Hospital Reimbursement

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Author :
Publisher : CRC Press
ISBN 13 : 1439898944
Total Pages : 275 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Hospital Reimbursement by : Kyle Herbert

Download or read book Hospital Reimbursement written by Kyle Herbert and published by CRC Press. This book was released on 2012-06-05 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the revenue cycle within a hospital setting. The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also: Covers the full range of services and procedures for which a hospital can receive reimbursement Explains the difference between a for-profit and not-for-profit hospital Contains chapters devoted to Statements of Operations (Income Statement) and Statements of Financial Position (Balance Sheet) Examines governmental cost reporting—including Worksheets A, A-6, A-8, A-8-2, B-1, B Part 1, C Part 1, D-3, D-5, and E Part A Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.

PHR Study Guide 2020-2021

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Author :
Publisher : Trivium LLC
ISBN 13 : 9781635306903
Total Pages : 138 pages
Book Rating : 4.3/5 (69 download)

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Book Synopsis PHR Study Guide 2020-2021 by : Trivium Hr Exam Prep Team

Download or read book PHR Study Guide 2020-2021 written by Trivium Hr Exam Prep Team and published by Trivium LLC. This book was released on 2020-01-16 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Uniform Billing Editor

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Publisher :
ISBN 13 : 9781601519832
Total Pages : 0 pages
Book Rating : 4.5/5 (198 download)

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Book Synopsis Uniform Billing Editor by : Optum360

Download or read book Uniform Billing Editor written by Optum360 and published by . This book was released on 2020-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Facilities can use this reference tool daily to manage the constant changes to the Medicare billing and reimbursement process. The Uniform Billing Editor provides detailed, accurate, and timely information about Medicare and UB-04 billing rules and assists the user with 5010 data and UB-04 and 837i requirements.

CPT 2021 Professional Edition

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Publisher :
ISBN 13 : 9781640160491
Total Pages : 1000 pages
Book Rating : 4.1/5 (64 download)

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Book Synopsis CPT 2021 Professional Edition by : American Medical Association

Download or read book CPT 2021 Professional Edition written by American Medical Association and published by . This book was released on 2020-09-17 with total page 1000 pages. Available in PDF, EPUB and Kindle. Book excerpt: CPT® 2021 Professional Edition is the definitive AMA-authored resource to help health care professionals correctly report and bill medical procedures and services. Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT® code set is a dynamic, everchanging standard, an outdated codebook does not suffice. Correct reporting and billing of medical procedures and services begins with CPT® 2021 Professional Edition. Only the AMA, with the help of physicians and other experts in the health care community, creates and maintains the CPT code set. No other publisher can claim that. No other codebook can provide the official guidelines to code medical services and procedures properly. FEATURES AND BENEFITS The CPT® 2021 Professional Edition codebook covers hundreds of code, guideline and text changes and features: CPT® Changes, CPT® Assistant, and Clinical Examples in Radiology citations -- provides cross-referenced information in popular AMA resources that can enhance your understanding of the CPT code set E/M 2021 code changes - gives guidelines on the updated codes for office or other outpatient and prolonged services section incorporated A comprehensive index -- aids you in locating codes related to a specific procedure, service, anatomic site, condition, synonym, eponym or abbreviation to allow for a clearer, quicker search Anatomical and procedural illustrations -- help improve coding accuracy and understanding of the anatomy and procedures being discussed Coding tips throughout each section -- improve your understanding of the nuances of the code set Enhanced codebook table of contents -- allows users to perform a quick search of the codebook's entire content without being in a specific section Section-specific table of contents -- provides users with a tool to navigate more effectively through each section's codes Summary of additions, deletions and revisions -- provides a quick reference to 2020 changes without having to refer to previous editions Multiple appendices -- offer quick reference to additional information and resources that cover such topics as modifiers, clinical examples, add-on codes, vascular families, multianalyte assays and telemedicine services Comprehensive E/M code selection tables -- aid physicians and coders in assigning the most appropriate evaluation and management codes Adhesive section tabs -- allow you to flag those sections and pages most relevant to your work More full color procedural illustrations Notes pages at the end of every code set section and subsection

Medical Billing & Coding For Dummies

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Publisher : John Wiley & Sons
ISBN 13 : 1119625440
Total Pages : 355 pages
Book Rating : 4.1/5 (196 download)

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Book Synopsis Medical Billing & Coding For Dummies by : Karen Smiley

Download or read book Medical Billing & Coding For Dummies written by Karen Smiley and published by John Wiley & Sons. This book was released on 2019-12-05 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!

