Education

From webinars to eBooks, enjoy our library of HCC coding and revenue cycle information.

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HCC Coding
Revenue Cycle

A Playbook for Pop Health Teams: Overcoming Common HCC Coding Challenges & Improving RAF Score Accuracy

A Playbook for Pop Health Teams: Overcoming Common HCC Coding Challenges & Improving RAF Score Accuracy In our extensive experience working with ACOs, we’ve seen them grapple with several challenges when it comes to HCC coding. In this playbook, we share some case studies that demonstrate how top-performing medical groups overcame these challenges to improve their HCC coding accuracy and processes.

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RCxRules Revenue Cycle Rules Engine Overview

RCxRules Revenue Cycle Rules Engine Overview Check out this one-page overview to see how the RCxRules Revenue Cycle Rules Engine creates a dramatically more efficient revenue cycle workflow.

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An Expert's Take on HCC Coding

An Expert's Take on HCC Coding Kate Casaday explores the intricacies of HCC coding, highlighting the pros and cons of pre-visit chart prep, concurrent review, and retrospective review. Gain insights into optimizing provider workflows and ensuring efficient risk adjustment. Dive into the eBook for an in-depth analysis.

Fewer Patient Visits Due to COVID-19 Means Fewer HCC Opportunities

Fewer Patient Visits Due to COVID-19 Means Fewer HCC Opportunities Download this infographic to understand how COVID-19 may be negatively impacting your HCC coding opportunities and how implementing just one small change can help.

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The Evolution of a Successful HCC Coding Workflow: From Retrospective to Concurrent Review

The Evolution of a Successful HCC Coding Workflow: From Retrospective to Concurrent Review In this webinar, learn how Crystal Run Healthcare, a medical group with 400+ providers working across nearly 50 medical specialties, created an efficient HCC coding workflow to navigate the challenge of ensuring accurate RAF scores.

Infographic: Overcoming Staffing Challenges

Infographic: Overcoming Staffing Challenges Hiring and retaining staff in the healthcare field is a challenge that isn’t going away anytime soon. Learn how automation can help in this infographic.

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Simplify Your Revenue Cycle Workflow Through Automation

Simplify Your Revenue Cycle Workflow Through Automation By turning your unique knowledge and expertise into highly tailored, automated rules that autocorrect billing and coding errors, you can create a dramatically more efficient process. In this eBook, we address the challenges facing RCM teams and provide some examples of custom rules.

Provider HCC Quick Reference Tool

Provider HCC Quick Reference Tool Accurate HCC coding supported by documentation is critical to reaching financial targets. This quick reference tools provides documentation tips along with the greatest HCC coding opportunities.

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3 Challenges Top-Performing ACOs Overcame in 2020 to Improve RAF Score Accuracy

3 Challenges Top-Performing ACOs Overcame in 2020 to Improve RAF Score Accuracy In this 25-minute webinar, discover how top-performing ACOs overcame these three 2020 challenges to improve RAF score accuracy: turning payer feedback/score cards into specific actions, COVID-19 and the impact of furloughs and staffing shortages and making the case for investment in HCC coding.

7 HCC Coding Opportunities for Better RAF Score Accuracy that RCxRules Will Never Miss

7 HCC Coding Opportunities for Better RAF Score Accuracy that RCxRules Will Never Miss Download this infographic to learn the seven most common HCC opportunities that RCxRules uncovers—and how you can easily improve your RAF score accuracy.

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Improve HCC Capture with HCC Coding Smart Rules

Improve HCC Capture with HCC Coding Smart Rules Data shows providers often have robust documentation but lack in risk adjustment coding accuracy. A concurrent review process, when done by experienced coders, yields opportunities to improve HCC coding capture. HCC Coding Smart Rules identify those scenarios where a provider’s documentation may be more robust than the coding reflects and provide an opportunity to improve HCC capture while ensuring compliance with established coding guidelines.

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AAPC Webinar - Navigate Risk Adjustment Coding Like a Pro: From Audits to Action

AAPC Webinar - Navigate Risk Adjustment Coding Like a Pro: From Audits to Action Learn how organizations leverage comprehensive audits and automation technology to improve RAF score accuracy in this hour-long session featuring Karen Weed from RCxRules and Jennifer Hill from AAPC.

Best Practices Guide to HCC Coding: 9 Ways Top Performing Organizations Improve RAF Scores

Best Practices Guide to HCC Coding: 9 Ways Top Performing Organizations Improve RAF Scores Access this guide to learn 9 actionable tips for your healthcare organization to achieve risk adjustment success.

Personalized Top 10 HCC Codes which Present the Biggest Opportunity to Improve Your Organization's RAF Score Accuracy

Personalized Top 10 HCC Codes which Present the Biggest Opportunity to Improve Your Organization's RAF Score Accuracy See the most relevant HCC codes with the highest associated RAF value and commonality to your organization.

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Product Overview

CPT II Coding Engine Overview

CPT II Coding Engine Overview Learn how RCxRules can automate the CPT II coding process to ensure coding and quality reporting accuracy without burdening physicians or clinical staff.

