Course name | Date
Medicare Outpatient Reimbursement Fundamentals

Medicare outpatient reimbursement is crucial for healthcare professionals navigating the complex landscape of healthcare finance. This course offers a comprehensive exploration of the reimbursement methodologies, regulations, and challenges associated with Medicare outpatient services. In this course, you will delve into the intricacies of the Medicare Outpatient Prospective Payment System (OPPS), including its evolution, key components, and payment methodologies. The course will examine the factors influencing outpatient reimbursement rates, including annual recalibrations and cost reporting impacts. You will also explore exceptions, exclusions, and regulations impacting Medicare outpatient reimbursement, enabling you to navigate compliance requirements effectively.

Course Outline

Course Outline

  • Section 1: Course Introduction
  • Section 2: Outpatient Prospective Payment System (OPPS)
  • Section 3: Ambulatory Surgical Center (ASC)
  • Section 4: Ambulance Services
  • Section 5: Clinical Diagnostic Laboratory Services
  • Section 6: Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
  • Section 7: End-Stage Renal Disease (ESRD) Services
  • Section 8: Mammography Services
  • Section 9: Hospital Outpatient Rehab and Therapy Services
  • Section 10: Course Assessment

When you complete this course, you’ll be able to: 

  • Identify the evolution, key components, and payment methodologies of the Medicare Outpatient Prospective Payment System (OPPS).
  • Examine the factors influencing outpatient reimbursement rates.
  • Explore exceptions, exclusions, and regulations impacting Medicare outpatient reimbursement.
  • Develop skills to navigate compliance requirements.
Content Type: Course
Topic: Medicare Payment Methodologies
Delivery Method: QAS Self Study
Program Level: Basic
CPE Hours: 2.00
Specialized Knowledge: 2.00
Mid-Cycle Optimization: Tackling Revenue Integrity Challenge

Healthcare organizations are under increasing pressure to manage the effects of regulatory changes, staffing shortages, and financial performance. The mid-cycle—spanning coding, documentation, charge integrity, and compliance—is a critical phase where inefficiencies often lead to lost revenue and increased risk. This webinar explores the top four challenges facing mid-cycle operations and offers actionable strategies to improve accuracy, reduce denials, and enhance reimbursement. With real-world data and best practices, this session is designed to help healthcare leaders strengthen mid-cycle performance and protect revenue integrity. Original Live Webinar Date: October 14, 2025

Learning Objectives 

  • Apply strategies for improved documentation and coding accuracy
  • Identify and correct high-risk charge capture issues
  • Manage labor and vendor costs through smarter operations 
  • Leverage technology and education to drive consistency and compliance

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Content Type: On Demand Webinar
Delivery Method: Self-Study
Navigating Global Outsourcing: The Benefits and Challenges

Given the financial and staffing challenges facing healthcare today, a globalization strategy can benefit both patients and an organization's bottom line when fully understood and employed in the right way. Within revenue cycle management, globalization can provide flexible staffing models, decrease recruiting challenges and ultimately provide cost savings. We’ll explore the benefits and potential challenges of globalization, when to use a globalization strategy and when not to, best-practice and QA implementation, and necessary KPIs to determine success. Participants will leave with a greater understanding of how to deploy a successful revenue cycle globalization strategy within their organizations. Original Live Webinar Dare: May 14, 2024

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Content Type: On Demand Webinar
Topic: Business Strategy
Delivery Method: Self-Study
Next-Gen Revenue Cycle: Automated, Secure, Patient-Centric

Revenue cycle management (RCM) has become increasingly complex in today's healthcare landscape. Staffing shortages, rising cybersecurity risks, and ever-higher patient experience expectations are forcing provider organizations to rethink how they manage financial and clinical workflows. In this webinar, industry experts will share how adopting a security-certified Interaction Experience Management (IXM) platform can help providers automate manual processes, safeguard sensitive data, and deliver modern, frictionless experiences that retain patients and staff. Attendees will discover what it takes to achieve real, measurable ROI while staying prepared for emerging regulatory changes.

