The following references are now available as a NHIA member-only benefit and will redirect to our Community.
NHIA’s Reimbursement Training Center is now an interactive education program, Infusion Revenue Cycle Basics, that resides in NHIA University. NHIA members can access all the content and earn a certificate of completion after reviewing it and passing a short quiz.
NHIA’s Payer Advocacy and Relations Committee (PARC) has developed this reference to assist NHIA members in orienting their staff to common practices throughout the reimbursement cycle. This reference is now available as a NHIA member-only benefit.
Every organization must assume responsibility for all compliance aspects of their billing, coding and other claiming practices, HIPAA and otherwise. While we are comfortable with the quality of this document, NHIA assumes no liability that use of these procedures conforms to Payer regulations or other norms of business practice that have been established within your organization. Use of this document is meant to support training, and should not be considered a replacement for training practices within your organization.
The goal of the reimbursement function is to transform the services provided into cash for your organization. This is often referred to as the revenue cycle. The revenue cycle consists of a series of steps, often performed by different personnel, or even departments, depending on the size of the organization. This site breaks down those steps as follows:
The guide also includes information regarding the variety of therapies provided by home and specialty infusion providers, payer types, reimbursement methodologies, and infusion suites.
Please contact marianne.buehler@nhia.org if you have any questions or comments.
