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Accredited Online CME Activity

Healthcare Operations & Practice Management
for Clinicians

An online enduring CME activity helping physicians and clinicians master the operational, regulatory, and financial frameworks driving modern healthcare.

35AMA PRA Cat. 1 Credits™
35 hrsAudio Chapters
18Chapters
OnlineEnduring Material
Enroll Now View Objectives
Activity Overview

About This CME Activity

This online enduring activity provides physicians and other clinicians with education on healthcare system operations, reimbursement structures, and practice management concepts. The program is designed to help clinicians develop and apply knowledge of healthcare operational frameworks to support effective healthcare delivery and practice management.

Activity Information

Program Details

Credits Available
Up to 35 AMA PRA Category 1 Credits™
Format
Online Enduring Material — 35 hours of audio chapters
Target Audience
Physicians, Nurse Practitioners, Physician Assistants, Nurses
Release Date
April 25, 2025
Expiration Date
April 30, 2026
Completion Time
Up to 35 hours
Educational Need

Why This Activity Exists

Many physicians receive little formal training in healthcare system operations, reimbursement structures, and practice management. This activity fills those gaps, giving learners strategies to enhance clinical workflow, optimize operational processes, and improve patient care delivery.

Accreditation

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Oakstone Publishing and ClinX Academy. Oakstone Publishing is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation: Oakstone Publishing designates this enduring material for a maximum of 35 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Non-physician participants will receive a certificate of completion. The designated AMA PRA Category 1 Credit™ may be used if accepted by their credentialing body.

No commercial support was received for this CME activity. Content is designed to be balanced and free of commercial bias.

→ View full CME Accreditation Information

Learning Objectives

After Completing This Activity, Learners Will Be Able To:

  1. Analyze healthcare operational structures to identify inefficiencies that affect clinical workflow, practice management, and patient care delivery.
  2. Apply Medicare regulations and value-based reimbursement models to support regulatory compliance and sustainable healthcare operations.
  3. Evaluate revenue cycle management (RCM) best practices and develop strategies to reduce claim denials and reimbursement inefficiencies that affect healthcare operations and patient access to care.
  4. Utilize healthcare technologies to improve operational efficiency, clinical workflow, and patient engagement.
  5. Interpret payer–provider relationship models and healthcare policy frameworks to support data-driven operational decision-making.
  6. Apply workflow optimization strategies through analysis of real-world healthcare operational case studies.
  7. Integrate financial, operational, and technological considerations into decision-making to enhance healthcare delivery and the patient care experience.
Course Structure