Original Live Webinar Date: May 22, 2025

Learning Objectives: 

  • Understand the evolving RCM pressures: explore how consumer-like expectations, security breaches and staffing shortages are changing the fundamentals of RCM
  • Discover how to mitigate cyber threats and ensure compliance starting with evaluating technology vendors and embedding security into every stage of your RCM workflow
  • Learn how automating repetitive tasks - from patient registration to financial assistance applications - can ease workforce constraints See why "easy to do business with" is the new requirement for providers and how digital tools can drive higher patient satisfaction and loyalty

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Content Type: On Demand Webinar
Delivery Method: Self-Study
No More Business as Usual: How Generative AI Is Real and Already Paying Off in RCM

Missed the HFMA Annual Conference 2025? This webinar will feature content from a top rated session at the conference. Generative AI (GenAI) is no longer hype — it's transforming revenue cycle management today. In this session, learn how Cleveland Clinic and other leading health systems and academic medical centers are using GenAI to streamline processes like medical coding and documentation review. Unlike past automation technology, GenAI tackles complex, unstructured data and supports real-time human-AI collaboration. Speakers will break down what GenAI really does, where it excels, and how to start small and scale impact fast. Walk away with practical strategies, real-world use cases, and a clear path to bringing GenAI into your RCM workflows — with lessons straight from the front lines.

Original Live Webinar Date: September 9, 2025

Learning Objectives

  • Discuss real-world revenue cycle applications and case studies, including medical coding and document review
  • Outline a GenAI implementation for your organization in a phased, strategic manner without requiring a full operational overhaul
  • Cover key change management considerations for your organization, promoting a balanced approach that integrates your workforce’s expertise with AI-driven efficiency
  • Empower and motivate your staff to use AI effectively and efficiently

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Content Type: On Demand Webinar
Delivery Method: Self-Study
Operational Excellence Exam - Module II of CHFP

MEMBERS ONLY

If you're interested in enrolling the CHFP Package, please click here.

Demonstrate a deep understanding of healthcare finance when you earn HFMA's flagship certification, the 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. Earning this certification indicates a level of knowledge and expertise across four essential pillars:

  • Business acumen
  • Collaboration
  • Financial strategy
  • Understanding future trends

The Operational Excellence exam is Module II of the Certified Healthcare Financial Professional (CHFP). Successful completion of HFMA’s Business of Health Care examination, Module I of CHFP and active HFMA membership are the required prerequisites to enroll in HFMA's Operational Excellence program. Once you complete the Operational Excellence exam, you will have the knowledge to work more effectively toward the shared goal of improving patient health.

If you're interested in enrolling the CHFP Package, please click here.

Content Type: Certification
Designation: CHFP - Module 2
Optimizing Healthcare Liquidity Through Virtual Accounts

Healthcare finance leaders are under growing pressure to do more with less, optimizing liquidity, streamlining receivables and enhancing transparency across complex organizational structures. Traditional treasury tools often fail to meet the demands of today’s healthcare environment, where decentralized operations and high transaction volumes create daily challenges. Join KeyBank and Select Health for a forward-thinking session tailored for HFMA members, exploring how virtual sub account technology is reshaping treasury management in the healthcare sector.

Original Live Webinar Date: September 16, 2025

Learning Objectives
- Assess their organization's ability to gain real-time visibility and control over cash across multiple business lines - Apply methods to reduce manual processes and increase operational efficiency
- Strengthen financial oversight while maintaining flexibility in operations
- Implement strategies to simplify reconciliation and improve audit readiness

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Content Type: On Demand Webinar
Delivery Method: Self-Study
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 will also review the impact that failed communication, poor customer service and quality breakdowns may have on patient satisfaction and revenue cycle outcomes.

