Revenue Cycle Resource Center

 

Practical solutions for all aspects of healthcare revenue cycle management, including patient access, charging, coding, billing, revenue collection, revenue integrity, and auditing. Tools, expert guidance, and education aid to ensure appropriate reimbursement and comply with Medicare regulations.

2021 JustCoding Pocket Guide

 

Brought to you by the JustCoding team, this powerful CDI resource provides the key information you need to accurately and efficiently code claims. Understand ICD-10 and E/M coding requirements for both inpatient and outpatient settings. Walk through diagnostic criteria, official coding guidelines and documentation requirements so that you can accurately validate and code your most common diagnoses.

 

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2021 ACDIS Outpatient Pocket Guide

The 2021 ACDIS Outpatient Pocket Guide is the must-have CDI resource for professionals working in an outpatient setting. Learn how to master Hierarchical Condition Categories (HCC), and understand their impact on risk adjustment and ultimately reimbursement. This is the perfect resource as you look to grow your outpatient CDI program and continue to ensure your outpatient coding is in compliance.

 

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JustCoding’s Clinical Scenario Workbook: 2020 CPT

 

An opportunity for coders to practice and refine their skills in a handson way by using a wide range of real-life case scenarios.

 

 

 

 

 

 

 

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JustCoding’s Clinical Scenario Workbook: 2020 ICD10PCS

 

Determine the correct ICD-10-CM and ICD-10-PCS codes to report for each case scenario based on provided documentation, evidence of sufficient medical necessity, and any conditions present that would allow for MS-DRG capture.

 

 

 

 

 

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The Compliance Officer’s Handbook, Fourth Edition

 

Packed with the latest examples from case law and federal enforcement actions, the fourth edition provides compliance officers critical insights and real-world examples of how regulations are currently applied in today’s healthcare landscape. Key topics such as the False Claims Act, Stark Law, determining fair market value, developing a revenue cycle compliance program and much more are broken down by two experts in the field.

 

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Live VIRTUAL Revenue Integrity and Chargemaster Boot Camp

 

The Live Virtual Revenue Integrity and Chargemaster Boot Camp provides education on chargemaster and revenue integrity concepts in a classroom format. The program will relate the chargemaster function to revenue cycle and revenue integrity functions, including cost reporting and key operational issues, such as coverage, clinical documentation, charge capture, and coding.

 

Get live access to the instructor, ask questions, and network with your Revenue Integrity peers - all from your home or office!

 

 

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The National Association of Healthcare Revenue Integrity

 

 

 

NAHRI’s mission is to enhance the revenue integrity profession through standards, advocacy, networking, and the promotion of shared knowledge and resources. This mission statement was developed by our NAHRI Advisory Board, an amazing group of revenue integrity professionals who bring a wide range of expertise and experience to this organization’s leadership.

 

As a NAHRI member, you’ll get unlimited access to our vast members-only resources, tools, and content such as white papers, best practices, and research reports written by the most respected names in the industry.

 

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Risk Adjustment Documentation and Coding Boot Camp

 

 

 

The Risk Adjustment Documentation and Coding Boot Camp reviews both inpatient and outpatient coding guidelines and their application to the CMS-Hierarchical Condition Category (HCC) methodology, and includes detailed instruction on the individual HCCs and identification of opportunities for improved documentation. Clinical scenarios are used to demonstrate concepts and validate learning.

 

This Boot Camp goes beyond just knowing how to code for a condition. It explores where coding information may be obtained as well as where to look for documentation deficiencies to improve overall risk scores.

 

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Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event

Ensuring revenue is accurate and compliant has never been more critical, but with CMS and other payers releasing new guidance and rules at lightning speed simply keeping up has become a significant challenge. Healthcare organizations have never been under more stress. The COVID-19 pandemic has led to unprecedented revenue shortfalls. Strong revenue integrity practices to support accurate coding, billing, and reimbursement will continue to be vital as organizations face the ongoing financial toll of COVID-19 and CMS and other payers pick up audit activity.

 

Join us for Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event to get the expert advice and analysis you need to maintain revenue integrity now and prepare for the coming year. Learn about the latest CMS changes, earn valuable CEUs, and connect with your revenue integrity peers during this one-of-a-kind virtual event.

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Revenue Cycle Advisor

 

 

 

 

Unlock the doors to the latest revenue cycle news, analysis, and education your organization needs with Revenue Cycle Advisor as your key. This comprehensive website combines all of HCPro's revenue cycle regulatory, compliance, case management, HIM, and reimbursement resources, giving you a single trustworthy tool to help you navigate the ever-changing healthcare landscape.

 

Stop scanning through endless rules and trying to interpret complex regulations—our regulatory experts will analyze and break down the most pertinent information for your organization in a straightforward but thorough way.

 

 

 

 

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The Chargemaster Essentials Toolkit, Second Edition

 

 

In its second edition, The Chargemaster Essentials Toolkit returns to provide readers with the tools needed to optimize their chargemaster and ensure accurate reimbursement and revenue integrity across their organization. This edition contains a new section on price transparency as well as updated information on certain field locations, supply charge considerations, changes to the 340B drug pricing program, and functional reporting requirements for physical and occupational therapy. It also includes updated regulatory information throughout all chapters to provide the latest information on topics relevant to chargemaster operations and management.

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