Course catalogue

Course name

Course category

Content Type

Topic

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Recommended For

Designation

Sponsor

Reimagining Revenue Cycle Efficiency: Automation Case Study

In an era of razor-thin margins and rising denial rates, automation isn’t just an option—it’s a strategic necessity. But success depends on thoughtful planning, not simply deploying tools. In this session, presenters explore the real-world journey leveraging automation to improve clinical processes at Virginia Women’s Center – a member of the Privia Health Network, including medical record requests and test result updates, to revenue cycle operations such as carrier directory verification and claim screening. Participants will leave with a pragmatic framework for evaluating automation opportunities, lessons learned, and performance benchmarks to guide their own roadmap.

Original Live Webinar Date: November 25, 2025

Learning Objectives

Identify RCM workflows most suitable for automation
Understand the key steps and pitfalls in implementing automation projects
Evaluate success metrics to measure performance and ROI

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Content Type: On Demand Webinar

Delivery Method: Self-Study

Rethink Revenue Cycle: From Cost to Margin Engine

Original Live Webinar Date: Wednesday, May 5, 2026, 1:00–2:00 PM CST

Revenue cycle is no longer just a set of departments or disconnected workflows, it is increasingly a financial operating model that determines how predictably revenue converts to margin. As challenges within the revenue cycle grow, point solutions and labor-scaled models struggle to protect margin at scale. This session explores how leading organizations are rethinking revenue cycle as an orchestrated, AI-enabled system designed to prevent leakage upstream, reduce revenue variance, and improve operating leverage, without adding more fragmented tools or scaling cost linearly with volume. The differentiator is administrative autonomy, meaning the share of revenue cycle work completed end-to-end with minimal human touch.

Speakers

Dr. David Nace
Chief Medical Officer
Innovaccer

Patrick Leonpacher
Senior Vice President - Product
Innovaccer

Kelly Canter
Managing Director - Growth Strategy, RCM/Flow
Innovaccer

Learning Objectives

Understand why current revenue cycle models often fail to protect margin as administrative complexity rises
Determine where revenue leakage is building across denials, underpayments, prior authorization and documentation/coding
Apply lessons to reduce revenue variance and make financial performance more predictable
Evaluate automation in a way that improves control, governance and readiness for enterprise scale

Content Type: On Demand Webinar

Topic: Revenue Cycle Technology

Delivery Method: Self-Study

Program Level: Basic

Recommended For: Revenue Cycle

Revenue Capture and Recognition

In this course we will address the charge process and its impact on revenue cycle. Components of the chargemaster including HCPCS, CPE codes, and modifiers will be covered as well as the maintenance of the chargemaster for accurately representing services provided within a healthcare organization.

Learning Objectives

After completing this course, you will be able to:

Discuss the components of chargemaster and the various coding conventions used.
Recognize the importance of routine maintenance of charge master files.
Examine the challenges and value of chargemaster.

CPE Information

CPE Award Amount: 1 (estimated)
Program Level: Basic
Program Prerequisite: None
Recommended Experience: One or more years of experience in revenue cycle activities.
Advanced Preparation: None
Instructional Delivery Method: QAS Self-Study
Field of Study & Topic in hours: Charge Capture
CPE Sponsor: HFMA is registered with the National Association of State Boards of Accountancy (NASBA), as a Quality Assurance Service sponsor of continuing professional education. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding QAS program sponsors may be submitted to the NASBA through its website: www.learningmarket.org

Released: March 2024

Content Type: Course

Topic: Analytics

Delivery Method: QAS Self Study

Program Level: Basic

Recommended For: Patient Access

CPE Hours: 1.00

Specialized Knowledge: 1.00

ROI of AI: Maximizing Your RCM Processes

AI can be a gamechanger in healthcare revenue cycle management (RCM) — especially if you know how and where your team should be using it. This webinar will share results from a new study where 300+ industry leaders were surveyed about the current state of AI adoption in healthcare payments. Don't miss this opportunity to uncover why 82% of healthcare leaders now consider AI integral to their RCM operations.

