Resources

Titlesort descending 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

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