CHRI Exam Study Guide

CHRI Exam Study Guide

The Certification in Healthcare Revenue Integrity (CHRI) credential offered through NAHRI helps revenue integrity professionals validate their skill set. This single credential encompasses the many disciplines involved in revenue integrity, including finance, compliance, HIM, CDI, and coding competencies. It also ensures organizations have a benchmark by which to measure the competency of their staff and helps to recruit team members who are committed to bringing value to the industry and staying abreast of changes in regulations and best practices.

The CHRI Exam Study Guide is the one resource that revenue integrity professionals can rely on to prepare for and pass the CHRI Exam. It is intended to help professionals refresh their existing knowledge and review topics with which they may be less familiar. The study guide includes access to the CHRI Practice Exam and accommodates any technique individual learners may wish to use in their exam prep: taking notes, highlighting sections, creating flash cards, or a combination of strategies.

Revenue integrity professionals preparing for the CHRI Exam will review topics related to:

Regulations and education

• The revenue cycle
• Payers and payment systems
• Regulatory agencies and oversight

Compliance

• Payer denials and audits
• Monitoring and internal auditing
• Managing compliance projects and programs

Revenue

• Charge description master
• Billing
• Project and program management
• Payer contracting

And much more!

WANT TO TAKE THE PRACTICE EXAM? CHRI Practice Exam

READY TO TAKE THE REAL CHRI EXAM? The Certification in Healthcare Revenue Integrity

Table of Contents

• Chapter 1: Regulations and Education
  • The Revenue Cycle
  • Payers and Payment Systems
  • Regulatory Agencies and Oversight
  • Key Responsibilities
• Chapter 2: Compliance
  • Payer Denials and Audits
  • Monitoring and Internal Auditing
  • Analyses
  • Policies and Procedures
  • Managing Compliance Projects and Programs
• Chapter 3: Revenue
  • Charge Description Master
  • Coding and Documentation
  • Billing
  • Charge Capture and Reconciliation
  • Project and Program Management
  • Payer Contracting
  • Research
  • Finance

About the Authors

Rayleen Kelly, RN, CCDS, CHRI, CIC, CRC, CHRI, is the medical documentation internal pool coordinator at Mercy in St. Louis.

Lisa Longo, CPC, CPC-I, CSMC, CHRI, is the director of revenue integrity at UConn Health in Farmington, Connecticut.

Debbie Nash, MBA, CHRI, is the assistant vice president of revenue capture at Atrium Health in Charlotte, North Carolina.

All three authors are members of the NAHRI Credential Committee and helped develop the CHRI Exam as part of their committee duties.

The National Association of Healthcare Revenue Integrity (NAHRI)

NAHRI’s mission is to enhance the revenue integrity profession through standards, advocacy, networking, and the promotion of shared knowledge and resources. This mission statement was developed by our NAHRI Advisory Board, an amazing group of revenue integrity professionals who bring a wide range of expertise and experience to this organization’s leadership.

PEER-BASED RESOURES AND TOOLS

As a NAHRI member, you’ll get unlimited access to our vast members-only resources, tools, and content such as white papers, best practices, and research reports written by the most respected names in the industry.

Resources include:

• Hundreds of the latest articles and research by topic, including white papers and best practices, plus an extensive archive on the NAHRI website
• A library of sample webinars and other content on the latest revenue cycle topics
• A quarterly journal, featuring in-depth, members-only content on the latest developments in revenue cycle

CONFERENCES AND TRAINING

Members receive significant discounts on all national and local NAHRI events. Learn from the best and brightest, interact and network with industry leaders, or roll your sleeves up and participate in an intensive, in-person, training events.

CAREER RESOURCES AND CREDENTIAL PROGRAM

NAHRI members receive $100 off the Certification in Healthcare Revenue Integrity (CHRI) credential program.