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  • Dec 11: Stopping Margin Erosion with Payer & Provider Analytics

    This session dives deeper into stopping margin erosion by focusing on payers and referring providers. Attendees will learn how to monitor expected versus actual reimbursement, spot silent payer policy changes, and recover underpayments. We will explore how to evaluate provider performance using clean claim rates, denial trends, and payer mix analysis to identify unprofitable patterns.…

  • Nov 25: 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…

  • Nov 13: Boosting Revenue Integrity & Reimbursement with AI

    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…

  • Certified Specialist Accounting and Finance (CSAF)

    Get recognized as a valued contributor to your organization’s financial performance when you earn HFMA’s Certified Specialist Accounting and Finance (CSAF) certification. Those who earn this certification have demonstrated mastery in reading and analyzing financial reports and statements, risk-sharing arrangements, managed care contracts, and profitability ratios.

  • Certified Specialist Payment & Reimbursement (CSPR)

    Get recognized as a valued contributor to your organization’s financial performance when you earn HFMA’s Certified Specialist Payment & Reimbursement (CSPR) certification. 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. Available online, 24/7, this certification, online program,…

  • Certified Specialist Physician Practice Management (CSPPM)

    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…

  • Certified Specialist Business Intelligence (CSBI)

    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.

  • ERC Eligibility for Healthcare: Facts & Misconceptions

    Healthcare organizations saw some of the greatest impacts during the pandemic, but many have yet to realize the full potential of the Employee Retention Credit (ERC), released under the CARES Act. This webinar will review how healthcare facilities can claim the ERC before the program ends in 2025. Attendees will discover the truth behind common…

  • Data Without Walls: Better Data Governance in Healthcare

    Healthcare organizations have experienced significant disruption over the past several years as a result of the COVID-19 pandemic, ongoing industry reforms and increased competition. Navigating through this disruption is requiring greater levels of collaboration among finance, clinical and operational leaders. Across these areas there’s a common thread: All rely on accessing and using data and…

  • Medicare Advantage Payor Strategy: Navigating the New Normal

    Healthcare executives are facing unprecedented challenges with Medicare Advantage (MA) Payors. MA realization rates are pennies on the dollar, while administrative burdens continue to balloon. This webinar brings together healthcare leaders to discuss best practices to navigating Medicare’s “new normal.” We will share insights on how leading systems are approaching MA negotiations, contract terminations, and…

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