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

 

 

The 2021 JustCoding Pocket Guide breaks down complex coding topics into easy-to-understand concepts so that coding professionals can accurately and efficiently do their job. this powerful CDI resource provides the key information you need to accurately and efficiently code claims.

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2021 ACDIS Outpatient Pocket Guide

The 2021 ACDIS Outpatient Pocket Guide is the essential resource for outpatient coding guidance, HCC updates, compliant query best practices and standards, E/M requirements, and diagnostic definitions. 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

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.

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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.

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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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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.

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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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