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Guide To The Resource Utilization Group Rug Payment System
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Book Synopsis CMS Congressional Guide by : Centers for Medicare & Medicaid Services (U.S.)
Download or read book CMS Congressional Guide written by Centers for Medicare & Medicaid Services (U.S.) and published by . This book was released on 2004 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis A Guide for Congressional Staff to the Medicare, Medicaid, and State Children's Health Programs by : United States. Health Care Financing Administration
Download or read book A Guide for Congressional Staff to the Medicare, Medicaid, and State Children's Health Programs written by United States. Health Care Financing Administration and published by . This book was released on 2000 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :James E. Allen, PhD, MSPH, NHA, IP Publisher :Springer Publishing Company ISBN 13 :0826129196 Total Pages :195 pages Book Rating :4.8/5 (261 download)
Book Synopsis The Licensing Exam Review Guide in Nursing Home Administration, Seventh Edition by : James E. Allen, PhD, MSPH, NHA, IP
Download or read book The Licensing Exam Review Guide in Nursing Home Administration, Seventh Edition written by James E. Allen, PhD, MSPH, NHA, IP and published by Springer Publishing Company. This book was released on 2015-12-02 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sixth Edition A Doody’s Core Title! This is an excellent tool for anyone preparing to take the national licensing exam or a current licensed administrator needing a good review.” Score: 93, 4 Stars -- Doody’s Medical Reviews for the Sixth Edition The seventh edition of this classic review guide for nursing home administration licensure is revised and updated to reflect new information as recently mandated for the federally required national exam. It is based on the same format as the actual exam and provides an easy-to-use, effective way to review essential concepts and practice test-taking skills. The seventh edition reflects all changes to the new exam and includes over 600 test questions with answer keys, full-length rationales, and new content specific to the NAB exam. With core information on management, governance, and leadership; finance and business; environment; resident and patient care; and human resources--plus savvy test-taking strategies--it includes everything you need for exam success. New to the Seventh Edition: New questions and answers reflecting all updates and revisions New laws and federal regulations Impacts of the ACA on long-term care MDS 3.0 2015 Federal Requirements for Electronic Health Records New RAI (Resident Assessment Instrument) New Quality Indicators New Lifestyle Safety Code Inspection Processes New ICDM-10 International Classification of Diseases-Modified New topics including transportation options, customer care, data security, social media, contractual agreements, information management and technology, and much, much more Key Features: 600+ questions with answer key and extensive rationales Core information on management, governance, and leadership; finance and business; environment; nursing: resident/patient care; and human resources Test-taking strategies for success
Book Synopsis Master Medicare Guide by : Wolters Kluwer Law & Business
Download or read book Master Medicare Guide written by Wolters Kluwer Law & Business and published by Wolters Kluwer. This book was released on 2015-02-25 with total page 1989 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2015 Master Medicare Guide is packed with timely and useful information to help you stay on top of one of the most complex programs administered by the federal government. The 2015 Edition includes: Over 500 explanation summaries for all aspects of the Medicare program coverage, eligibility, reimbursement, fraud and abuse, and administration Highlights of the Protecting Access to Medicare Act of 2014 (P.L. 113-93) and the Improving Medicare Post-Acute Care Transformation Act of 2014 (P.L. 113-185)""; the most recent physician fee schedule reimbursement fix; A focus on the continuing implementation of the Affordable Care Act as it relates to Medicare, including accountable care organizations and a tighter link between the quality of health care and Medicare reimbursement All discussions include cross-references to relevant laws, regulations, CMS manual sections, administrative and judicial decisions, and more!
Book Synopsis The MDS Coordinator's Field Guide 3.0 by : Ellen J. Mullins
Download or read book The MDS Coordinator's Field Guide 3.0 written by Ellen J. Mullins and published by HC Pro, Inc.. This book was released on 2010-03 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Improving the Quality of Long-Term Care by : Institute of Medicine
Download or read book Improving the Quality of Long-Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Book Synopsis Guide to the Resource Utilization Group (RUG) Payment System by : Anna May Xu
Download or read book Guide to the Resource Utilization Group (RUG) Payment System written by Anna May Xu and published by . This book was released on 2020-11-26 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is your guide to Texas's Medicaid payment system for nursing homes. When newly admitted long-term care residents first arrive into a skilled nursing facility, they'll get an assessment from the staff. Each item or element on the assessment is coded into the minimum data set (MDS). A subset of the MDS directly affects the resource utilization group (RUG) calculation, which sorts the resident into one of 44 different RUG groups. Each group gets different reimbursement payments from Medicaid, so it's important to get that right. Learn the state nursing home regulations and laws for Medicaid. This book covers exactly which MDS items affect RUG payment, the 7 major RUG group categories, and medical necessity. There's an item-by-item guide to filling out the assessment form, both for older adults and children. It also goes over what happens during an Office of the Inspector General (OIG) utilization review and how to fill in an MDS correction form. Note: Texas uses RUG-III 34 group model, which is based on the Minimum Data Set (MDS) 3.0. They also calculate the RUG score with the index-maximizing method instead of the hierarchical method from the federal CMS.
