Course catalogue

To enroll in this training please go to the package program here.

This training program includes an in-depth presentation of key components of hospital cost reporting, designed to equip participants with a comprehensive understanding of the financial processes and regulatory requirements involved. Additionally, this course will provide strategies for you to consider and special classification scenarios your organization may qualify for that are intended to provide increased reimbursement based on your organizational characteristics. The program is recommended for and includes CFOs, controllers, reimbursement managers, directors and staff, accounting and finance staff, cost and budget staff, and consultants. 

The Hospital Cost Report certification program is a collaboration between HFMA and FORVIS, LLP.

Learning Objectives

After completing this course, you will be able to:

• Understand the purpose of the cost report and its role in determining payments.
• Examine all the primary cost report worksheets.
• Understand the Medicare cost report settlement and the various settlement components.
• Explore the key factors in determining which Medicare Special Designations apply to your organization
• Identify various clinic types as well as strategies and advantages/disadvantages to your organization

Course Outline

1. Hospital Cost Report
2. Cost Report Overview
3. Worksheet A
4. Worksheet B Part 1 and Part B-1
5. Worksheet C
6. Medicare Payment Methodologies
7. Medicare Special Designations
8. Other Worksheets
9. Wage Index
10. Clinic Strategies
11. Understanding the Cost Report Submission and Settlement Processes
12. Assessment and Evaluation

Program Enrollment Information

The CHCRS designation is earned and awarded upon successful completion of two prerequisite courses, hospital cost report training and CHCRS exam. The Certified Hospital Cost Report Specialist (CHCRS) Training completion may be purchased as a package.

Total Member Cost: $349 

Includes:

• Prerequisite Courses (2)
• HFMA Hospital Cost Report (CHCRS) Online Training
• HFMA Hospital Cost Report (CHCRS) Exam

Non‑Member Cost: $947 

Includes:

• Prerequisite Courses (2)
• HFMA Hospital Cost Report (CHCRS) Online Training
• HFMA Hospital Cost Report (CHCRS) 

Step 1: Complete the two CHCRS program prerequisite courses. These courses can be taken in any order. A certificate is awarded on completion.

• Prerequisite Course: Medicare Outpatient Reimbursement Fundamentals
• Prerequisite Course: Medicare Inpatient Reimbursement Fundamentals

Step 2: Complete the hospital cost report training. Two options are available:

• Option 1: Complete the HFMA hospital cost report online training course
• Option 2: Complete the FORVIS led virtual cost report training
  • • Link: forvis.com/events
    • Cost: Fees apply

Step 3: Successfully complete the CHCRS exam. When you successfully complete the exam, you will be awarded the CHCRS CPE certificate, digital badge, and designation.

• Successful completion of the two prerequisite courses and hospital cost report training is required to enroll in the CHCRS exam.

HFMA’s Certified Revenue Cycle Representative (CRCR) program is the only content available that provides a national-level certification for addressing the contemporary patient-centric revenue cycle. Learners will gain knowledge, competencies, and productivity with best-practices recommendations to positively impact the revenue cycle and enhance the patient experience. CRCR earners help set the standards of performance for revenue cycle staff proving a high level of revenue knowledge and expertise has been reached. Individuals will be better prepared to decrease receivables, reduce denials, and work more efficiently in the revenue cycle role. One or more years of experience in revenue cycle activities is recommended.

Note: This version of the program includes an ADA accommodation of double time, allowing 180 minutes instead of the standard 90 minutes for the exam.

After this program, you will be able to:

• Identify processes and techniques for both enhancing the patient experience and improving financial performance Explore the most effective ways to reduce denials and simplify collections
• Review regulations to assure compliance
• Outline effective ways to increase interdepartmental cooperation, heighten staff confidence and improve work satisfaction
• Create effective ways to measure revenue cycle staff proficiency, recognize staff knowledge and expertise, and decrease turnover 

CPE Award Amount: 14.0

Program Level: Intermediate

Program Prerequisite:
Experience with and understanding of general revenue cycle operations and processing, including workflows and processes for patient access, patient registration, billing, claims management, and patient communications and financial discussions.

Recommended Experience: One or more years of experience in revenue cycle activities.

Advanced Preparation: None

Instructional Method: Self-Study

Delivery Method: QAS Self-Study

Field of Study & Topic in hours:
0.5 Behavioral Ethics - 2.0 Finance - 11.5 Specialized Knowledge

Content last revised: March 2026

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

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

Get recognized as a valued contributor to your organization's financial performance when you earn HFMA's Certified Specialist Business Intelligence (CSBI) certification. Those who earn this certification have demonstrated their ability to find, inspect, clean, transform, and model data to clarify issues; suggest conclusions; and support decision making designed to improve financial efficiencies and operational effectiveness.

