Certified Medical Office Manager

Practice 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

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

Financial Management

• Budget planning, cost analysis and forecasting
• Examining contracts and fee schedule
• Patient education, verification, and collections procedures
• Financial reporting, calculations, and controls
• Developing and maintaining a budget
• Revenue and cost accounting

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 and risk management guidelines

Managed Care Delivery System

• Physician credentialing and privileging
• Contract evaluation and negotiation
• Calculating the right patient-payer mix for your office
• Physician Utilization Committee review process
• Utilization review procedures and the PUC
• HMO, IPA, MSO, PPO definition, purpose and analysis
• Assigning an internal managed care coordinator
• Health insurance exchanges
• Value-based care models and quality metrics

Linda D’Spain, CMPE, CMC, CMIS, CMOM, CMCO

Linda has more than 30 years of medical administrative experience. She has led offices for a number of specialties with broad responsibilities in business and clinical operations, as well as financial, HR, customer service, information systems management, and compliance.

Candidates for CMOM certification should have a minimum of one year of medical office experience. If you have less than a year of experience, PMI strongly recommends our fundamental training course.