Resources
Title |
Type | Category | |
|---|---|---|---|
| Sample of win-win utilization review language | Tools & Forms | Billing and reimbursement, Compliance, Patient status, Utilization review | |
| Significant Medicare PHE extensions and adjustments: Physician services | Tools & Forms | Auditing and monitoring, Billing and reimbursement, Clinical documentation, Compliance, Recovery auditors | |
| Significant Medicare PHE extensions and adjustments: Hospitals and critical access hospitals | Tools & Forms | Billing and reimbursement, Clinical documentation, Coding, Compliance, Denials and appeals, Recovery auditors | |
| Significant Medicare PHE extensions and adjustments: Rural health clinics and Federally Qualified Health Centers | Tools & Forms | Auditing and monitoring, Billing and reimbursement, Coding, Compliance, Denials and appeals, Recovery auditors | |
| Sample payer charge denial letter | Tools & Forms | Denials and appeals | |
| Compliance audit department contracting for medical director services | Tools & Forms | Compliance | |
| Sample transfer agreement | Tools & Forms | Case management, Utilization review | |
| 2022 Denials Management Survey Report | Tools & Forms | Denials and appeals, HIM/HIPAA | |
| Sample utilization review specialist job description | Tools & Forms | Patient status, Utilization review | |
| Sample room and board policy | Tools & Forms | Billing and reimbursement, HIM/HIPAA | |
| Flowchart for appropriate use of modifier -XE | Tools & Forms | Coding, HIM/HIPAA | |
| Process improvement phases and tools | Tools & Forms | HIM/HIPAA | |
| Billing and charge audit procedure | Tools & Forms | Auditing and monitoring, Billing and reimbursement | |
| Clinical validation query template examples | Tools & Forms | Clinical documentation | |
| Sample coding apprentice education schedule | Tools & Forms | Coding | |
| Checklist for fair market value analysis | Tools & Forms | Compliance | |
| Sample quarterly compliance risk report | Tools & Forms | Compliance | |
| Sample occurance report form | Tools & Forms | Coding | |
| Sample overpayment refund cover letter | Tools & Forms | Billing and reimbursement, HIM/HIPAA | |
| Examples of MUE for 94640 with ED visit | Tools & Forms | Billing and reimbursement, Coding, HIM/HIPAA |