18 Chapters — 35 Hours of Content

Chapter 01
Introduction to Medicare
Overview of Medicare programs: Parts A, B, C, and D — structure, eligibility, and coverage fundamentals.
Chapter 02
Medicare Advantage & Risk Contracts
Medicare Advantage plans, risk adjustment models, capitation structures, and value-based contract fundamentals.
Chapter 03
Managed Care & Utilization Management
Managed care principles, prior authorization, utilization review, and clinical decision-making within managed care frameworks.
Chapter 04
Medicaid Programs
Medicaid structure, eligibility, managed Medicaid, and dual-eligible beneficiaries (Medicare-Medicaid).
Chapter 05
Payment Models & ACOs
Fee-for-service vs. value-based models, Accountable Care Organizations (ACOs), MSSP, and bundled payment arrangements.
Chapter 06
Healthcare Payment Mechanics
How healthcare payments flow between payers and providers, including fee schedules, relative value units (RVUs), and contract terms.
Chapter 07
Payer Enrollment & Credentialing
Provider enrollment processes, PECOS, payer credentialing workflows, and fee schedule negotiation strategies.
Chapter 08
Revenue Cycle Management
Revenue cycle operations, denials management, RCM KPIs, and payer audit readiness. Objective: Explain the role of medical coding and documentation in the healthcare revenue cycle.
Chapter 09
Corporate Practice of Medicine
CPOM laws, management services organization (MSO) and professional corporation (PC) structures, and physician employment arrangements.
Chapter 10
Federal Healthcare Law
Stark Law, Anti-Kickback Statute, safe harbors, HIPAA, and compliance frameworks for healthcare organizations.
Chapter 11
Concierge Medicine & Direct Primary Care
Alternative practice models including concierge medicine, direct primary care (DPC), and cash-pay operational considerations.
Chapter 12
Telemedicine & Remote Care
Telehealth strategy, reimbursement landscape, and regulatory requirements. Objective: Explain coding and documentation requirements associated with remote and virtual care services.
Chapter 13
Health Data & Interoperability
EHR systems, data interoperability standards (HL7, FHIR), patient data rights, and information blocking rules.
Chapter 14
Automation & AI in Healthcare
Applications of AI and automation across clinical workflows, revenue cycle, population health management, and administrative operations.
Chapter 15
Healthcare Operations Strategy
Operational frameworks, process improvement (Lean, Six Sigma), workforce management, and efficiency metrics in healthcare settings.
Chapter 16
Practice Management Fundamentals
Day-to-day operations of a medical practice: scheduling, patient flow, staffing, and administrative best practices.
Chapter 17
Healthcare Financial Management
Financial statements, budgeting, cost accounting, and financial decision-making in healthcare organizations.
Chapter 18
Healthcare M&A & Private Equity
Mergers and acquisitions in healthcare, private equity transactions, valuations, and physician deal structures.
Faculty & Planners

Faculty

AM
Alex Mohseni, MD
Founder, ClinX Academy
Disclosure: Nothing to disclose
AS
Amy Schiffman, MD
CEO, AgeTech Washington DC
Disclosure: Nothing to disclose
DB
Donna Baldwin, D.O.
Fractional CMO; PC Owner
Disclosure: Nothing to disclose
EB
Emily Brodkin, JD
Associate, Orrick, Herrington & Sutcliffe LLP
Disclosure: Owns public stock in AstraZeneca; Johnson & Johnson; Merck & Co.; Procter & Gamble. All relevant financial relationships have been mitigated.
JS
Jeremy Sherer, J.D., LL.M.
Partner, Health Tech & Healthcare Regulatory, Orrick
Disclosure: Nothing to disclose
KJ
Karen Joswick, MHA
President/CEO, Benevolence Health
Disclosure: Nothing to disclose
KW
Kevin Wheeler, MD
Chief Medical Officer, Amerihealth Caritas DC
Disclosure: Nothing to disclose
MG
Marc Gruner, DO, MBA, RMSK
Co-Founder, CMO, Limber Health
Disclosure: Cofounder of Limber Health
RA
Reza Alavi, MD, MHS, MBA
Principal Cofounder, Quintuple Aim; CMO, ArtiMed
Disclosure: Nothing to disclose
How to Participate

Earn Your CME Credits

1

Enroll in the Activity

Register through the ClinX Academy platform. Access all 35 hours of audio chapter content immediately upon enrollment.

2

Complete the Chapters

Work through all 18 chapters at your own pace before the activity expiration date of April 30, 2026.

3

Pass the Post-Test

Achieve a minimum score of 75% on the post-test to demonstrate mastery of the learning objectives.

4

Submit Your Evaluation & Claim Credits

Complete the activity evaluation form before the expiration date to receive your certificate and claim up to 35 AMA PRA Category 1 Credits™.

Enroll Now →

Questions? Email info@clinxacademy.com

Disclosure Information

Faculty Disclosure Policy

ClinX Academy has assessed all relationships with its faculty, authors, editors, and any individuals who were in a position to control the content of this CME activity. Any identified relevant financial relationships have been mitigated in accordance with ACCME Standards for Integrity and Independence.

Individual faculty disclosures are listed in the Faculty section above. All relevant financial relationships have been reviewed and mitigated prior to the delivery of this CME activity.

This CME activity was planned and developed to be free of commercial bias. No commercial support was received.

Questions About This CME Activity?

Contact ClinX Academy LLC

info@clinxacademy.com

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