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

CMOM classes are taught by one of the following expert instructors.

Kem Tolliver, CMPE, CMC, CMOM

For over 20 years, Kem has provided strategic and operational leadership to medical practices and hospitals. As a national and regional SME, Kem also develops and delivers educational content to industry leadership. She is the co-author of MGMA®'s “Revenue Cycle Management: Don’t Get Lost in the Financial Maze” and created and delivered MGMA's first-ever Revenue Cycle Management Certificate program.

Jan Hailey, MHL, CMC, CMIS, CMOM, CMCO

Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. During her expansive career, she served as Saint Joseph Health System's Care Management Director where she developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.

Lynn Robison, CMC, CMOM, HRMC

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. She has also served as an Independent Review Organization (IRO) for the Office of the Inspector General and consulted for the Texas Medical and Dental Boards.

Candidates for CMOM certification should have a minimum of one year of medical office experience.

This curriculum is ideal for medical office managers looking to expand their skills and current role, administrative professionals in healthcare seeking leadership roles, and Individuals interested in managing a medical office. If you have less than a year of experience, PMI strongly recommends our fundamental training course, Management & Leadership for the Medical Practice. Read the course curriculum and get the foundation you need to prepare for CMOM.