Learning Objectives

After completing this course, you will be able to:

  • Identify the objective of the HCAHPS initiative
  • Discuss patients' expectations related to the revenue cycle
  • Understand the HCAHPS survey and impact of communication and customer satisfaction
  • Apply the strategies used by revenue cycle leadership and staff in improving overall patient experiences
  • Identify the hard and soft costs to the provider of poor quality patient experiences

Content Type: Course
Topic: Patient Access
Delivery Method: Self-Study
Program Level: Basic
Patient Financial Communications: Advance of Service

HFMA's Patient Financial Communications Advance of Service course will help you gain new confidence in communicating with patients about their financial responsibility. This course provides you with tools and techniques to have financial conversations that result in a positive experience for patients contributing to maintaining customer satisfaction for your organization. It shows patient access professionals how to communicate with patients about financial matters effectively, and with respect, in ways that enhance patient satisfaction. Patient access professionals will learn to have critical financial conversations in various situations (e.g., newly insured patients, those with high deductible plans, uninsured patients). 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 obligation.

Learning Objectives

After completing this course, you will be able to:

  • Demonstrate an understanding of the characteristics (who, what, where, when and how) of a financial conversation.
  • Identify the 10 key components of a properly executed financial conversation advance of service.
  • Demonstrate an understanding of the 7 C's of effective communication as related to patient financial conversations.
  • Demonstrate an understanding of non-verbal communication when conducting patient financial conversations.
  • Identify key components of patient share financial communications and potential options based on varied patient profiles.
  • Identify the key reference tools required to conduct a patient financial conversation.
  • Demonstrate an understanding of how to conduct a patient financial conversation advance of service.
  • Demonstrate an understanding of how to leave a proper message adhering to HIPAA privacy statements.
Content Type: Course
Topic: Payment Models
Delivery Method: Self-Study
Program Level: Basic
Designation: PFCAD
Patient Financial Communications: Emergency Department

HFMA's Patient Financial Communications Emergency Department course will help you gain new confidence in communicating with patients about their financial responsibility. This course provides you with tools and techniques to have financial conversations that result in a positive experience for patients contributing to maintaining customer satisfaction for your organization. Patient access professionals will learn to have critical financial conversations in various situations (e.g., newly insured patients, those with high deductible plans, uninsured patients). 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.

Learning Objectives

After completing this course, you will be able to:

  • Demonstrate an understanding of the characteristics (who, what, where, when, and how) of a financial conversation
  • Identify the ten key components of a properly executed financial conversation in the emergency department
  • Demonstrate an understanding of the 7 C's of effective communication as related to patient financial conversations in the emergency department
  • Demonstrate and understanding of non-verbal communication when conducting patient financial conversations
  • Identify key components of patient share financial communications and potential financial options based on varied patient profiles
  • Identify the key reference tools required to conduct an appropriate financial discussion based on varied patient profiles
  • Demonstrate an understanding of how to conduct a patient financial conversation in the emergency department
Content Type: Course
Topic: Payment Models
Delivery Method: Self-Study
Program Level: Basic
Designation: PFCED
 Patient Financial Communications: Time of Service
The Patient Financial Communications Best Practices Time of Service course will help you gain new confidence in communicating with patients about their financial responsibility. This course provides you with tools and techniques to have financial conversations that result in a positive experience for patients contributing to maintaining customer satisfaction for your organization.
 

Patient access professionals will learn to have critical financial conversations in various situations (e.g., newly insured patients, those with high deductible plans, uninsured patients). 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.

Learning Objectives

  • Demonstrate an understanding of the characteristics (who, what, where, when and how) of a financial conversation
  • Identify the 10 key components of a properly executed financial conversation at the time of service
  • Demonstrate an understanding of the 7 C's of effective communication as related to patient financial conversations
  • Demonstrate an understanding of non-verbal communication when conducting patient financial conversations at the time of service
  • Identify key components of patient financial communications and potential financial options based on varied patient profiles
  • Identify the key reference tools required to conduct an appropriate financial discussion based on varied patient profiles at the time of service
  • Demonstrate an understanding of how to conduct a patient financial conversation at the time of service
Content Type: Course
Topic: Patient Access
Delivery Method: Self-Study
Program Level: Basic
Designation: PFCTS
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. 

