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.

2020 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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2020 ACDIS Outpatient Pocket Guide

 

The 2020 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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JustCoding's Guide to Modifiers

Healthcare professionals must stay up-to-date with guidance for reporting modifiers or risk repeated audits and lost revenue. This resource provides detailed information on the latest guidelines surrounding CPT®/HCPCS modifiers.

 

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Revenue Integrity and Chargemaster Boot Camp

 

 

 

The 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.

 

It will also provide context for chargemaster set-up and maintenance within revenue integrity with an objective to help avoid pre- and post- billing edits and payer denials.

 

 

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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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2020 Revenue Integrity Symposium

 

The Revenue Integrity Symposium is the can’t-miss event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking for acute and long-term care professionals. Learn from trusted experts with cutting-edge regulatory insight that will arm you with the tools you need to take 2021 by storm. By popular demand, this year’s event kicks off with a motivational keynote session and introduces a track focused on professional development to help you navigate your career and ensure your team is positioned for success.

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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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2020 CPT Update: Coding for New Technology and Procedures

 

 

Nearly 400 code changes are coming to the CPT Manual for coders to report beginning January 1, 2020, and affecting a wide variety of sections. While major changes for E/M are coming in 2021, new codes for next year will allow providers to take advantage of digital technology in a new way. New codes will allow them to report additional online E/M services, as well as remote monitoring. Other updates include new codes and guidelines for reporting certain musculoskeletal and nervous system procedures, such as dry needling and injections of anesthetic agents to somatic nerves. 

 

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