Reimbursement Educational Resources and Products

Accurate reimbursement requires accurate claims submission and compliance with reimbursement regulations and policies. This is quite a challenge as there are multiple regulations and reporting requirements may change.

To address this challenge, AHIMA provides quality products and resources to assist with education, lifelong learning, and best practices to stay up-to-date with the latest reimbursement changes.

Practice Briefs & Articles

---

 AHIMA Practice Briefs

• Understanding Governmental Audits
  
• Care and Maintenance of Chargemasters
• Evolution of DRGs
• APC Checklist
• Key Points of the UB-04
• Internet Resources for Accurate Coding and Reimbursement Practices

Articles

• Conducting a Charge Description Master Audit
  
• Understanding HACs and SREs for Quality Reporting and Reimbursement
• Integrating IT Systems Strengthens the Revenue Cycle
• Keeping it Clean: How to Improve Claim Collection Rates*
• Improving Cash Flow in a Down Economy: How HIM Can Help Reduce Denials
• HIM Breakup: Changing Times Pull HIM and Coding Apart*
• The ABCs of Medicare Advantage* 
• AHIMA’s Analysis of Final Rule for 2010 Revisions to the Medicare Hospital Outpatient Prospective Payment System

*Available only to AHIMA members (Not a member? Join now).

Didn’t find what you’re looking for? Visit the AHIMA Body of Knowledge to search the full online library of resources.

Certification

---

AHIMA administers eight certification exams, including the Registered Health Information Administrator (RHIA), and Registered Health Information Technician (RHIT). The RHIA and RHIT credentials demonstrate a practitioner's high professional standards and leadership skills for managing HIM revenue operations, clinical coded data reported in healthcare delivery prospective payment systems (PPS), and compliance with payer reimbursement regulatory requirements.
Books

---

 

• Revenue Cycle Management Best Practices
• The Charge Description Master Handbook
• Analyzing the Financial Impact of MS-DRGs
• Coding and Reimbursement for Hospital Inpatient Services, Third Edition 2011
  
• Coding and Reimbursement for Hospital Outpatient Services
• Present on Admission, Second Edition
• Principles of Healthcare Reimbursement,Third Edition 2011
  
• Severity DRGs and Reimbursement: An MS-DRG Primer

E-Learning

---

 

• DRG Systems Adjusted for Severity
• Present on Admission Reporting and Hospital-Acquired Conditions
• APC Essentials
• Guide to Revenue Cycle Management
• Reimbursement Methodologies course (within the Coding Basics program)