PMI: Certified Medical Office Manager (CMOM)

Course Summary:

CMOM teaches practical administrative skills that lead to improved communication with providers, third-party payers, patients, and business associates. Learn guidelines and examples that will improve decision-making and tactical skills. Graduates of this program will be better prepared to manage risk, motivate employees and improve the financial outlook in a medical office.

Practice Management Institute® (PMI) teaches physicians and their staffs how to run a more productive, profitable and compliant medical office. Each year, thousands of medical office professionals look to PMI as a leading provider of continuing education and credentialing. These training programs have been hosted in leading hospitals, medical societies, and colleges across the U.S. for 36 years.

PMI awards certification by exam to accomplished medical office professionals in the competency areas of coding, reimbursement, compliance, and management. More than 20,000 people have earned one or more PMI certifications.

Benefits:

According to the U.S. Bureau of Labor Statistics, jobs for certified medical office managers will increase by 20% by 2026.

As the baby boomer generation retires, there will be a high demand for certified managers.

With certification, you demonstrate managerial competency in the medical practice.

With the advanced knowledge you gain, you have the edge in the industry.

CMOMs can transition into and advance their careers in other supervisory roles. 

Curriculum:

Practice Management

• Review of practice administration role and responsibilities
• Facility, operational, and time management
• Review of practice administration roles and responsibilities
• Facility, operational and time management
• Employee relations, laws and guidelines
• Employee handbook and business policies
• Administration of medical records and patient relations
• Labor regulations and reporting requirements
• Terminating the patient/provider relationship
• Risk Management and Quality Assurance
• Sexual harassment, discrimination, and substance abuse

Personnel Management

• Creating effective job descriptions, interviewing, and hiring tips
• Team building and managing conflicts
• Handling staff grievances, evaluations and performance issues
• Compensation and benefits packages attract talent and minimize turnover
• Proper maintenance of employee personnel files (e.g. Form I-9)
• Goal setting and conducting effective staff meetings
• Termination procedures and the exit interview
• Physician and staff retention and motivation
• Coping strategies for difficult employees
• Leadership vs Management

Financial Management

• Financial planning, calculations, and controls
• Examining contracts and fee schedule
• Patient education, verification, and collections procedures
• Accounts receivable, status and activity reporting
• Developing and maintaining a budget
• Revenue and cost accounting
• Maximizing cash flow and controlling overhead
• Cost analysis, forecasting, and new revenue streams

Compliance Requirements

• MACRA and the Quality Payment Program
• HIPAA and OSHA compliance
• Implementing the OIG’s recommended compliance program
• Policies and procedures that inhibit fraud/abuse
• Identifying and controlling the risk of medical identity theft
• Legal protections, risk management, and compliance checklists

Managed Care Delivery System

• Physician credentialing and privileging
• Payer contract evaluation, negotiation, and termination
• Calculating the right patient-payer mix for your office
• Physician Utilization Committee review process
• Utilization control techniques
• HMO, IPA, MSO, PPO definition, purpose, and analysis
• Assigning an internal managed care coordinator
• Health insurance exchanges

• Value-based care and quality metrics

• Coordination of benefits

• ACOs and Patient-Centered Medical Homes 

Requirements: 

Candidates for CMOM certification should have a minimum of one year of experience working in a medical practice. CMOM certification course registration includes a physical course manual, workbook exercises, exam review, and four-hour proctored exam. A passing score of 70 percent or better is required to earn the CMOM certification.

Presented by:

This program is approved for 20 CEUs. 

MCMS may photograph this event for marketing purposes.  Unless this permission is revoked in writing to MCMS, by virtue of their attendance, all program participants agree to the use of the event photo in MCMS marketing.