Revenue Cycle Management professionals are responsible for the management and oversight of all business, administrative and clinical functions that contribute to patient revenue from point of entry through payment and adjudication. This may include insurance processing, registration, eligibility, claims management, billing, collections, and denials.
Whether you are new to revenue cycle management or an experienced revenue cycle professional who wants to demonstrate your skills and knowledge, AHIMA provides education, training, and other valuable resources to support career growth, and advancement. AHIMA certifications connected to the revenue cycle, include CCA®, CCS-P®, CCS®, and CDIP®.
13 COURSES | 10 CEUS EACH
Get the knowledge you need to build a successful health information career with our foundational courses—all online and self-paced. When you complete all 13 courses, you will earn the AHIMA Medical Coding and Reimbursement Micro-credential. If you choose to continue your journey, you can apply academic transfer credits towards certificate or undergraduate degree programs with participating academic institutions.
This course presents a primer on DRGs including the history, grouping logic, common DRG systems, and the role of case mix in the hospital.
This course will build the learner’s core knowledge related to claims processing, payer standardized communications, denials analysis and organizational denials prevention strategies.
The AHIMA CDI Academy is a comprehensive series of 18 lessons designed to assist CDI professionals in implementing best practices at their organizations.
Coming Spring 2021
Hardcover | Sixth Edition
This book gives educators, students, and healthcare professionals comprehensive, up-to-date information on healthcare reimbursement systems, and the impact each system has on the entire US healthcare delivery system and economy, in one trusted source.
Hardcover | Second Edition
This book helps health information professionals and students better understand and participate in the revenue cycle management process by providing examples of how facilities can move from managing the revenue cycle by department to managing with an interdisciplinary approach to gain significant improvements on the timely flow of revenue.
Hardcover | Fifth Edition
Basic Current Procedural Terminology and HCPCS Coding Exercises strengthens the coding knowledge of students of all levels with skill-building drills and real-world case studies.
Hardcover | Fourth Edition
Coding professionals and students will discover a unique and valuable resource to assist them with understanding the complexities of coding for inpatient reimbursement.
Coming in 2021
January 27, 2021
When COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. Subsequent ICD-10-CM codes and guidelines for reporting COVID-19 changed many times as the pandemic evolved throughout 2020.
January 11, 2021
There are a total of 329 CPT code changes for 2021, including 206 code additions, 54 code deletions, and 69 code revisions.
January 11, 2021
The origins of the clinical documentation integrity profession can be traced back to the implementation of the Centers for Medicare and Medicaid Services’ Diagnostic-Related Grouper system back in 1983.