CHRI Exam Study Guide

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CHRI Exam Study Guide

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CHRI Exam Study Guide

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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!


Published: September 2020

Pages: 116
Format: 7x9 Perfect Bound
ISBN: 978-1-68308-907-0

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.