HFMA Educational Offerings

Financial & Operational Performance

>>Allied Health & Medical Education
Learn about the 5 criteria of a provider operated program, defining direct control of the curriculum, and controlling the administration of the program (Allied Health), and is your occupancy rate reducing your Medical Education payments (Medical Education).

>>Budgeting: Resuscitate & Re-Gain Control 
Gain insight into optimizing existing pandemic relief. In addition, we will discuss the importance of coordinating the strategic budget process with rolling forecasts to synchronize planning with continually fluctuating volumes.

>>Digital Pandemic: Explosive Risks and How To Protect Your Organization
Dive into cybersecurity, financial and fraud infiltration within the healthcare industry and introduce ways to combat and respond to these serious threats.

>>End Negative OPS Margins
The great majority of the nation’s small hospitals have experienced chronically negative operation margins. An enterprise-wide margin enhancement approach can end this negativity.

>>Get on the Pharmacy Offensive: Wrap up the risk and score!
Both pharmacy operations and programs such as 340B have many cost-savings and revenue-generating opportunities. While supporting your pharmacy’s defensive team (which is consumed by distracting and unrelenting regulatory requirements and changes), learn how to be proactive in addressing preventable risk to prepare for the surveys and compliance audits - all while seizing your opportunities. If anybody scores, it is normally the offensive team.

>>Performance Improvement - Finding the Balance Between Cost Effectiveness and Quality Care
With the many external challenges facing the industry, there must be continued focus on eliminating clinical inefficiencies in order to improve operating margins.  It is critical for healthcare leaders to align the clinical and finance teams in order to find the balance between cost effectiveness and quality care. 

>>Pharmacy’s Finances - New Prescription Lens Required
Large budgetary cost centers warrant nearsighted analysis. Explore pharmacy impacts to the bottom line with clear vision and updated guidance. Proper oversight of both expenses and revenue is discussed with emphasis on guardrails, accountability, benchmarks, contracts, missed opportunities, and cross-silo leadership.

>>Physician Practice Losses- Are they Acceptable?
Are physician practice losses acceptable for hospital systems in the face of increased potential scrutiny from regulatory agencies? Does physician compensation align itself with physician practice results? What you need to know.

>>Pricing Transparency - Do You Have a Clear Vision?
Hear an update on where the Price Transparency Final Rule stands, how to be prepared and common pitfalls to avoid in addition to our thoughts on what a publicly assessable interactive Price Transparency Tool should look like.

>>Revenue Cycle Internal Controls: Are They Functioning?
Understand how a revenue cycle system with properly operating internal controls will improve compliance and your organization’s financial results.

>>The Risky Business of Healthcare
This session will help you to understand what makes Enterprise Risk Management (ERM) more essential today than ever before due to the evolution of healthcare, as well as the history and requirements of risk management.   You will also learn about the “big picture” approach to risk across your healthcare organization, real world examples of poor risk management that led to fraud cases in the healthcare industry, and steps to take to develop your ERM. 

>>Who Moved My Pii (PHI)? -Finding Your Hidden Healthcare Data 
Managing the healthcare content can become a complex problem and losing track of it can be even a bigger issue.  This program explains how healthcare data along with other sensitive information is often improperly stored by users and then found by threat actors.

>>What’s the Cost of Not Knowing Your Cost? 
Declining reimbursement rates, coupled with rising expenses, require immediate focus on patient margins.  In light of this pressure, hospitals often feel they lack the proper tools, culture, data and people to support managerial decision-making.  

Reimbursement

>>Allied Health and Medical Education
Learn about the 5 criteria of a provider operated program, defining direct control of the curriculum, and controlling the administration of the program (Allied Health). Also, determine if your occupancy rate is reducing your Medical Education payments (Medical Education).

>>Cost Reports A-Z
In this session learn the basics of Medicare Cost Reporting. Including the do's and don'ts. We'll also provide updates on new guidance and standards. 

>>Effective Reimbursement & Compliance Optimization in Long Term Care and Continuing Care
This session is intended to provide ideas for effective processes, tools and best practices for optimized reimbursement and compliance in LTC/CC facilities.

>>PDPM Reimbursement Opportunities with a COVID-19 Diagnosis
In this session you will learn about PDPM Reimbursement Opportunities with a COVID 19 Diagnosis including commonalities of COVID infected individuals requiring hospitalization and subsequent SNF Care, CMG breakdowns and more!

>>Pricing Transparency - Do You Have a Clear Vision?
Hear an update on where the Price Transparency Final Rule stands, how to be prepared and common pitfalls to avoid in addition to our thoughts on what a publicly assessable interactive Price Transparency Tool should look like.

>>Reimbursement & Revenue Cycle: How They Work Together
Take a look into the revenue cycle process improvements that will reduce denials, improve bad debt results, and explore how to increase net reimbursement. 

REvenue Cycle

>>Balance the Pharmacy Spend: Align with Freshly Credible Partners 
Finding partners you previously perceived as threatening represents an alternative strategy for healthcare survival and preservation of proximate, quality services for patients. With continued cuts in reimbursement, the future stability of healthcare necessitates changes in vision and shifts in alignment to maximize savings while marketing individual strengths. Drug costs receive national attention and are skyrocketing but represent only a portion of the pharmacy spend requiring a strategic plan; specific examples of alignment and goals are discussed.

>>Coding and CDI Collaboration - A Team Approach
This session explores the keys to success in Clinical Documentation Improvement & Coding focusing on the importance of collaboration of the CDI and Coding teams. 

>>Developing Coding and Billing Audit Plans 
Learn how to protect your organization from fraud and abuse by formalizing self-audits of the coding and billing processes, develop a scoring mechanism to ensure consistent audits and secure Operational and Medical Leadership support for the internal audit process.

>>Improving Reimbursement, Quality Scores, and Reducing Denials
Claim denials at hospitals and health systems are skyrocketing at alarming rates. This session explores the keys to success in Clinical Documentation & Coding Validation including avoiding and successfully appealing DRG Denials. 

>>Reimbursement & Revenue Cycle: How They Work Together
Take a look into the revenue cycle process improvements that will reduce denials, improve bad debt results, and explore how to increase net reimbursement. 

>>Revenue Cycle Internal Controls: Are They Functioning?
Understand how a revenue cycle system with properly operating internal controls will improve compliance and your organization’s financial results.

>>Who’s Watching Your Watchdog? 
This presentation outlines why healthcare businesses have a fiduciary responsibility to ensure consistent and ongoing oversight of vendor services, i.e. transcription services, coding services, revenue cycle services, collection agencies, accounting services, etc. 

Long-Term/Continuing Care

>>Continuing Care - Looking Ahead 
What have we learned in Long Term and Continuing Care from the COVID 19 tragedy and how will our Emergency Preparedness response change in the future, as well as how to maintain mandated operating procedures.

>>COVID-19: What Did We Learn and What Now?
What have we learned from the COVID 19 tragedy and how will our Emergency Preparedness response change in the future, as well as how to maintain mandated operating procedures.

>>Effective Reimbursement & Compliance Optimization in Long Term Care and Continuing Care
Effective Solutions For Reimbursement, Compliance and Care Quality Optimizing in Long Term Care/Continuing Care.  

>>Margin Optimization in Continuing Care 
Continuing Care facilities face increasing competition, growing expenses and declining reimbursements. A successful approach to margin optimization can be implemented for your continuing care facility. This optimization process, using 100s of proven-in-practice Solutions, can be highly selective and customized to quickly maximize your facility’s cash flow and operating margins on a guaranteed basis.

Contact us to schedule a seminar(s) for your HFMA Chapter today!