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.

2022 JustCoding Pocket Guide

 

Brought to you by the JustCoding team, this powerful coding 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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2022 ACDIS Outpatient Pocket Guide

 

The 2022 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: 2021 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: 2021 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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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.

 

 

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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.

 

 

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Risk Adjustment Documentation and Coding Boot Camp Online

 

 

If you’re looking for ways to expand your CDI department into outpatient settings and services—all of which can impact risk scores—you’ll find it in the Risk Adjustment Documentation and Coding Boot Camp Online.

 

The Risk Adjustment Documentation and Coding Boot Camp Online not only addresses compliant coding practices, but also the reporting requirements related to valid risk adjustment scoring.

 

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ACDIS PRO

 

 

 

 

This fully customizable, easy to navigate online portal can be accessed on any device – pull it up on your phone in a meeting to make sure you have the right code, access it on the go while talking to a physician, or from your office! With the ability to add your own personal notes directly into conditions for easy reference – this all-encompassing online tool will become your favorite reference.

 

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JustCoding PRO

 

 

 

 

With JustCoding PRO you can:

  • Find it faster! Search by clinical condition or ICD-10 code or MDC category to locate the guidance you need in seconds.
  • Ensure accuracy! JustCoding PRO is updated in real-time. Get the latest expert and official guidance you need to ensure accuracy and compliance.
  • Make it your own! Customize the application to your specific needs with personalized notes and bookmarks that ensure consistency and maximize efficiency.
  • Use it on any device! Our web-responsive design allows the tool to be used on your phone, tablet, PC or laptop.
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E/M Auditing: A Step-By-Step Guide to Updated Coding, Reimbursement, and Compliance

 

E/M Auditing is an essential tool to ensure success and E/M compliance for 2021. This book goes beyond the fundamentals of E/M coding and delves into the gray, problematic compliance areas.

 

Turn E/M audits into informative reports that minimize your compliance risk and identify potential revenue losses.

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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.

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NAHRI's Core Functions of Revenue Integrity

 

 

 

This book provides a well-rounded perspective on revenue integrity, covering everything from payment systems and reimbursement methodologies to denial appeals and charge capture review. It is authored by six NAHRI advisory board members whose collective knowledge and experience will help revenue integrity professionals ensure their programs are running effectively and capturing revenue opportunities. 

 

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The Revenue Integrity Manager's Guidebook

 

 

 

 

 

The Revenue Integrity Manager’s Guidebook provides a comprehensive view of the link between revenue integrity and the revenue cycle and explores how their components interact with each other. The book also highlights ways to improve the symbiotic relationship between the two departments. These revenue-saving secrets and strategies are invaluable for any healthcare organization.

 

 

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