Original Live Webinar Date: September 24, 2025

Learning Objectives

Discover how and where AI is producing results
Understand why growing trust in AI is accelerating adoption
Know where leaders are planning to expand AI investments next

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Content Type: On Demand Webinar

Delivery Method: Self-Study

Strategies to Prevent Claims Denials

This course defines claims denial management and explains the impact of claims denials on hospitals. It highlights the benefits to hospitals of managing claims denials effectively and describes how claims denials can be managed both before and after denials take place. The course describes types of denials and discusses key strategies for preventing and correcting some common causes of denials.

Learning Objectives

After completing this course, you will be able to:

Define claims denial management
Recognize the main functions of a claims denial management program
Recognize the benefits of claims denial management
Define the term "denial"
Identify six types of denials: technical denials, medical denials, partial payments, claim suspensions, discrepancies, and late payments
Name some of the reasons why hospitals get technical and medical denials
Identify some ways to prevent and correct technical and medical denials
Recognize how discrepancies and late payments affect a hospital's bottom line
List some ways to prevent and pursue discrepancies and late payments
Recognize why hospitals should focus on preventing claims denials
Recognize how hospitals can measure and analyze denial data to identify the root causes of denials
Define the term "revenue cycle"
Summarize the various strategies hospitals use to proactively reduce denials

Course Outline

Benefits of Managing Claims Denials
Types of Denials
Proactive Strategies to Prevent Denials
Assessment and Evaluation

Content Type: Course

Topic: Cost Effectiveness of Health

Delivery Method: Self-Study

Program Level: Basic

CPE Hours: 1.00

Strategies to Strengthen Outpatient Margins and Cash Flow

Outpatient and ancillary services are growing nearly twice as fast as inpatient care, yet rising costs and payer rules are putting margins at risk. Denial thresholds for outpatient claims are 25–50 percent stricter, and many hospitals report backlogs of up to 20 percent of claims due to authorization errors. In this webinar, hospital finance leaders will explore how to improve financial visibility, reduce avoidable denials, and keep cash moving. Gain practical steps to protect revenue, address staffing gaps, and build a more resilient outpatient revenue cycle.

Original Live Webinar Date: November 18, 2025

Learning Objectives

Explain how payer site-of-care mandates and stricter denial thresholds affect outpatient revenue and margins
Assess key outpatient performance measures such as denial rates, clean claim rates, and days in accounts receivable to identify revenue risks
Identify process gaps that lead to recurring claim backlogs and delayed reimbursement
Develop a plan to improve revenue capture by addressing authorization accuracy, registration quality, and cash flow visibility
Prioritize technology, staffing, and workflow changes that strengthen outpatient revenue cycle resilience and support long-term sustainability

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Content Type: On Demand Webinar

Delivery Method: Self-Study

Turning Denial Data into Margin Improvement

Date: Tuesday, June 2, 2026, 2:00 PM – 3:00 PM CST

Too often, insurance A/R is viewed as a clean-up function; one that is constrained, restricted and constantly evolving. But when approached strategically, insurance A/R becomes a powerful lever for margin improvement. This session will show how accurate denial informatics and trending transforms insurance A/R from a reactive backlog into a structured, repeatable operating model that prevents revenue leakage before it occurs. Attendees will learn how to identify true root causes, distinguish systemic issues from one-off payer behavior and translate denial data into clear operational priorities. Sponsored by: Revco Solutions

Speakers

Christy Pehanich Assistant Vice President, Process Improvement, Training and Quality RWJ Barnabas Health
Lori Jeffreys Revenue Cycle & Client Experience Consultant Revco Solutions
Dani Rossi Director, Hospital Specialty Billing and Denials UMass Memorial Health

Learning Objectives

Identify the most critical denial and variance reports to watch
Trend denial root causes that drive repeatable and sustainable action, not just insight
Get best practices for ongoing data monitoring and recurrence prevention

CPE Information

CPE Award Amount: 1.0 (60-minute segment)
Program Level: Basic
Program Prerequisite: None
Advanced Preparation: None
Delivery Method: Group Internet Based
Topic: Revenue Cycle
Field of Study: Specialized Knowledge

CPE Sponsor- Healthcare Financial Management Association is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

In order to receive CPE credit for this session, you must participate in 50 minutes of the presentation for this one-hour program. You must also respond to the 4 polling questions that will appear during the session and complete the online evaluation within 2 business days after the webinar.

Meeting Code: 26AT23RAT23

For more information regarding refund policies, as well as any program concerns, please contact our offices at 800.252.4362 or, inquiry@hfma.org.