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ELP032: Revenue Cycle Academy

Revenue Cycle Academy brings together subject matter experts, insights on regulatory changes, chargemaster integrity and AI opportunities for LEADing practices to master the MAZE of Revenue Cycle from patient registration to payments.

Approved 
for 6 CEUs

Revenue Cycle Academy: Navigate the Revenue Cycle Maze with Confidence

Three-part eLearning Series October 21, 23 & 28, 2025 from 10:00 am – 12:00 pm (PT)

Join CHIA’s Revenue Cycle Academy series as we dive into the latest pre-authorization CMS-0057 guidelines, demystify chargemaster maintenance and tackle documentation and coding pitfalls utilizing AI tools.

This dynamic series empowers health information professionals to enhance their knowledge and strengthen their pivotal role in driving organizational financial health, from patient pre-authorization to final payment. Discover how AI is reshaping revenue cycle management and gain insights into certifications to elevate your career.

Don’t miss this opportunity to sharpen your skills, master the maze and lead with impact behind the scenes.

Highlights of this program include:

  • Examine regulatory and technological shifts in RCM, including CMS-0057-F, interoperability requirements and the evolving role of artificial intelligence—while setting realistic expectations around AI outcomes
  • Identify and address documentation and coding challenges that contribute to revenue leakage, denials, and compliance risks and implement best practices to reduce them
  • Enhance collaboration across HIM, clinical, administrative and financial teams to strengthen data integrity, optimize revenue cycle performance and support compliant operations
  • Understand key elements of chargemaster (CDM) management, including review cycles, synchronization with Pharmacy and Supply Masters and the value of proactive communication and training
  • Explore professional development pathways, such as revenue cycle certifications (e.g., CRCR) and their impact on skill-building and career growth

For more detailed information about each session’s content, see the daily detailed program descriptions. 


(For best price register by 6 PM PT October 1)

Live Virtual Sessions
Tuesday, October 21, 2025 - Thursday, October 23, 2025 - Tuesday, October 28, 2025
All eLearning Programs include on-demand access of the live virtual program recording for 60 days.

eLearning Program Details

Continuing Education

CEUs: 2 for Day One  |  6 Total Program

2 CEUs Domain: Revenue Cycle Management

Day One Agenda

10:00 am – 12:00 pm From Charts to Checks: Mastering the RCM Maze

Session Description

From Charts to Checks: Mastering the RCM Maze

Presenter: Sam King, FHFMA, EHRC, FHIMSS, CPHIMS, CPHQ

Revenue cycle management is more than just billing; it’s a strategic process that begins with accurate documentation and ends with timely reimbursement. This engaging session is designed specifically for Health Information professionals (HI), who play a pivotal role in ensuring the financial health of an organization. Participants will engage in interactive discussions and gain practical takeaways while exploring the entire revenue cycle—from patient registration and documentation to coding, claims submission and reimbursement. Learn how individual roles influence revenue integrity, compliance and patient satisfaction, while exploring actionable strategies to optimize performance within revenue cycle management.

Learning Objectives:

  • Describe key revenue cycle components and the role of HIM, coding, and medical records in each phase
  • Identify and address documentation and coding challenges to reduce denials and revenue loss, while applying best practices
  • Apply strategies to strengthen cross-functional collaboration and improve data integrity and revenue cycle performance
  • Understand the value of revenue cycle certification (e.g., CRCR) for professional growth

Continuing Education

CEUs: 2 for Day Two  |  6 Total Program

2 CEUs Domain: Revenue Cycle Management

Day Two Agenda

10:00 am – 11:00 am Mastering the Chargemaster
11:00 am – 12:00 pm Chargemaster Audit and Maintenance Strategies

Session Descriptions

Mastering the Chargemaster

Presenters: Lidiya Ter-markarova, MBA, CHFP, CPC, RHIT, CRCR, CCS, Patricia Chua, RHIT, CCS, CCDS, and Loraine Lansing

Dive into the mid-revenue cycle and discover why the chargemaster (Charge Description Master or CDM) is a cornerstone of an organization’s financial stability. This session offers a clear understanding of what the chargemaster is, how it’s developed and what it includes, such as item descriptions, revenue codes, CPT/HCPCS codes, charge codes and pricing details. Learn how the chargemaster connects with various systems to support accurate inventory management, billing, reimbursement and patient care documentation. Key takeaways include recognizing the chargemaster’s critical role in maintaining revenue integrity, ensuring regulatory compliance, supporting payer contracting and ultimately influencing the overall financial performance of a healthcare organization.