Learning Objectives

After completing this course, you will be able to:

  • Understand the steps in patient scheduling. 
  • Identify the questions to ask related to medical necessity. 
  • Learn how to deliver patient instructions and other requirements.
Content Type: Course
Topic: Analytics
Delivery Method: Self-Study
Policy Precision: Navigating Rev Cycle & Reimbursement Today

Join Shawn Stack on his bi-monthly webinar series designed specifically for hospital executives seeking to stay ahead of the curve in today's evolving healthcare regulatory landscape. In each session, Shawn will provide updates on the latest national healthcare reimbursement and revenue cycle regulations, policies, and trends. From changes in Medicare and Managed Care reimbursement policies to updates on proposed and final regulatory policies. This webinar series will be held every other month on the third Wednesday of the month and will equip you with the knowledge and insights needed to navigate the complex world of the healthcare business office. Don't miss this opportunity to stay informed, connected, and ahead of the curve!

Original Live Webinar Date: February 26, 2025

Learning Objectives

  • Understand the latest updates and changes in national healthcare reimbursement regulations and policies
  • Acquire actionable takeaways and strategies for improving revenue cycle performance and financial sustainability in healthcare organizations
  • Explore best practices for ensuring compliance with regulatory requirements related to healthcare reimbursement
  • Identify key trends and emerging issues impacting finance, rev cycle, and patient-centered care in the healthcare industry

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Content Type: On Demand Webinar
Delivery Method: Self-Study
Policy Precision: Navigating Rev Cycle & Reimbursement Today (April 2025)

Join Shawn Stack on his bi-monthly webinar series designed specifically for hospital executives seeking to stay ahead of the curve in today's evolving healthcare regulatory landscape. In each session, Shawn will provide updates on the latest national healthcare reimbursement and revenue cycle regulations, policies, and trends. From changes in Medicare and Managed Care reimbursement policies to updates on proposed and final regulatory policies. This webinar series will be held every other month on the third Wednesday of the month and will equip you with the knowledge and insights needed to navigate the complex world of the healthcare business office. Don't miss this opportunity to stay informed, connected, and ahead of the curve!

Original Live Webinar Date: April 23, 2025

Learning Objectives

  • Understand the latest updates and changes in national healthcare reimbursement regulations and policies
  • Acquire actionable takeaways and strategies for improving revenue cycle performance and financial sustainability in healthcare organizations
  • Explore best practices for ensuring compliance with regulatory requirements related to healthcare reimbursement
  • Identify key trends and emerging issues impacting finance, rev cycle, and patient-centered care in the healthcare industry

Learn about membership benefits | Explore Membership

Content Type: On Demand Webinar
Delivery Method: Self-Study
Policy Precision: Navigating Rev Cycle & Reimbursement Today (August)

Join Shawn Stack on his bi-monthly webinar series designed specifically for hospital executives seeking to stay ahead of the curve in today's evolving healthcare regulatory landscape. In each session, Shawn will provide updates on the latest national healthcare reimbursement and revenue cycle regulations, policies, and trends. From changes in Medicare and Managed Care reimbursement policies to updates on proposed and final regulatory policies. This webinar series will be held every other month on the third Wednesday of the month and will equip you with the knowledge and insights needed to navigate the complex world of the healthcare business office. Don't miss this opportunity to stay informed, connected, and ahead of the curve! Original Live Webinar Date: August 27, 2025

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Content Type: On Demand Webinar
Topic: Revenue Cycle
Delivery Method: Self-Study
Policy Precision: Navigating Rev Cycle & Reimbursement Today (July)

Join Shawn Stack on his bi-monthly webinar series designed specifically for hospital executives seeking to stay ahead of the curve in today's evolving healthcare regulatory landscape. In each session, Shawn will provide updates on the latest national healthcare reimbursement and revenue cycle regulations, policies, and trends. From changes in Medicare and Managed Care reimbursement policies to updates on proposed and final regulatory policies. This webinar series will be held every other month on the third Wednesday of the month and will equip you with the knowledge and insights needed to navigate the complex world of the healthcare business office. Don't miss this opportunity to stay informed, connected, and ahead of the curve!

