Nationwide, hospitals struggle to keep up with current regulatory and reimbursement mandates, such as HIPAA, CMS Hospital Conditions of Participation, as well as Joint Commission and other accreditation standards to remain compliant. Arm yourself with timely regulatory coverage, easy-to-understand interpretive guidance, and compliance strategies through HCPro solutions. We staff the nation’s leading experts to develop the right solutions to help your hospital remain in compliance with the latest standards and improve its financial health.
The average medical practice collects less than 71% of the revenue to which it’s entitled for services rendered. That’s because there are so many opportunities within your revenue cycle to lose your chance to lock in full payment. HCPro's post-acute division DecisionHealth will be your trusted partner to close those gaps. From prior authorizations through claims coding and billing to the final collection of your fees, we keep you up-to-date on regulatory changes and private payer policies so that you’re never caught off guard.
Home health agencies
Many post-acute care providers are feeling the pinch as denials are on the rise and the enforcement of compliance regulations increases. We have helped tens of thousands of home health agencies, hospices and skilled nursing facilities collect a far higher percentage of the dollars they deserve. From intake to proper coding of claims through claims submission to the final collection of your payment, our resources give you the best strategies and processes to optimize revenue cycle management.
An extensive and integrated series of leadership publications, products, research, and events devoted to the business of healthcare.
Comprehensive CDI solutions that help ensure compliance , promote quality, and ensure appropriate and timely reimbursement.
Up-to-date code and guidance information to support accurate and timely claims to prevent payment delays and denials that could interrupt your revenue cycle.
The latest Medicare regulatory updates so that you can strategically implement changes, stay compliant, and ensure appropriate reimbursement.
Revenue Cycle Management
Revenue cycle management solutions that enable hospitals and health systems to track patient care from admission to discharge.
“After evaluating [top competitors] and SelectCoder, we chose SelectCoder based on price and content. Not only was the pricing right, but the product and sales support we receive is fantastic. We’ve been using SelectCoder with the CPT Assistant add-on since 2018 and our coders find the tool really easy to use. All rolled up in one little package; the CPT guidance, Medicare policies and references are a total game changer!”— Sherri B, RHIT, CPC | UW Health
“The new ACDIS Pocket Guide is wonderful! Overall I felt an education/educator based approach throughout the guide. The organization of the information is very well thought-out and easy to navigate. Thank you all for a wonderful source of information for the CDI profession!”— Elisa Sninchak, M.Ed, BSN, RN, CCDS, CDIP, CCS, Education Manager | Novant Health
"I am always looking for ways to learn and grow professionally within the Revenue Cycle and NAHRI provides me a lot of that!"— Shannon Uhrmacher | CRMC
"DecisionHealth coding books are an excellent resource for any coder. The coding guidelines being printed throughout the tabular section is a great reminder when looking up codes. The coding tips assist with providing additional clarity for accurate code selection. I would recommend these coding books for any coder - new or seasoned."— Dee S., CPC, CRC, RHIA, CDEO, COC, CPPM, CPB, CPMA, Senior Risk Adjustment Professional | Humana
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