Course catalogue

This course examines the growing decline in consumer confidence in healthcare and explores how leaders can rebuild relationships, strengthen transparency, and restore trust across their communities. Drawing on insights from HFMA’s Fall 2023 Thought Leadership Retreat, it highlights ten keys to restoring trust — defining the issue, measuring trust, boosting affordability, increasing value, healing clinicians, improving transparency and equity, leveraging digital tools, reducing systemic friction, and taking timely action.

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This course examines the growing disruption across the healthcare industry and highlights why legacy organizations must strengthen consumer focus, adapt their culture, and rethink operational strategies to remain competitive. Drawing on insights from HFMA’s 2023 Spring Thought Leadership Retreat, it outlines 10 vital responses — recognizing the changing landscape, reducing wasteful costs, improving cost‑effective health, updating contracting, pursuing value‑based payment, accelerating consumerism, evaluating care delivery models, incorporating digital care, expanding organizational reach, and staying agile — to help organizations navigate rapid transformation.

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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. Estimated course completion time: 30 minutes

After this program, you'll be able to:

• Identify the purpose of the Notice of Privacy Practices and authorization forms.
• Identify a situation where the minimum necessary rule would be applied.
• Recognize why a patient would invoke the right to request a confidential communication.
• Identify one circumstance under which a hospital may share a patient's medical record without the patient's authorization.
• Recognize what is meant in the context of HIPAA by incidental disclosures.
• Recognize the obligations of a hospital business associate organization with regard to patient protected health information.

This course explores how improving alignment among payers, providers, clinicians, and other stakeholders is essential to creating a more affordable, equitable, and sustainable healthcare system amid rising costs, policy pressures, and accelerating innovation. Drawing on insights from HFMA’s 2025 Thought Leadership Retreat, it highlights opportunities for collaboration across sectors — from reimbursement reform and strengthened payer‑provider relationships to physician leadership, nursing‑finance alignment, AI‑driven transformation, and reimagined care delivery models.

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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.

Learning Objectives

After completing this course, you will be able to:

• Recognize the need for a structured approach to analytics in leveraging data.
• Summarize the ways that analytics can drive operational execution, management, and control.
• Discuss the importance of clear data strategy and participative data governance for analytics activity that is efficient and effective.

Course Outline

• Exploit and Leverage Data’s Value in a Structured Way
• Harnessing Data for Operational Execution, Management, and Control
• Efficient, Effective Data Use Requires Strategy and Governance
• Assessment and Evaluation

CPE Information

• CPE Award Amount: 1.0 (estimated)
• Program Level: Basic
• Program Prerequisites: None
• Recommended Experience: Mid-level managers, directors or other individuals who have leadership responsibility within healthcare delivery.
• Advanced Preparation: None
• Instructional Delivery Method: QAS Self-Study
• Field of Study and Topic in hours: Specialized Knowledge - 1.0 

Released: January 2023

As regulatory demands continue to evolve, healthcare organizations must ensure their revenue cycle management (RCM) strategies are not only compliant but also resilient. This session provides a comprehensive update on key regulations—including price transparency, the No Surprises Act (NSA), the One Big Beautiful Bill Act (OBBA) and the latest federal healthcare reforms—while examining how technology can support compliance and protect revenue amid these changes. Attendees will gain insights into enforcement trends, policy shifts and how the Revenue Cycle Management Technology Adoption Model (RCMTAM) can guide organizations in aligning their RCM operations with regulatory expectations.

Original Live Webinar Date: October 7, 2025

• Summarize current and emerging healthcare regulations impacting RCM
• Interpret compliance risks and enforcement trends in the regulatory landscape
• Differentiate the effects of federal policy shifts (Medicaid, HBE, ACA) on RCM strategies
• Evaluate the RCMTAM framework for compliance-readiness in RCM operations

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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. Traditionally, the Revenue Cycle has included three segments: Pre-Service, Time-of-Service and Post-Service. 

Learning Objective

After completing this course, you will be able to explain the sequence and content of the activities that occur in each critical segment of the revenue cycle.

This course examines how social determinants of health (SDOH)—including housing, nutrition, transportation, education, and economic stability—significantly influence patient outcomes and why addressing these factors is essential for the future of healthcare. Drawing on insights from HFMA’s 13th Annual Thought Leadership Retreat, it highlights strategies for identifying key SDOH needs, building effective cross‑sector partnerships, and implementing sustainable, community‑tailored solutions that improve health and financial performance.

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Revenue cycle leaders understand what happens in terms of how care delivered at the bedside impacts their bottom line. Payment for healthcare services starts with a claim that details what type of care the patient received and the amount charged for these services. From there, the claim is typically sent to the patient’s health plan for reimbursement. However, there is typically back and forth between provider and payer for justification, additional detail and the reasons for care decisions that were made based on changing patient acuity, which is a key area of ongoing friction. Leading healthcare organizations are leveraging Al for predictive analytics to proactively ensure appropriate reimbursement. Discover how objective, Al-driven insights can strategically align revenue cycle and utilization review teams to reduce underpayments and avoidable denials while improving collaboration with health plans.

Original Live Webinar Date: November 13, 2025

• Create efficiencies and improve patient status accuracy from bedside to final payment leveraging Al
• Leverage objective Al to enhance revenue integrity and denial reporting to improve internal and external collaboration
• Establish automation and workflows that reduce manual rework gaining visibility into missed inpatient reimbursements and level-of-care denials
• Prioritize denials and appeals utilizing objective Al-driven insights
• Improve health plan relationships and reduce friction to benefit revenue cycle and reimbursement processes

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