During the last 15 years Patient Financial Services (PFS) experience many changes affecting the revenue cycle. Two recent major changes impacting PFS are the implementation of the ICD-10 CM and PCS coding methodology change in October 2015, and the implementation of the regulations impacting financial assistance policies. To improve the cash flow, PFS departments have had to increase resources, including patient loan or financing programs, addition of staff and outsourcing partners, and the implementation of new technologies. Employees must be customer focus to ensure patient satisfaction and data integrity. This course will detail subject matters in specialty billing and collection processes inside and outside the traditional hospital setting for government and nongovernment payers. Subject included but are not limited to: Medicare Medicaid program requirements, DME, Dialysis, SNF, Children Medical Services, Home Health, Hospice, LTAC and Billing programs in Georgia.