Learning Objectives

• Recognize the phenomenon called big data Identify the concepts and tools of business intelligence
• Recognize how information for better decisions is derived from large, clinical, financial, and other databases Identify the key point of leverage for analytics in the healthcare industry
• Recognize the decision types and analytic tools that are part of decision management Identify how data warehousing, reporting and analysis tools, and data systems architecture are used
• Apply the basics of analytical and quantitative skills of BI in healthcare Understand and perform sampling
• Recognize the role of business intelligence in stimulating action in the changing healthcare industry
• Recognize how emotional intelligence, leadership skills, and power bases can create a strong leverage for influence Identify the various kinds of leadership styles and power bases

CPE Award Amount: 10.0

Program Level: Intermediate

Program Prerequisite: Knowledge of the healthcare industry as it relates to financial data in a healthcare setting, including data, processes, workflows and productivity. Some knowledge of quantitative and analytic skills helpful.

Recommended Experience: 3-5 years experience in data or statistical analysis or other data-related fields helpful.

Advanced Preparation: None

Instructional Method: Self-Study

Delivery Method: QAS Self-Study

Field of Study & Topic in hours: 5.0 Specialized Knowledge - 5.0 Statistics

Content last revised: February 2026

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.

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

Those who earn this certification have demonstrated specialist-level knowledge of the managed care environment, payment rates, benefit coordination, reimbursement models, cost-control incentives, legislative changes, and more.

Learning Objectives:

Identify key factors that influenced the development of managed care

Explain coordination of benefits, managed Medicare organizations, and TRICARE

Describe the role of Medicare and Medicaid Managed Care Identify the clinical integration components of case management

Describe basic hospital service reimbursement methodologies and cost control incentives

Describe the impact of the ACA on reimbursement, and list emerging payment trends under healthcare reform List key case and utilization (care) management and clinical integration components Identify major trends in healthcare policy, including consumerism, outcomes-based reimbursement, and other elements of reform

CPE Award Amount: 13.0

Program Level: Intermediate Program Prerequisite: Knowledge of health care payment and reimbursement models, managed care environment, payment rates, benefit coordination and legislative changes.

Recommended Experience: 1-2 years experience in payment, reimbursement or managed care setting.

Advanced Preparation: None

Instructional Method: Self-Study

Delivery Method: QAS Self-Study Field of Study & Topic in hours: 13.0 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. For more information regarding refund policies, as well as any program concerns, please contact our offices at 800.252.4362 or, inquiry@hfma.org.

Get recognized as a leader in physician practice management when you earn HFMA's Certified Specialist Physician Practice Management (CSPPM) certification. With a focus on revenue cycle activities that enhance contemporary physician practice management, those who earn this certification will also gain specialist-level knowledge related to budget preparation, financial projections, cost accounting, managing information systems, and evaluating and negotiating payer contracts. Learning Objectives: Implement the key elements of patient registration, accounts receivable and collection processing Identify the key contributory elements of evaluation and management services Define ratios valuable in monitoring financial performance of a practice Identify processes related to physician compensation, compliance and contract evaluation Identify elements of strategic planning, information technology and the role of marketing.

This study of 135 hospital CFOs provides CFO personas, top challenges, and the strategic initiatives they are focusing on to improve performance.

Key Benefits

Key benefits of the report include:

• Understanding of top sources of margin pressure on hospitals and health systems
• Insights into the strategies being implemented and where opportunities are for solution providers
• CFO personas and how they are involved in purchasing decisions

*Due to the report being a digital download being immediately accessible upon purchasing, no refunds will be issued for any circumstances.

*Companies currently Peer Reviewed by HFMA will receive a copy of the study at no charge.

This course explains the purpose of the 1500 Health Insurance Claim Form and describes how the form should be completed.

Learning Objectives

After completing this course, you will be able to:

• Identify the purpose of the 1500 billing form.
• Recognize the history of the 1500 billing form.
• Define assignment of benefits.
• Identify the relationship of assignment of benefits to the insured's signature.
• Complete the first 13 items of the form.
• Recognize how patient conditions are described on the 1500 Health Insurance Claim Form.
• Complete items 14-22 of the form that focus on physician and supplier information.
• Define the National Provider Identifier (NPI).
• Identify and define Place of Service codes.
• Define the Healthcare Common Procedure Coding System (HCPCS).

Course Outline

• Background and Overview
• Patient and Insurance Information
• Physician or Supplier Information
• Assessment and Evaluation