NAHRI's Core Functions of Revenue Integrity, Second Edition
Title | NAHRI's Core Functions of Revenue Integrity, Second Edition PDF eBook |
Author | Sarah Goodman |
Publisher | |
Pages | 120 |
Release | 2021-09 |
Genre | |
ISBN | 9781645351405 |
NAHRI's Core Functions of Revenue Integrity examines how each piece of revenue integrity comes together on a macro and a micro level by looking through the lens of 10 core functions. It provides actionable advice and guidance for revenue integrity professionals, whether they are new hires or experienced veterans. This book provides a well-rounded perspective on revenue integrity, covering everything from payment systems and reimbursement methodologies to denial appeals and charge capture review. It is authored by six current and past members of NAHRI's Advisory Board whose collective knowledge and experience will help revenue integrity professionals ensure their programs are running effectively and capturing revenue opportunities. Benefits of this guide include: A broad perspective of revenue integrity across 10 core functions, ranging from introductory to advanced topics Trusted guidance by expert contributors from across the country The ins and outs of revenue integrity in one comprehensive resource
Core Functions of Revenue Integrity
Title | Core Functions of Revenue Integrity PDF eBook |
Author | Valerie A. Rinkle |
Publisher | |
Pages | 103 |
Release | 2017 |
Genre | Medical economics |
ISBN | 9781683086581 |
The Revenue Integrity Training Toolkit
Title | The Revenue Integrity Training Toolkit PDF eBook |
Author | Elizabeth E. Lamkin |
Publisher | |
Pages | 0 |
Release | 2016-11-22 |
Genre | |
ISBN | 9781683081265 |
The Revenue Integrity Training Toolkit Elizabeth Lamkin, MHA, ACHE The revenue cycle in a hospital or health system is a continuum, and each department and role within the cycle has to work in unison to be successful. Due to the nature of today's healthcare environment some staff may not even realize that they're part of the revenue cycle. If there's a weak link, the entire system can quickly be in trouble due to issues with compliance, reimbursement, and, ultimately, patient care. This handbook will help get everyone, from billers to clinicians, on the same page improving systemic information flow and feedback loops. This toolkit comes with five handbooks that you can give to members of the revenue cycle. Bulk pricing for these handbooks is also available. In addition to the handbook, you will receive: Downloadable flow charts depicting the overarching revenue cycle and its various components and information flow Diagram of best practice committee and communication structures to help ensure a single high-functioning revenue cycle A sample payer scorecard to help track payer performance and support internal accountability Customizable team charter template for a medical records improvement committee A list of helpful resources for all aspects and departments involved in the revenue cycle Table of Contents Chapter 1: Revenue Cycle Integrity: A System Enterprise The Revenue Cycle Plan Chapter 2: Other Roles and Responsibilities Hospital Departments Hospital and Medical Staff Leader Chapter 3: Cross Functional Management of Revenue Cycle Committee Structure and Information Flow Communication and Education Outcome Measurement and Reporting for Accountability Chapter 4: Summary This handbook will help you: Recognize how all of the different pieces of the revenue cycle fit together Reduce inconsistencies and increase buy-in across departments Identify key players in the revenue cycle Create and manage revenue cycle committees that produce measurable results and improve financial accountability Engage key stakeholders in education and help them tie overarching revenue cycle goals with specific departmental goals
Total Revenue Integrity
Title | Total Revenue Integrity PDF eBook |
Author | Great Britain. Crown Agents. Trade and Tax Advisory Services Division |
Publisher | |
Pages | |
Release | 1990 |
Genre | |
ISBN |
The Chargemaster Essentials Toolkit
Title | The Chargemaster Essentials Toolkit PDF eBook |
Author | Valerie A. Rinkle |
Publisher | Hcpro, a Division of Simplify Compliance |
Pages | 0 |
Release | 2016-12-19 |
Genre | Health insurance claims |
ISBN | 9781683080862 |
Fostering Integrity in Research
Title | Fostering Integrity in Research PDF eBook |
Author | National Academies of Sciences, Engineering, and Medicine |
Publisher | National Academies Press |
Pages | 327 |
Release | 2018-01-13 |
Genre | Science |
ISBN | 0309391253 |
The integrity of knowledge that emerges from research is based on individual and collective adherence to core values of objectivity, honesty, openness, fairness, accountability, and stewardship. Integrity in science means that the organizations in which research is conducted encourage those involved to exemplify these values in every step of the research process. Understanding the dynamics that support â€" or distort â€" practices that uphold the integrity of research by all participants ensures that the research enterprise advances knowledge. The 1992 report Responsible Science: Ensuring the Integrity of the Research Process evaluated issues related to scientific responsibility and the conduct of research. It provided a valuable service in describing and analyzing a very complicated set of issues, and has served as a crucial basis for thinking about research integrity for more than two decades. However, as experience has accumulated with various forms of research misconduct, detrimental research practices, and other forms of misconduct, as subsequent empirical research has revealed more about the nature of scientific misconduct, and because technological and social changes have altered the environment in which science is conducted, it is clear that the framework established more than two decades ago needs to be updated. Responsible Science served as a valuable benchmark to set the context for this most recent analysis and to help guide the committee's thought process. Fostering Integrity in Research identifies best practices in research and recommends practical options for discouraging and addressing research misconduct and detrimental research practices.
Registries for Evaluating Patient Outcomes
Title | Registries for Evaluating Patient Outcomes PDF eBook |
Author | Agency for Healthcare Research and Quality/AHRQ |
Publisher | Government Printing Office |
Pages | 385 |
Release | 2014-04-01 |
Genre | Medical |
ISBN | 1587634333 |
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.