Introduction to Human Disease (Book)

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Publisher : Jones & Bartlett Publishers
ISBN 13 : 128405540X
Total Pages : 544 pages
Book Rating : 4.2/5 (84 download)

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Book Synopsis Introduction to Human Disease (Book) by : Agnes G. Loeffler

Download or read book Introduction to Human Disease (Book) written by Agnes G. Loeffler and published by Jones & Bartlett Publishers. This book was released on 2014-01-06 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction to Human Disease: Pathophysiology for Health Professionals, Sixth Edition provides a broad overview of the most common and important human diseases for students pursuing careers in the health professions. Comprehensive yet accessible, it addresses the aspects of disease epidemiology, diagnosis, and treatment that are essential to clinical practice. The Sixth Edition of this popular text has been thoroughly updated to cover the latest advances in medical knowledge and practice, especially with regard to mental health and nutritional disorders. It also includes additional clinical information on treatments for diseases. Designed to facilitate learning, this essential reference features new full-color photos and illustrations, learning objectives, and practice questions for review and assessment. Introduction to Human Disease: Pathophysiology for Health Professions, Sixth Edition will help students gain a solid foundation in disease pathology and medical terminology to help them throughout their medical education. KEY FEATURES - Provides a comprehensive introduction to the essential aspects of human disease - Covers the most common and important human diseases, including mental illnesses - Facilitates learning with chapter objectives, key terms, and practice questions - Includes more than 400 full-color illustrations, photos, and tables NEW TO THE SIXTH EDITION - New photos and illustrations - New and updated resources for instructors and students - Updated content reflects the current state of medical knowledge and practice - More clinical information, including general and specific treatments for diseases with an emphasize on common laboratory tests - Chapter 26: Infectious Diseases and Chapter 27: Immunologic Diseases are revised and now included in Section 4: Multiple Organ System Diseases - Chapters 24: Mental Illness and 30: Nutritional Disorders are revised, to bring them up-to-date with current health problems (e.g. obesity), concepts, and terminologies

Revenue Cycle Management

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Publisher : Medical Group Management Association/Center for Research in Ambulatory Health Care Administration
ISBN 13 : 9781568296777
Total Pages : 482 pages
Book Rating : 4.2/5 (967 download)

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Book Synopsis Revenue Cycle Management by : Kem Tolliver

Download or read book Revenue Cycle Management written by Kem Tolliver and published by Medical Group Management Association/Center for Research in Ambulatory Health Care Administration. This book was released on 2020-04-16 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is easy to get lost in all the phases of revenue management, so how does a practice keep it all straight? Proven solutions to optimize revenue cycle are the key, and this primer is a business-critical resource to deliver just that.

Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition

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Author :
Publisher :
ISBN 13 : 9781584269151
Total Pages : 0 pages
Book Rating : 4.2/5 (691 download)

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Book Synopsis Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition by : Anne Casto

Download or read book Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition written by Anne Casto and published by . This book was released on 2023-10-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Care Finance and the Mechanics of Insurance and Reimbursement

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284169030
Total Pages : 344 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Health Care Finance and the Mechanics of Insurance and Reimbursement by : Michael K. Harrington

Download or read book Health Care Finance and the Mechanics of Insurance and Reimbursement written by Michael K. Harrington and published by Jones & Bartlett Learning. This book was released on 2019-10-01 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.

Family Nurse Practitioner Certification Review

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284153231
Total Pages : 509 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Family Nurse Practitioner Certification Review by : Stewart

Download or read book Family Nurse Practitioner Certification Review written by Stewart and published by Jones & Bartlett Learning. This book was released on 2017 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Family Nurse Practitioner Certification Review is an ideal study guide for new and recertifying nurses preparing to take the Family Nurse Practitioner certification exam administered by the ANCC and AAANPCP. Written by nurse practitioners, it offers up-to-date questions and answer rationales specific to FNP certification that reflect the most current guidelines. In addition, it offers a short theory review, clinical application of knowledge, and clinical skills. Also incorporated are ethical and legal considerations, scope of practice, and cultural sensitivity." -- Back cover

Medical Coding

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Publisher : Quickstudy Reference Guides
ISBN 13 : 9781423236535
Total Pages : 0 pages
Book Rating : 4.2/5 (365 download)

