Are you struggling to maintain consistency and accuracy in clinical validation within your organization? Clinical validation is a crucial process that demands seamless collaboration between providers, clinical documentation integrity (CDI) specialists, and coding professionals. We understand the challenges when it comes to identifying diagnoses that lack clinical evidence. That's why we're excited to introduce our new Clinical Validation Practice Brief! Get started with essential guidance and tools to incorporate clinical validation seamlessly into your daily workflow.
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.
Self-Paced | 40 hours of AHIMA CEUs
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.
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.
3 Webinars | 3 CEUs Total
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:
1 CEU | Free Webinar
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.
Learn how revenue integrity ensures a unified, systemic approach to revenue cycle optimization, preventing revenue leakage and maintaining compliance.
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.
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.
March 18, 2021
Looking for the underlying condition causing the encephalopathy is beneficial because it can help in the identification of the principal diagnosis.
March 10, 2021
A white paper written by a group of global HIM professionals and published by IFHIMA discusses how early planning, coupled with HIM leadership, is critical for countries transitioning to ICD-11 in an increasingly digital and data-oriented world.
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.