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7 Tips to Close HCC Coding Gaps

7 Tips to Close HCC Coding Gaps Start closing HCC coding gaps today with these seven tips.

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The Secret to RAF Score Improvement (Your RCM Team)

The Secret to RAF Score Improvement (Your RCM Team) Watch our 20-minute webinar to learn how large medical groups have improved RAF score accuracy by connecting revenue cycle and population health management efforts. We'll also discuss how fee-for-service processes can positively impact HCC coding productivity and accuracy.

Improve HCC Coding Capture with HCC Coding Software

Improve HCC Coding Capture with HCC Coding Software Watch this 30-minute webinar to learn how your organization can automate your HCC coding workflow. Increase the accuracy, completeness, and compliance of your HCC coding process.

AAPC Listen Up Conference: How People and Systems Contribute to Value-Based Success

AAPC Listen Up Conference: How People and Systems Contribute to Value-Based Success In this 45-minute video, Karen Weed of RCxRules and other industry experts discuss common pain points and share workflow and infrastructure solutions to facilitate a more efficient Value-Based workflow—from implementation to claims review.

HCC Coding: 3 Steps for Operational Success

HCC Coding: 3 Steps for Operational Success In this 30-minute on-demand webinar learn how one organization successfully operates in a value-based world using a simple 3-step process.

3 Steps to HCC Coding Success

3 Steps to HCC Coding Success Download this infographic to learn the three crucial steps to ensure internal operational success and to see more accurate risk scores within your value-based care plans.

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HCC Coding: A Next Generation ACO's Evolution to Taking Full Risk

HCC Coding: A Next Generation ACO's Evolution to Taking Full Risk Learn best practices for managing global risk from industry leader, CareMount Medical, the differences between CMS ACOs and Medicare Advantage and how an EHR, Population Health Management Solution and HCC coding rules are integrated to drive exceptional results.

Community Health Center Chat

Community Health Center Chat In this episode, NextGen Healthcare speaks with our CEO, Stephen Gorman, about the importance of accurate HCC coding, and how if utilized properly, can secure accurate RAF scores, and improve financial performance in value-based contracts.

How To Do More With Less: "Clone" Your RCM Leader

How To Do More With Less: "Clone" Your RCM Leader In only 15 minutes learn how to ensure every RCM team member can address billing/coding issues exactly as instructed for every encounter; and, how to manage constantly changing billing/coding requirements—no more post-it notes and cheat sheets!

HCC Coding: Best Practices to Improve Capture Rates

HCC Coding: Best Practices to Improve Capture Rates Learn techniques from top performing organizations on how to strengthen HCC capture rates.

Lean Principles, Clean Data and Your Business Office: A Focus on Quality is Now a Requirement in Healthcare

Lean Principles, Clean Data and Your Business Office: A Focus on Quality is Now a Requirement in Healthcare This informative eBook will give you a jump start to implementing lean methodology within your organization.

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An Overview of the Revenue Cycle Engine for athenahealth Users

An Overview of the Revenue Cycle Engine for athenahealth Users Learn more about how RCxRules benefits athenahealth users with a combination of customer-controlled, highly tailored rules and a unique autocorrect capability which greatly reduces customer claim holds.

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When It Comes to Claim Scrubbers You Have Options

When It Comes to Claim Scrubbers You Have Options Re-evaluate your current claim scrubber to ensure your organization is using the latest, best-in-class software with this quick checklist. Find out if your organization is ready for an upgrade.

Value-Based Reimbursement, Risk Adjustment & HCC Coding: What You Need to Know

Value-Based Reimbursement, Risk Adjustment & HCC Coding: What You Need to Know Value-based care has emerged as an alternative to the traditional fee-for-service model. Find out everything you need to know about HCC coding and value-based reimbursement, including why medical organizations are making the shift, the various contract models, and more.

Value-Based Reimbursement, Risk Adjustment and HCC Coding: What You Need to Know

Value-Based Reimbursement, Risk Adjustment and HCC Coding: What You Need to Know This simple but comprehensive eBook will equip you with the basics of risk adjustment, provide an overview of how medical groups get paid, and review the financial impact of HCC coding on your organization.

The Importance of Clean Data in Your Data Governance Strategy

The Importance of Clean Data in Your Data Governance Strategy Learn how vital clean data is to data governance. This article covers the basics of a data governance strategy.

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Custom Dermatology Medical Billing Rules

Custom Dermatology Medical Billing Rules Learn how to boost your revenue and improve staff efficiency with highly tailored, automated rules that optimize your dermatology revenue cycle management.

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Custom Orthopedic Medical Billing Rules

Custom Orthopedic Medical Billing Rules Learn how orthopedic medical billing software can dramatically reduce the burden of manual effort by automatically correcting routine billing errors.

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Custom Urology Medical Billing Rules

Custom Urology Medical Billing Rules Learn how to automate complex urology medical billing issues with custom rules controlled by you.

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The Ultimate Guide to Healthcare Revenue Cycle Management, Claim Scrubbing, and Medical Coding Software

The Ultimate Guide to Healthcare Revenue Cycle Management, Claim Scrubbing, and Medical Coding Software This comprehensive guide addresses the challenges of healthcare revenue cycle management, discusses the different approaches to claim scrubbing, and outlines how medical coding software can maximize staff efficiency and boost revenue.

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