Certificate Program: Financial Management

This online program will give you the skills to analyze your payer contracts, strategically develop contract proposals, and create a monitoring and analysis process.

This 3.5-hour program will provide you with the knowledge to:   

• Assemble payer agreements, amendments and fee schedules 
• Devise a renegotiation strategy 
• Construct key methods to evaluate contracted rates with payment rates

Session 1: Crafting Your Value Proposition and Developing Contract Proposals 
This session delves into the intricacies of developing contract proposals and articulating practice value. Participants will learn how to identify negotiation targets, compare rates, and construct effective proposals leveraging sample verbiage and recommended strategies. Additionally, insights into alternative payment models and crafting a compelling practice value proposition will be provided. The session concludes with recommended strategies for integrating contracting practices into overall financial management.

Session 2: Analyzing Your Contracts
Many practices understand the importance of due diligence in contract management but are daunted by the process of gathering, analyzing, and strategizing around payer agreements and fee schedules. This session will unveil turnkey processes to guide practices through these initial stages, empowering them to overcome obstacles and stay on course towards their objectives. Emphasizing the foundational aspects of contract management, participants will learn effective techniques for gathering, analyzing, and strategizing around payer contracts.

Session 3: Monitoring and Evaluating Contracts
In this final session, participants will learn essential techniques for monitoring and evaluating contracts. Through practical demonstrations, the session will showcase the use of Microsoft Excel's VLOOKUP function for analyzing payer performance. Participants will gain insights into tracking and analyzing payer performance, ensuring that negotiated rates align with payment outcomes.

The revenue cycle in ambulatory care settings is vast and complex, which makes understanding and managing it crucial for financial, clinical and regulatory success. This certificate program includes a full cycle education on topics that progress from patient registration to receipt of payments. It will cover topics such as: credentialing, coding, payment posting, denial oversight, regulatory guidelines, use of technology, internal audits, value-based payment models and analytical reporting. This certificate program will empower participants to operationalize aspects of the revenue cycle as well as provide actionable insights for individuals tasked with managing the revenue cycle. Participants of this four-part series will be given the resources to enhance revenue integrity by examining four important aspects of the revenue cycle:  

This 6-hour program will provide you with the knowledge to:   

• Assess and master revenue cycle management
• Estimate the impact of daily activities upon the revenue cycle
• Determine methods for continuous revenue cycle improvement and ongoing oversight

Certificate course content is extracted from the MGMA bestseller, “Revenue Cycle Management: Don’t Get Lost in the Financial Maze.”

Session 1: Patient Access & Pre-Visit Services
Session 2: Claim Preparation (Mid-Cycle)
Session 3: Payment Oversight
Session 4: KPIs, Quality Programs & Reporting (KQR)

Are you responsible for cash management in your practice? Does worrying about cash flow and meeting payroll keep you up at night? Have you ever wondered how to manage cash flow and accounts payable in a productive and meaningful way? Perhaps you want to be more in charge of the finance process in your practice. This online event will provide you with the building blocks to manage your accounts payable and payroll management and develop strategic processes for cash flow management so you can feel confident when meeting with the CFO or accountants in future meetings.

This 3-hour program will provide you with the knowledge to:   

• Manage cash flow in a productive and meaningful way
• Apply a basic understanding of bookkeeping and internal cash controls
• Employ strategies to manage the practice payroll

Session 1: Cash Flow Management
Have you ever wondered how to manage cashflow in a productive and meaningful way? This session will give you the building blocks to monitor bank balances, protect cash flows and design the cash receipt process. This session will equip you with the knowledge to ask the CFO or accountant the tough questions and will “get” what they’re saying in future meetings.

Session 2: Accounts Payable Management
Management of accounts payable is an ongoing requirement for practice success. This session will provide a basic overview of bookkeeping, internal cash controls and vendor payment models as well as skill in negotiating payment terms, reconciling accounts and supervising accounts payable processes.

Session 3: Payroll Management
This session will give you the tools you need to be successful in your practice to manage payroll. Even if you outsource these functions, if you’re the one who oversees payroll, this session offers basic insights on how to supervise and manage your largest expense.

Financial health is paramount to ensuring the long-term success of a practice, but where to start? Reporting and managing financials can be daunting, especially for those who don’t have a background in accounting or finance. This online event will teach you basic financial management principles and equip you with processes and best practices to measure, report, analyze and forecast financial performance. The program also explores how to best leverage technology e.g., software and systems) to make financial reporting easily accessible to healthcare leaders.