Learning Objectives:

  • Define the chargemaster (CDM) and identify its core components, including item descriptions, revenue codes, CPT/HCPCS codes and pricing data
  • Explain the chargemaster’s role in the mid-revenue cycle and how it supports accurate billing and claims generation
  • Recognize the chargemaster’s impact on revenue integrity, compliance, payer contracting and an organization’s financial performance
  • Understand how the chargemaster interfaces with other systems to support inventory management, reimbursement and documentation of patient care

Chargemaster Audit and Maintenance Strategies

Presenter: Ann Petterson

Bringing real-life best practices from the revenue integrity trenches, join the speaker in talking about creative strategies for chargemaster upkeep and quality. The ongoing maintenance of a Chargemaster is never-ending, and the more you look, the more you find. There’s no better way to gain meaningful insight than by hearing directly from a professional who works hands-on with chargemaster safeguards every day. Real-world experience offers invaluable perspective on maintaining compliance, ensuring accurate charge capture and protecting revenue integrity—insight not found in theory alone.

Learning Objectives:

  • Understand the foundational components and review cycles of chargemaster maintenance
  • Apply defensible pricing strategies for new services using comparative and reimbursement-based methodologies
  • Demonstrate the ability to support compliance and audit readiness through collaborative auditing and documentation practices
  • Utilize technology and analytics tools to monitor charge capture accuracy and identify missed or inconsistent charges
  • Promote a culture of collaboration and continuous education to support accurate charge capture and regulatory compliance

Continuing Education

CEUs: 2 for Day Three  |  6 Total Program

1 CEU Domain: Revenue Cycle Management
1 CEU Domain: Health Law and Compliance

Day Three Agenda

10:00 am – 11:00 am Implementing AI in the Revenue Cycle Maze
11:00 am – 12:00 pm Understanding CMS-0057: Driving Pre-Authorization of the Future

Session Descriptions

Implementing AI in the Revenue Cycle Maze

Presenter: Kelly Canter, MHA, RHIT, CCS, CRCR, CPM, FAHIMA

Numerous sources indicate that the majority of health systems plant or implement and adopt an artificial intelligence base platform within the next year or two. Most organizations, when surveyed, expressed a focus on the revenue cycle as their initial target. This session provides a comprehensive understanding of these technologies, essential pre-assessments, and the key questions needed to engage teams and vendors.

Learning Objectives:

  • Understand the types of AI in RCM
  • Outline the steps required before selecting where to focus AI and why
  • Discuss questions and conversations to have with vendors prior to tool selection
  • Explore realistic outcomes of AI in its current state and how to manage stakeholder expectations

Understanding CMS-0057: Driving Pre-Authorization of the Future

Presenters: Tara O’Donnell, MPH and Roberta Baranda, MS, RHIA, CHP

Issued by the Centers for Medicare & Medicaid Services (CMS) in January 2024, CMS-0057-F is a regulation aimed at improving interoperability of health data, streamlining prior authorization processes, reducing administrative burden on providers and patients and enhancing transparency and patient access to their health information. Learn about the components of the legislation, how organizations and payers are preparing for the compliance deadlines, why it matters including key challenges and risks

Learning Objectives:

  • Understand the regulatory framework and evaluate the broader impact of CMS-0057-F
  • Explore the interoperability requirements
  • Discuss compliance and implementation strategies with other organizations and payers
  • Apply knowledge to real-world scenarios
presenter photo
Roberta Baranda, MS, RHIA, CHP

Director, HIM/CDI/Coding, Data Governance Officer, Valley Children’s Healthcare

Roberta Baranda is the Director of Health Information Services, Clinical Documentation Improvement, and Coding at Valley Children's Healthcare. She leads interoperability projects, serves on national workgroups, and is Vice Chair of AHIMA’s Policy and Advocacy Council. Roberta recently received AHIMA's 2024 Triumph Award for Mentorship.