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Book Synopsis Medical Coding by : Shelley C. Safian

Download or read book Medical Coding written by Shelley C. Safian and published by Quickstudy Reference Guides. This book was released on 2017-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated for 2018 ICD-10 guidelines, this 6 page laminated guide covers core essentials of coding clearly and succinctly. Author Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer used her knowledge and experience to provide the largest number of valuable facts you can find in 6 pages, designed so that answers can be found fast with color coded sections, and bulleted lists. A must for students seeking coding certification and a great desktop refresher for professionals. 6-page laminated guide includes: General Coding & Legal Guidelines Coding Tips Conditions & Diagnoses Diagnosis Coding Pathology & Laboratory Reimbursement & Billing Tips Coding Evaluation & Management Services ICD-10 Terms, Notations & Symbols Wounds & Injuries Important Resources Anesthesia, Surgery & Radiology Diagnostic Coding

Management for the Health Information Professional, 2nd Edition

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Publisher :
ISBN 13 : 9781584266815
Total Pages : pages
Book Rating : 4.2/5 (668 download)

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Book Synopsis Management for the Health Information Professional, 2nd Edition by : Kelly

Download or read book Management for the Health Information Professional, 2nd Edition written by Kelly and published by . This book was released on 2019-11-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Information Management Technology, 6e

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Publisher :
ISBN 13 : 9781584267201
Total Pages : pages
Book Rating : 4.2/5 (672 download)

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Book Synopsis Health Information Management Technology, 6e by : Nanette Sayles

Download or read book Health Information Management Technology, 6e written by Nanette Sayles and published by . This book was released on 2020-03-31 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

PHR/SPHR Exam For Dummies with Online Practice

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Publisher : John Wiley & Sons
ISBN 13 : 1119724899
Total Pages : 407 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis PHR/SPHR Exam For Dummies with Online Practice by : Sandra M. Reed

Download or read book PHR/SPHR Exam For Dummies with Online Practice written by Sandra M. Reed and published by John Wiley & Sons. This book was released on 2021-01-27 with total page 407 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ace those challenging PHR and SPHR exams! In the competitive field of Human Resources, measurable demonstrations of credibility and commitment will get you ahead—and there's no better way to show your dedication than by adding the Professional in Human Resources (PHR) or Senior Professional in Human Resources (SPHR) qualifications to your resume. Fail rates are high, but the right combination of knowledge and practice (and a little grit) will see you a pass with flying colors—which is where PHR/SPHR Exam For Dummies comes in! In a friendly, step-by-step style, Sandra M. Reed, owner of the HR consulting firm epocHResources, takes the intimidation out of these challenging tests by letting you in on what to expect—as well as teaching you proven techniques for success. Work through the book's thorough content and subject review, sample questions, and suggested strategies, and then go online to find additional practice tests and more than 500 flashcards. With these resources, you can approach your exam with confidence. Take sample tests in the book and online Follow detailed answers and explanations Know how the exam is scored Study with more than 500 flashcards online Whether you're a student or an experienced professional, PHR/SPHR Exam For Dummies will give you the power to pass—and pass well—and go on to achieve the successful HR career of your dreams!

Reinventing Revenue Cycle Management

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Publisher :
ISBN 13 : 9781982995706
Total Pages : 72 pages
Book Rating : 4.9/5 (957 download)

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Book Synopsis Reinventing Revenue Cycle Management by : April Wilson

Download or read book Reinventing Revenue Cycle Management written by April Wilson and published by . This book was released on 2018-06-08 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the industry continues to undergo growing pains, transitioning to value-based care from fee-for-service, hospitals and providers are also fielding new challenges that have emerged on the regulatory, technology, and patient-consumer fronts. Hospitals and providers are in a race against one another to find new ways to attract and retain patients. Now that patients are assuming greater financial responsibility for their healthcare costs, whether voluntarily or involuntarily, their expectations are high about having a positive clinical and financial experience. Therefore, the engagement of patients should begin before the actual clinical encounter. The RCM departments of forward-thinking organizations recognize that an active patient engagement strategy is an effective way of influencing positive patient payment behaviors.Revenue cycle plays an intrinsic role in the overall patient experience, and there are multiple touchpoints by which to engage patients before billing them. Some examples include being transparent with patients at the outset about their financial obligations, removing barriers to payment by providing flexible options and payment tools, such as an online payment portal, and enhancing the design of billing statements. Patient engagement that prioritizes consumer satisfaction can lead to good financial outcomes for healthcare organizations.This book will help RCM professionals navigate the changing environment successfully.

