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 ACDIS Pocket Guide
The new 2020 ACDIS Pocket Guide is your essential CDI resource. It includes updates to clinical diagnostic standards, the Official Coding Guidelines, ICD-10-CM codes, CMS-HCCs and CDI critical thinking tips!
Be sure to include the #1 CDI resource in your library today!
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.
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.
JustCoding’s Clinical Scenario Workbook: 2020 CPT
Determine CPT and ICD-10-CM codes to report for each case scenario based on provided documentation, evidence of sufficient medical necessity, and any conditions present that would allow for HCC capture.
JustCoding’s Clinical Scenario Workbook: 2020 ICD10PCS
Determine 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 for MS-DRG capture.
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.
The Social Determinants of Health
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.
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.
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.
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.
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.