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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®.

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.

10 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. 

26 CEUs

Self-Paced Clinical Documentation Improvement (CDI) Inpatient-Outpatient Academy

The AHIMA CDI Academy is a comprehensive series of 18 lessons designed to assist CDI professionals in implementing best practices at their organizations.

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. 

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 a webinar series to explore:

• Benefits and Challenges of Telehealth in Ambulatory Care
• Cybersecurity & Compliance for Telehealth: A Guide for Secure Patient Encounters
• Revenue Recognition in Telehealth Best Practices

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. 

March 18, 2021

Documenting Acute Encephalopathy in COVID-19 Patients

Looking for the underlying condition causing the encephalopathy is beneficial because it can help in the identification of the principal diagnosis.

 

March 10, 2021

IFHIMA White Paper Fosters ICD-11 Planning, Adoption Around World

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

COVID-19 ICD-10-CM Coding Timeline for Outpatient Services

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.

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