Author :James E. Allen, PhD, MSPH, NHA, IP Publisher :Springer Publishing Company ISBN 13 :0826108210 Total Pages :1047 pages Book Rating :4.8/5 (261 download)
Book Synopsis Nursing Home Administration, 6th Editon and The Licensing Exam Review Guide in Nursing Home Administration, 6th Edtion SET by : James E. Allen, PhD, MSPH, NHA, IP
Download or read book Nursing Home Administration, 6th Editon and The Licensing Exam Review Guide in Nursing Home Administration, 6th Edtion SET written by James E. Allen, PhD, MSPH, NHA, IP and published by Springer Publishing Company. This book was released on 2011-02-01 with total page 1047 pages. Available in PDF, EPUB and Kindle. Book excerpt: This set includes Nursing Home Administration, 6th Edition and The Licensing Exam Review Guide in Nursing Home Administration, 6th Edition.
Book Synopsis A Case Manager’s Study Guide by : Skinner
Download or read book A Case Manager’s Study Guide written by Skinner and published by Jones & Bartlett Learning. This book was released on 2018-03-20 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by A case manager's study guide / Denise Fattorusso, Campion Quin. 4th ed. c2013.
Author :Wolters Kluwer Law & Business Health Editorial Publisher :Wolters Kluwer ISBN 13 :0808040049 Total Pages :1642 pages Book Rating :4.8/5 (8 download)
Book Synopsis Master Medicare Guide 2015 by : Wolters Kluwer Law & Business Health Editorial
Download or read book Master Medicare Guide 2015 written by Wolters Kluwer Law & Business Health Editorial and published by Wolters Kluwer. This book was released on 2015-02-25 with total page 1642 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2015 Master Medicare Guide is a one-volume desk reference packed with timely and useful information for providers, attorneys, accountants, and consultants who need to stay on top of one of the most complex programs maintained by the federal government.
Download or read book Provider written by and published by . This book was released on 2001 with total page 1002 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Administrative Healthcare Data by : Craig Dickstein
Download or read book Administrative Healthcare Data written by Craig Dickstein and published by SAS Institute. This book was released on 2014-10 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explains the source and content of administrative healthcare data, which is the product of financial reimbursement for healthcare services. The book integrates the business knowledge of healthcare data with practical and pertinent case studies as shown in SAS Enterprise Guide.
Book Synopsis Medicare Physician Payment by : United States. Physician Payment Review Commission
Download or read book Medicare Physician Payment written by United States. Physician Payment Review Commission and published by . This book was released on 1987 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Audit and Accounting Guide: Health Care Entities, 2018 by : AICPA
Download or read book Audit and Accounting Guide: Health Care Entities, 2018 written by AICPA and published by John Wiley & Sons. This book was released on 2018-11-30 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: Considered the industry's standard resource, this guide helps accountants and financial managers understand the complexities of the specialized accounting and regulatory requirements of the health care industry. Updated for 2018, this edition has been prepared and reviewed by industry experts and provides hands-on, practical guidance for those who work in and with health care entities. A critical resource for auditors, this edition includes new accounting standards and relevant GASB and FASB updates (including those related to private companies). Updates include: FASB ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606) FASB ASU No. 2016-01, Financial Instruments - Overall (Subtopic 825-10) Recognition and Measurement of Financial Assets and Financial Liabilities FASB ASU No. 2016-14, Not-for-Profit Entities (Topic 958): Presentation of Financial Statements of Not-for-Profit Entities SAS No. 133, Auditor Involvement With Exempt Offering Documents GASB Statement No. 75, Accounting and Financial Reporting for Postemployment Benefits Other Than Pensions (and Certain Issues Related to OPEB Plan Reporting) GASB No. 83, Certain Asset Retirement Obligations
Download or read book Medicare and Medicaid Guide written by and published by . This book was released on 2006 with total page 1596 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Effective Documentation for Physical Therapy Professionals by : Eric Shamus
Download or read book Effective Documentation for Physical Therapy Professionals written by Eric Shamus and published by McGraw-Hill Medical. This book was released on 2004 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current APTA terminology and covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. (Midwest).
Book Synopsis Case Management by : Suzanne K. Powell
Download or read book Case Management written by Suzanne K. Powell and published by Lippincott Williams & Wilkins. This book was released on 2018-02-26 with total page 914 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management