Original Live Webinar Date: July 23, 2025

Learning Objectives

  • Understand the latest updates and changes in national healthcare reimbursement regulations and policies
  • Acquire actionable takeaways and strategies for improving revenue cycle performance and financial sustainability in healthcare organizations
  • Explore best practices for ensuring compliance with regulatory requirements related to healthcare reimbursement
  • Identify key trends and emerging issues impacting finance, rev cycle, and patient-centered care in the healthcare industry

Learn about membership benefits | Explore Membership

Content Type: On Demand Webinar
Delivery Method: Self-Study
Policy Precision: Navigating Rev Cycle & Reimbursement Today (October)

Join Shawn Stack on his bi-monthly webinar series designed specifically for hospital executives seeking to stay ahead of the curve in today's evolving healthcare regulatory landscape. In each session, Shawn will provide updates on the latest national healthcare reimbursement and revenue cycle regulations, policies, and trends. From changes in Medicare and Managed Care reimbursement policies to updates on proposed and final regulatory policies. This webinar series will be held every other month on the third Wednesday of the month and will equip you with the knowledge and insights needed to navigate the complex world of the healthcare business office. Don't miss this opportunity to stay informed, connected, and ahead of the curve!

Original Live Webinar Date: October 22, 2025

Learning Objectives

  • Understand the latest updates and changes in national healthcare reimbursement regulations and policies
  • Acquire actionable takeaways and strategies for improving revenue cycle performance and financial sustainability in healthcare organizations
  • Explore best practices for ensuring compliance with regulatory requirements related to healthcare reimbursement
  • Identify key trends and emerging issues impacting finance, rev cycle, and patient-centered care in the healthcare industry

Learn about membership benefits | Explore Membership

Content Type: On Demand Webinar
Delivery Method: Self-Study
Powering Breakthroughs: Agility in Grants Management

Research hospitals and other providers face major operational obstacles related to managing grants -- reconciliations, billing, salary allocation and more. These obstacles not only create an administrative burden but also threaten to decrease the pace of innovation. Learn how Mass General Brigham achieved greater agility in grants management with real-time data integration, automated sub-award limits, simplified salary allocations and a custom-built solution for costing adjustments. Original Live Webinar Date: November 6, 2025

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Content Type: On Demand Webinar
Topic: Business Strategy
Delivery Method: Self-Study
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. It will also provide an overview of the Medicare Secondary Payer screening process.

Learning Objective

After completing this course, you will be able to identify the purpose of insurance verification.

Content Type: Course
Topic: Analytics
Delivery Method: Self-Study
Program Level: Basic
Preventing Denials Together: Provider and Payer Alignment

Insurance denials hurt more than revenue, they delay care, frustrate staff, and erode patient trust. Join this expert panel to explore the financial, operational, and patient experience impacts of denials, and learn actionable strategies to prevent denials before they happen and reduce friction. From front-end fixes to payer collaboration, you’ll gain practical insights and real-world insights from RCM leaders from across the industry that your team can implement today. If you're a revenue cycle or patient access leader, this session will equip you to lead change and partner for better outcomes. 

Original Live Webinar Date: July 15, 2025

Learning Objectives

  • Understand why denials happen in the first place—and how to identify high-impact root causes
  • Determine front-end strategies and back-end improvements to reduce, and even prevent, denials
  • Examine payer insights into the intent behind denials, compliance requirements, and how better communication can improve outcomes
  • Apply collaboration tactics that foster better relationships between providers and payers to reduce administrative burden and denial friction

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Content Type: On Demand Webinar
Delivery Method: Self-Study