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The Medicare Utilization Review for Clinicians explores the detailed rules for observation and inpatient status under Medicare and making determinations under the Conditions of Participation (CoP) for Utilization Review (UR) to effectuate Condition Code 44 changes or post-discharge self-denials. While this library is tailored to clinical professionals, anyone interested in expanding their knowledge of UR concepts would benefit – including compliance officers, revenue cycle staff, and denials staff working with inpatient denials. Click below for a FREE preview for each module:
CHRI Practice Exam.Arms revenue integrity professionals with the knowledge and confidence they need to ready themselves for NAHRI’s Certification in Healthcare Revenue Integrity (CHRI) credential exam. Two practice exam attempts are included. Available for stand-alone purchase >>
Coding Fundamentals for Non-Coders. This library gives hospital administrative, financial, and clinical staff without coding background details about how codes are assigned, what guidelines must be followed, and the basics of reimbursement. Available in inpatient and outpatient versions and for stand-alone purchase.
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