 presenter photo
Kelly Canter, MHA, RHIT, CCS, CRCR, CPM, FAHIMA

Senior Director, Product Management, Anomaly

Kelly Canter is a seasoned revenue cycle professional specializing in optimizing RCM processes, artificial intelligence/technological design and strategy in health care, as well as change management. She is passionate about bringing those aspects together to be a catalyst in reducing the administrative burden in health care. Kelly is the Senior Director of Product Management overseeing the use of AI in denial prevention and payer accountability for Anomaly Insights. She is also currently a member of the AHIMA Board of Directors.

presenter photo
Patricia Chua, RHIT, CCS, CCDS

Founder and COO, Innova Revenue Group

Patty Chua, RHIT, CCS, CCDS, is the founder and COO for Innova Revenue Group. She has more than 20 years of experience in the HIM/CDI/coding industry and is one of the nation’s foremost experts in coding and clinical documentation integrity (CDI). She is proficient in all aspects of CDI, revenue optimization, inpatient and outpatient coding, auditing, charge capture and regulatory compliance.

 presenter photo
Sam King, FHFMA, EHRC, FHIMSS, CPHIMS, CPHQ

Past President, HFMA SoCal; Past President, HIMSS SoCal

Sam is a seasoned healthcare executive and faculty member with 30 years of experience in health information technology, healthcare finance, big data analytics, artificial intelligence and continuous quality improvement. He served as COO, CIO, VP of Analytics, Senior Director, Medical/Healthcare Informatics Director, for several healthcare organizations. He is a faculty member at the University of Southern California Price School of Public Policy. In addition to HFMA and HIMSS, he is a member of the College of Healthcare Information Management (CHIME) and the Healthcare Data and Analytics Association (HDAA). His professional volunteer activities and recognitions are too numerous to mention. He is a frequent speaker/moderator at international, national and professional conferences addressing health IT and healthcare finance challenges facing our society across the Middle East, Europe, Asia, South America and the U.S. He provides training and consulting for healthcare leaders worldwide.k end. She also served as a consultant for a prominent national healthcare consulting firm.

 presenter photo
Tara O’Donnell, MPH

Manager, Regulatory Affairs, AHIMA

Tara O’Donnell is a Manager, Regulatory Affairs at the American Health Information Management Association, where she advocates on behalf of AHIMA members to federal agencies on a wide range of issues related to healthcare information technology. Tara has a particular interest in information blocking, utilization management processes, and cybersecurity, and enjoys learning about technical standards and implementation guides. Prior to joining AHIMA, she spent several years at the American Academy of Family Physicians working on both state and federal policy and advocacy, as well as at the Gallaudet University Center for Deaf Health Excellence. Tara received a Bachelor of Science degree in public health and a Master of Public Health degree with a concentration in health policy, both from the George Washington University, and resides in Bethesda, Maryland.

 presenter photo
Ann Pettersson

Manager, Revenue Integrity, Valley Children’s Healthcare

Ann Pettersson is the Manager of Revenue Integrity at Valley Children’s Hospital, where she oversees chargemaster management and leads system-wide initiatives to optimize revenue charge capture and ensure regulatory compliance. With over two decades of experience in healthcare operations, Ann is known for her strategic leadership, deep knowledge of revenue cycle processes and commitment to continuous improvement.

presenter photo
Lidiya Ter-markarova, MBA, CHFP, CPC, RHIT, CRCR, CCS

CEO, Innova Revenue Group

Lidiya Ter-Markarova is the Chief Executive Officer of Innova Revenue Group, a nationally recognized leader in healthcare revenue cycle management and consulting. Known for her depth of expertise and visionary leadership, she brings together strategic insight, operational excellence, and a passion for innovation in advancing financial performance for healthcare organizations. With more than 20 years of progressive experience across hospitals, physician groups, and health systems, Lidiya has become a trusted partner in end-to-end revenue cycle optimization. Throughout her career, she has spearheaded enterprise-wide initiatives that increased revenue integrity, reduced denials, improved compliance, and strengthened patient financial experience. Her ability to bridge financial strategy with clinical and operational realities has delivered measurable results, including millions in recovered revenue and sustained performance improvement for clients nationwide. Under Lidiya’s leadership, Innova Revenue Group has grown into a premier consulting firm known for its tailored solutions, hands-on expertise, and commitment to excellence. She is widely regarded as a forward-thinking leader whose strategic vision and collaborative style continue to shape the future of healthcare revenue cycle management.


eLearning Program Registration Fees and Details

Live access to the eLearning Program will be available to those who register at least one (1) business day before the live event. Group orders must be received three (3) business days prior. Registrations submitted after these dates will receive on-demand access only. For late registrations, live access may be offered but is not guaranteed.