This 2-hour program will provide you with the knowledge to:   

• Produce budgets and forecasts
• Manage financial reports
• Apply strategies that make your practice audit-ready
• Demonstrate the impact of corporate taxes on your practice

Session 1: Crafting Your Value Proposition and Developing Contract Proposals 

Doral Davis-Jacobsen, MBA, FACMPE
Chief Executive Officer, Prosper Beyond
MGMA Consultant

Doral Davis-Jacobsen, MBA, FACMPE, is a Partner at Prosper Beyond LLC, a specialized healthcare consulting firm nestled in beautiful Asheville, North Carolina. Doral is a seasoned healthcare consultant with over 20 years of experience serving healthcare providers ranging from solo practitioners to large academic medical centers. She is a popular speaker and author, always looking around the corner to help her clients prepare for “what’s next.” Doral is known for assisting practices with next generation managed care contract negotiations, payment reform and revenue cycle. She is a Fellow in the American College of Medical Practice Executives. Doral serves as the Chair for the North Carolina MGMA Payer Contracting Committee 2022-24.

Doral has written numerous articles on medical practice revenue cycle, managed care contracting and payment reform and is a frequent speaker at national, regional and local healthcare forums. Doral is a co-author of MGMA’s book, Transitioning to Alternative Payment Models: A Guide to Next Generation Managed Care Contracting.

Request Doral Davis-Jacobsen's Consulting Assistance

Session 2: Analyzing Your Contracts

Doral Davis-Jacobsen, MBA, FACMPE
Chief Executive Officer, Prosper Beyond
MGMA Consultant

Session 3: Monitoring and Evaluating Contracts

Nate Moore, CPA, MBA, FACMPE
President, Moore Solutions Inc.

Nate Moore, CPA, MBA, FACMPE, speaks, consults, records and writes about business intelligence in medical practices throughout the country. Nate’s book, Even Better Data, Better Decisions: Advanced Business Intelligence for Medical Practices, is an MGMA bestseller. Nate’s consulting focuses on using SQL Server to mine and leverage medical practice data into actionable knowledge. Nate creates a series of powerful Excel Videos at mooresolutionsinc.com demonstrating how to use Microsoft Excel in a medical practice. Excel Videos have been viewed thousands of times by practice managers across America. Nate also moderates the Excel Users MGMA Community, the online resource for practice administrators to collaborate about Microsoft Excel.

Shawntea "Taya" Gordon, MBA, FACMPE, CMOM
Chief Revenue Cycle Officer, H4 Technology, LLC

Taya Gordon, MBA, FACMPE, CMOM, is a subject matter expert (SME) in healthcare compliance, organizational governance, process optimization and revenue cycle management. She has held senior-level executive management positions in private practices, collaborative institutes and national care coordination organizations. Taya consults on all areas of healthcare operations including performance improvement, quality improvement, risk reduction and the shift to value-based payment methodologies.

Taya has served on MGMA’s Government Affairs Council and recently co-authored Revenue Cycle Management: Don’t Get Lost in the Financial Maze. Taya graduated summa cum laude from Bellevue University with a bachelor of science in healthcare management, and she is seeking an executive healthcare MBA from Creighton University. Taya also is the current president of Nebraska HIMSS and sits on two workgroups with MGMA that provide feedback to CMS on proposed legislation. Taya is a frequent speaker for state and national MGMA meetings, as well as several rural health associations.

Kem Tolliver, FACMPE, CPC, CMOM
President, Medical Revenue Cycle Specialists, LLC

Kem Tolliver is a public speaker, co-host of the RevDive podcast and co-author of Revenue Cycle Management: Don't Get Lost in the Financial Maze. Medical practices managed by Kem have received MGMA Better Performer distinctions in the areas of A/R and collections.

As president of Medical Revenue Cycle Specialists, LLC, she and her team lead healthcare organizations in practice startup and transformation, revenue cycle improvements, clinical documentation improvement, educational programming, payer contracting, HIT software development, EHR/PM software customization, risk management and telehealth integration.

With a desire to impact public health, she offers strategies to CINs, ACOs and MCOs on interoperability, clinical workflow redesign and transitional care management. She has bachelor of science degrees in healthcare administration and organization management, with summa cum laude and magna cum laude distinctions, from Washington Adventist University.

Maintaining board certifications from AAPC, MGMA and PMI allows Kem to be an industry thought leader who is called upon to provide strategic guidance on regulatory and operational improvement outcomes. She has served on the Board of Directors at Laurel Regional Hospital, as well as on the Board of Directors of Maryland MGMA as the chair of the Government Affairs Committee and the State of Maryland’s ACMPE Certification Rep. Kem is the President of the PG County Chapter of AAPC.

Session 1: Cash Flow Management

Christine Kalish, MBA, CMPE
President, Brittain-Kalish Group

Christine Kalish, MBA, CMPE, is a senior executive and trusted healthcare advisor with deep experience in ambulatory care and academic medicine.  For more than thirty years, Kalish has been leading organizations and teams to develop critical infrastructure and growth planning to improve operations, workflow, human resources and revenue cycle.  She continually searches for innovative ways to assist her clients so they can deliver quality care for the populations they serve.

