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 Coder's 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: 2019 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: 2019 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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The Social Determinants of Health

Develop strategies to manage and intervene with the populations predisposed to the risks associated with SDoHs. Get practical understanding and theory-based teaching around SDoHs, & coding, assessment, and reimbursement tools for professionals in a clinical setting.
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NAHRI’s Core Functions of Revenue Integrity

 

 

Get a well-rounded perspective on revenue integrity, covering everything from payment systems and reimbursement methodologies to denial appeals and charge capture review.

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HIPAA Training Handbooks Pick-a-Pack

 

 

These handbooks provide fundamental privacy and security training for new and seasoned staff. They include scenarios that depict workplace practices specific to staff and settings. The more titles you select, the more you save!

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Hospital Guide to Contemporary Utilization Review

A comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. Focusing on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations in a value-based world.

 

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The Contemporary Guide to Patient Financial Service

 

 

 

Explore staffing, recruitment, and retention to ensure PFS teams are thoroughly equipped for their roles and can meet—and exceed—expectations. Get downloadable tools, key performance indicators, and performance benchmark strategies to help keep your PFS department on track.

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The Essential Guide to Healthcare Payer Contracting

 

 

 

Take all the guesswork out of healthcare payer contracting! This comprehensive book covers a range of payer contracting essentials to ensure it meets the needs of both seasoned professionals and those working on their first contract.

 

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