand their important role in helping their organizations avoid claims denials. The lessons teach staff how to accurately obtain important information from the patient the first time so that back-end rework is not necessary. Lessons also provide staff with tips on discussing upfront payment with patients, estimating the patient’s payment portion, determining insurance status and understanding when to refer patients to financial counselors. Crucial compliance issues, such as EMTALA and HIPAA privacy regulations, are also covered. When claims denials do occur, hospitals and health systems need comprehensive programs to manage them.
Mastering Medicare Billing
Newly updated curriculum features practical “how-to” applications in a learner-friendly format. Common billing issues are addressed and discussed, building the learner’s confidence in handling billing processes. Billing staff can learn how to file accurate and timely Medicare claims that comply with CMS guidelines. Claim denials can be minimized through staff knowledge and efficiency. Critical Access Hospital (CAH) specific billing requirements are included where applicable and different from IPPS hospitals.
HFMA Cost Control Curriculum
HFMA Cost Control Curriculum provides the necessary training to help control costs through improvement strategies, effective measuring techniques and real-world scenarios. This curriculum focuses on how a hospital can manage and reduce costs effectively without impacting the quality of patient care.