June 15, 2023 | 12 p.m. CT
Coding Denials: Understanding Common Culprits and Winning Strategies to Avoid Them
Discover how to tackle common coding and documentation issues that lead to denials, prevent future occurrences, and reverse denials.
Free Webinar
Winning the Revenue Cycle Battle: Proven Strategies for Claim Denials Management
June 28, 2023 | 12 p.m. CT
In today’s climate, the traditional approach of appeals to recoup denied revenue is no longer enough. Join us for a free webinar on June 28 to learn proactive and reactive out-of-the-box strategies that use data analytics, benchmarking, and education to secure your revenue.
Overview
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.
Training and Resources
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®.
Online Courses
13 COURSES | 10 CEUS EACH
Medical Coding and Reimbursement Courses
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.
1 CEU
DRG Reimbursement and Case Mix
This course presents a primer on DRGs including the history, grouping logic, common DRG systems, and the role of case mix in the hospital.
1 CEUs
Revenue Cycle: Introduction to Claim Denials
This course will build the learner’s core knowledge related to claims processing, payer standardized communications, denials analysis and organizational denials prevention strategies.
Self-Paced | 40 hours of AHIMA CEUs
Risk Adjustment Coding/Auditing
AHIMA has partnered with MARSI to present the first Risk Adjustment Coding/Auditing course that prepares professionals for risk adjustment coding while going a step further to address chart auditing. This course presents extensive, in-depth education for those working in risk adjustment that need a thorough understanding of HCCs, coding, and auditing.
Books
Hardcover | Sixth Edition
Principles of Healthcare Reimbursement
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
Revenue Cycle Management Best Practices
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 CPT and HCPCS Coding Exercises
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 and Reimbursement for Hospital Inpatient Services
Coding professionals and students will discover a unique and valuable resource to assist them with understanding the complexities of coding for inpatient reimbursement.
Webinars
3 Webinars | 3 CEUs Total
The Nuances of Health Information and Telehealth: 3 Perspectives
Build your knowledge of telehealth services and understand how this growing service impacts the healthcare industry. Join us for this Available On-Demand series to explore:
• Cybersecurity & Compliance for Telehealth: A Guide for Secure Patient Encounters
• Revenue Recognition in Telehealth Best Practices
1 CEU | Free Webinar
Solutions for Revenue Capture
This webinar will present a holistic strategy for revenue cycle management in the age of value-based care through the use of data analytics and benchmarking for optimal revenue capture.
Resources
Practice Briefs (Members only)
Learn best practices for topics such as denials prevention and management as well as a provider's resource for revenue cycle and coding tools.
Toolkits (Members only)
Be prepared to handle any situation in the workplace with toolkits covering topics such as physician coding, disaster planning, and telemedicine.
Whitepaper
Revenue Integrity: Leveraging Data to Enhance Collaboration Across the Revenue Cycle
Learn how revenue integrity ensures a unified, systemic approach to revenue cycle optimization, preventing revenue leakage and maintaining compliance.
Sponsored Content
Whitepaper
The Importance of Implementing Clinically Intelligent Compliance Programs
Implementing clinically intelligent compliance programs is imperative for hospitals, as eliminating healthcare fraud and abuse is a top government regulator priority. Accuity’s compliance expert, Dr. Bringham Strelow, VP of Revenue Integrity, offers guidance in this whitepaper for creating a plan to implement and maintain a solid compliance program.
Sponsored Content
Whitepaper
Medical Record Retrieval and Procurement: Challenges and Solutions
Download the whitepaper to uncover insights from our expert panel about medical record retrieval and how payor organizations can improve payor-provider relationships, address procurement challenges, and ensure payment integrity.