Registration Fees

Save $50 off the regular program fee if you register on or before 6 PM PT on October 1, 2025.
Early-Bird Fees
(before 6 PM PT on October 1, 2025)
  • CHIA Professional Member: $149
  • CHIA Emerging Professional Member: $89
  • AHIMA Members in CA: $189
  • Non-Member: $249
Regular Fee
(after 6 PM PT on October 1, 2025)
  • CHIA Professional Member: $199
  • CHIA Emerging Professional Member: $139
  • AHIMA Members in CA: $239
  • Non-Member: $299

CHANGE NOTICE for AHIMA Professional Members in California: With CHIA’s new online system, AHIMA members will need to upgrade to a CHIA Professional Membership before obtaining the CHIA professional member rate. AHIMA members in California are now able to join CHIA anytime and will have 365 days of membership from the date of paid CHIA upgrade. An open dues order is no longer required to become a CHIA member. Visit californiahia.org/membership for more details. Existing AHIMA members can sign in to CHIA’s website portal to upgrade. Remember that your CHIA expiration date may no longer align with your AHIMA expiration date.

How to Register

To purchase this eLearning Program online select purchase today. Full payment is required with the online registration. Alternatively, if your employer plans to pay for you to attend, you must complete the eLearning Program Order Form and submit completed form along with a copy of the employer's approved check request/purchase order form. Over-the-phone registrations will not be accepted.


Group Discounts

Groups of five (5) or more employees may be eligible for a discount when registering for the same eLearning Program at the same time. Click here for more information on registering your team


Event and Education FAQs

For more information about program access, zoom, cancellation and substitution policies click here


eLearning Program Access

How to Access Live eLearning Program For advanced purchases received one (1) business day prior to event date, access will be made available the morning of the live program.

Live Program access and materials will be accessible exclusively via the registrant’s  CHIA User Profile. Registrants will be given access to an eLearning Program Access Group page (restricted access) that will include the LIVE event link and program evaluation.

CEUs are available exclusively via the registrant’s   CHIA User Profile under the Professional Development left tab
How to Access Program Materials If handouts were provided by the speaker they can be found in CHIA’s Learning Management System .
How to Access On-demand Program Recording (included) All eLearning Programs include on-demand access of the live program recording to stream. Allow up to three (3) business days after the live program for availability in CHIA’s Learning Management System .
Cancellation Policy All purchases are non-refundable and non-transferable. View the Events & Education FAQs.

For those already registered for this eLearning Program, please follow the detailed instructions below or watch the video below to gain access on the day of the live event.


To attend the live program, registrations must be received one (1) day prior to event date; access will be made available the morning of the live program. 

1. Login to your CHIA User Profile using the blue "Sign In" button at the top of CHIA's homepage. If login button is missing, you may already be logged in. 

2. Once logged in, you should automatically be directed to your dashboard. If not, click on the "My Dashboard" link at the top of CHIA's homepage.

    

3. Hover over "My Learning" and select "Live eLearning Programs" from the top menu bar.

  

4.  Select the appropriate eLearning Program, once on the program group page, you will find all the program access information.


1. Login to your CHIA User Profile using the blue "Sign In" button at the top of CHIA's homepage. If login button is missing, you may already be logged in. 

2. Once logged in, you should automatically be directed to your profile. If not, click on the "My Profile" link at the top of CHIA's homepage.

    

3. Hover over"My Learning" and select "On Demand Content"from the top menu bar. to access CHIA's Learning Manangement System.

  

4. To allow the Learning Management System access to your CHIA profile select "Submit"

  

5. Once in the Learning Management System scroll down to the ON-DEMAND PROGRAMS" section. There you will find all unexpired on-demand purchases.