Aphr Certification Study Guide

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Author :
Publisher : Test Prep Books
ISBN 13 : 9781628456349
Total Pages : 150 pages
Book Rating : 4.4/5 (563 download)

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Book Synopsis Aphr Certification Study Guide by : Test Prep Books

Download or read book Aphr Certification Study Guide written by Test Prep Books and published by Test Prep Books. This book was released on 2019-04-05 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: Test Prep Books' aPHR Certification Study Guide: aPHR Study Guide & Practice Exam Questions for the Associate Professional in Human Resources Exam Made by Test Prep Books experts for test takers trying to achieve a great score on the PHR exam. This comprehensive study guide includes: -Quick Overview Find out what's inside this guide! -Test-Taking Strategies Learn the best tips to help overcome your exam! -Introduction Get a thorough breakdown of what the test is and what's on it! -HR Operations -Compensation and Benefits -Human Resource Development and Retention -Employee Relations -Health, Safety, and Security -Practice Questions Practice makes perfect! -Detailed Answer Explanations Figure out where you went wrong and how to improve! Studying can be hard. We understand. That's why we created this guide. Each section of the test has a comprehensive review created by Test Prep Books. These reviews go into detail to cover all of the PHR certification test. The Test Prep Books PHR practice test questions are followed by answer explanations. If you miss a question, it's important to understand why. That way, you can avoid missing it again in the future. The answer explanations will help you learn from your mistakes. Knowing the latest test-taking strategies is essential for the exam. A test taker has to understand the material that is being covered. They also must be familiar with test strategies. These strategies are necessary to properly use the time provided. They also help test takers complete the test without making any errors. Test Prep Books has provided the top test-taking tips. Anyone planning to take this exam should take advantage of this Test Prep Books study guide. Purchase it today to receive access to: -PHR study guide & review materials -Practice test questions -Test-taking strategies

NCLEXN RN 2020 and 2021 Exam Study Guide

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Author :
Publisher : Test Prep Books
ISBN 13 : 9781628458459
Total Pages : 264 pages
Book Rating : 4.4/5 (584 download)

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Book Synopsis NCLEXN RN 2020 and 2021 Exam Study Guide by :

Download or read book NCLEXN RN 2020 and 2021 Exam Study Guide written by and published by Test Prep Books. This book was released on 2020-05-22 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Test Prep Books' NCLEX RN 2019 & 2020 Study Guide: NCLEX RN Examination Test Prep & Practice Test Questions for the National Council Licensure Examination for Registered Nurses [Updated for the NEW 2019 Outline] Made by Test Prep Books experts for test takers trying to achieve a great score on the NCLEX RN exam. This comprehensive study guide includes: -Quick Overview Find out what's inside this guide! -Test-Taking Strategies Learn the best tips to help overcome your exam! -Introduction Get a thorough breakdown of what the test is and what's on it! -Management of Care -Safety and Infection Control -Health Promotion and Maintenance -Psychosocial Integrity -Basic Care and Comfort -Pharmacological and Parenteral Therapies -Reduction of Risk Potential -Physiological Adaptation -Practice Questions Practice makes perfect! -Detailed Answer Explanations Figure out where you went wrong and how to improve! Disclaimer: NCLEX(R) and NCLEX RN(R) are registered trademarks of National Council Licensure Examination, which was not involved in the production of, and does not endorse, this product. Studying can be hard. We understand. That's why we created this guide. Each section of the test has a comprehensive review created by Test Prep Books. These reviews go into detail to give you NCLEX RN mastery. The Test Prep Books NCLEX RN practice questions are followed by answer explanations. If you miss a question, it's important to understand why. That way, you can avoid missing it again in the future. The answer explanations will help you learn from your mistakes. Knowing the latest test-taking strategies is essential for the exam. A test taker has to understand the material that is being covered. They also must be familiar with test strategies. These strategies are necessary to properly use the time provided. They also help test takers complete the test without making any errors. Test Prep Books has provided the top test-taking tips. Anyone planning to take this exam should take advantage of this Test Prep Books study guide. Purchase it today to receive access to: -NCLEX RN review materials -Practice test questions -Test-taking strategies