Penny M. Crow, MS, SHRM-SCP, RHIA
Principal and Chief Compliance Officer, Brittain-Kalish Group

Penny M. Crow, MS, SHRM-SCP, RHIA, is a nationally recognized executive with progressive senior leadership experience in a wide range of healthcare organizations. As an RHIA, she has a successful track record in health information management, revenue cycle, risk management, and quality improvement. Her MS in I-O Psychology has fueled her passion for working with leaders to prepare and develop future workforces.

Session 2: Accounts Payable Management

Tammy R. Walsh, CHFP, CRCR, FHFMA
CEO/President, Paramount Healthcare Solutions, LLC

Tammy is an executive finance and operations leader with 20+ years’ experience with a focus in healthcare providing cross-industry expertise in strategy, operations, business development, financial consulting and client service with strong leadership, problem-solving, planning, team-building and project management skills. Her background as a CFO for physician groups has led her to be a proven leader to revitalize and restructure problem organizations ensuring organizational excellence. 

Tammy is CEO/Founder of a physician consulting services firm providing strategy and optimization to provider groups and health care organizations across the nation. The services range from physician compensation methodologies, revenue cycle optimization, hospital-physician alignment, clinic operational process improvement, compliance and overall leadership insight. Her services also offer interim-CFO and COO capabilities for provider groups.

Tammy is a member of the Healthcare Financial Management Association (HFMA) and serves as an officer for the Lone Star Chapter as well as chairing the state-wide Texas Conference in 2020 and 2021. She is also a member of the American College of Healthcare Executives (ACHE) and Medical Group Management Association (MGMA). Tammy is a frequent speaker and writer on physician-related revenue cycle, finance and strategic topics for these organizations and many others.

Tammy is an adjunct professor teaching courses in Leadership and Healthcare Finance to the Master of Business Administrative Healthcare Students at Texas Christian University. She serves as the Board Chair at the University of North Texas Health Science Center MHA Advisory Board. She is also a member of the Advisory Board at the University of Texas at Arlington, College of Business, Accounting Department.

She is a Certified Healthcare Financial Professional (CHFP) and Certified Revenue Cycle Representative (CRCR). She was recently awarded the Fellow Healthcare Financial Management Association (FHFMA) designation. 

She is a graduate of University of Houston, Texas, with a B.S. degree in Finance.

Session 3: Payroll Management

Sharon Z. Ginchansky, MAOM, SHRM-SCP
MAOM Consultant, Brittain-Kalish Group

Sharon Z. Ginchansky, MAOM, SHRM-SCP, is an organizational consultant with the Brittain-Kalish Group, specializing in revitalizing leadership and organizational change to improve operations and to enhance the way businesses engage their staff. She is recognized as an expert in leading organizations through start up, culture changes, acquisitions and divestitures, and labor negotiations. She has more than 25 years of operational and human resources experience working as an executive in the healthcare field.

Ginchansky holds a bachelor’s degree in English from American Jewish University and a master’s in organizational management from University of Phoenix. She is a member of SHRM, DallasHR and is a former long-time member of Vistage International.

Dawn Adams, MS, PMP, SHRM-SCP
Human Resources Training Consultant, Brittain-Kalish Group

Dawn Adams is a veteran of delivering innovative solutions to solve deep organizational challenges in partnership with leaders from the airline to telecom industries. Recognized for being a catalyst to building high-performance cross-functional teams that exceed organization goals, her passion is enabling organizations to maximize the effectiveness of their most valuable asset — by ensuring that the right people are in the right place, with the right supports, so they are empowered to do the right thing.

Session 1: Budget Creation and Management

Brett McCallon
Sr. Director, Finance & Analytics, MGMA

Brett McCallon is Sr. Director of Finance & Analytics for MGMA and specializes in financial planning & analysis (FP&A) and general analytics. Brett’s passion is providing data-driven insights to business leaders and operators that allow them to make more-informed strategic decisions. Brett believes that a robust finance and accounting function can add value far beyond just financial reporting and compliance. Prior to joining MGMA, Brett spent seven years in a Fortune 500 healthcare setting, performing a variety of roles, including FP&A, analytics and internal consulting, where his contributions helped generate tens of millions of dollars in value through cost management and efficiency initiatives.

Session 2: Financial Reporting

Steven K. Sinclair, CPA, CMPE
Chief Financial Officer, Graves-Gilbert Clinic

Steven holds a degree in accounting from Western Kentucky University and is a CPA with five years of experience in public accounting.  However, the past 34 years of his career have been spent in healthcare. His extensive experience includes responsibility for all financial aspects of a large multispecialty clinic, as well as capital improvement projects, information technology services, purchasing and physician recruitment.  

A special interest in revenue cycle management has helped his group achieve outstanding results in this area, including MGMA Better Performer recognition. He continues to be driven to seek new and better ways to improve financial performance.