Health Care Finance and the Mechanics of Insurance and Reimbursement

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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.

Health Care Finance and the Mechanics of Insurance and Reimbursement

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284203298
Total Pages : 344 pages
Book Rating : 4.2/5 (842 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.

Health Care Finance and the Mechanics of Insurance and Reimbursement

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Author :
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284026159
Total Pages : 370 pages
Book Rating : 4.2/5 (84 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 Publishers. This book was released on 2015-02-27 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses the methods and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing. With up-to-date coverage of the Affordable Care Act, this text will prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. Some of the topics covered include: claims processing; the Affordable Care Act; Medicare Prospective Payment System (Inpatient); Medicare Outpatient Prospective Payment Systems (Non-Inpatient); coding for the non-HIM professional; revenue cycle management; healthcare fraud and abuse; electronic health records and meaningful use; government incentive programs; recovery audit contractors student & instructor resources. --

Hospital Reimbursement

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Author :
Publisher : CRC Press
ISBN 13 : 1439898952
Total Pages : 272 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 272 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 re

Hc Finance & Mechanics of Insurance and Reimbursement Nav Scenario for Hc Finance

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Publisher :
ISBN 13 : 9781284302455
Total Pages : 0 pages
Book Rating : 4.3/5 (24 download)

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Book Synopsis Hc Finance & Mechanics of Insurance and Reimbursement Nav Scenario for Hc Finance by : Michael K Harrington

Download or read book Hc Finance & Mechanics of Insurance and Reimbursement Nav Scenario for Hc Finance written by Michael K Harrington and published by . This book was released on 2023-12-14 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Navigate 2 Advantage Access for Health Care Finance and the Mechanics of Insurance and Reimbursement

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Publisher :
ISBN 13 : 9781284034929
Total Pages : 347 pages
Book Rating : 4.0/5 (349 download)

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Book Synopsis Navigate 2 Advantage Access for Health Care Finance and the Mechanics of Insurance and Reimbursement by : Michael K. Harrington

Download or read book Navigate 2 Advantage Access for Health Care Finance and the Mechanics of Insurance and Reimbursement written by Michael K. Harrington and published by . This book was released on 2015-06-01 with total page 347 pages. Available in PDF, EPUB and Kindle. Book excerpt: Navigate 2 Advantage Access For Health Care Finance And The Mechanics Of Insurance And Reimbursement Is A Digital-Only Access Code That Unlocks A Comprehensive And Interactive Ebook, Student Practice Activities And Assessments, A Full Suite Of Instructor Resources, And Learning Analytics Reporting System. Navigate 2 Is Nearly Here. In The Meantime, We Invite You To Redeem Your Access Code And Join Our Lounge. Once Your Navigate 2 Advantage Access Is Live, We Will Notify You Via Email. This Navigate 2 Digital-Only Package For Health Care Finance And The Mechanics Of Insurance And Reimbursement Offers The Following: •Learn: A Complete Ebook With Interactive Tools •Practice: A Virtual Study Center With Robust Practice Activities And Flashcards •Assess: A Homework And Testing Assessment Center With Prepopulated Quizzes And Examinations •Analyze: Dashboards With Learner And Educator Views That Reports Actionable Data Learn More About Navigate 2 At Http: //Www.Jblnavigate.Com/2

Consumer-Driven Health Care

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Publisher : John Wiley & Sons
ISBN 13 : 9780787972165
Total Pages : 930 pages
Book Rating : 4.9/5 (721 download)

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Book Synopsis Consumer-Driven Health Care by : Regina E. Herzlinger

Download or read book Consumer-Driven Health Care written by Regina E. Herzlinger and published by John Wiley & Sons. This book was released on 2004-03-22 with total page 930 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. With additionalcontributions by health care's leading strategists,innovators, regulators and scholars, Consumer-Driven HealthCare presents a compelling vision of a health care system builtto satisfy the people it serves. This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare (CDHC) in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized drugs and devices; and government roles.

Making Them Pay

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Publisher : St. Martin's Griffin
ISBN 13 : 9781429979108
Total Pages : 256 pages
Book Rating : 4.9/5 (791 download)

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Book Synopsis Making Them Pay by : Rhonda Orin

Download or read book Making Them Pay written by Rhonda Orin and published by St. Martin's Griffin. This book was released on 2011-04-01 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -

Essentials of Health Care Finance

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284260844
Total Pages : 586 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Essentials of Health Care Finance by : William O. Cleverley

Download or read book Essentials of Health Care Finance written by William O. Cleverley and published by Jones & Bartlett Learning. This book was released on 2023-12-11 with total page 586 pages. Available in PDF, EPUB and Kindle. Book excerpt: Blending the topics of both accounting and finance, Essentials of Health Care Finance is a relevant, readable, and easily applied resource for health care management students and executives that explores finance theory and its practical application in health care across a full range of facilities, from hospitals, home health agencies, and skilled nursing facilities to surgical centers, physician practices, and integrated health systems. Carefully revised, the Ninth Edition of Essentials of Health Care Finance has been updated with additional reflection, examples, and application so that individuals with no healthcare experience can benefit from additional elaboration on key concepts such as physician practice management, flex budgeting, and strategic financial planning. The Ninth Edition also explores trends in national health expenditures and physician organizations and alignment; changes in health services financing and utilization since the enactment of the Affordable Care Act (ACA)

The Future of Health-care Delivery

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Publisher : Potomac Books, Inc.
ISBN 13 : 1612341578
Total Pages : 400 pages
Book Rating : 4.6/5 (123 download)

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Book Synopsis The Future of Health-care Delivery by : Stephen C. Schimpff

Download or read book The Future of Health-care Delivery written by Stephen C. Schimpff and published by Potomac Books, Inc.. This book was released on 2012 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 100,000 deaths per year in the United States result from preventable medical errors. This figure is about twice the number of people who die in car accidents and five times the number of murder victims annually, and twenty times the number of servicemen and women killed in Iraq and Afghanistan since the start of hostilities in 2001. If you think Americans have the best health-care system in the world, think again. In this deeply researched and controversial book, Dr. Stephen Schimpff explains why our health-care delivery system serves us so poorly, why it costs so much, and why government policy over many decades has not only failed to improve care delivery but has actually made it worse. In the process, he dispels common misconceptions about medicine and health care. The Future of Health-Care Delivery provides timely information and a road map to achieve world-class care delivery, putting health care where it belongs--in the hands of the patient and medical professionals instead of the insurance companies and government.

Health Insurance and Managed Care

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Publisher : Jones & Bartlett Learning
ISBN 13 : 128415209X
Total Pages : 355 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Health Insurance and Managed Care by : Peter R. Kongstvedt

Download or read book Health Insurance and Managed Care written by Peter R. Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2019-02-14 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.

Bu- Rutgers Univ - NB Health Care Finance & Mech Insurance & Reimbursement 2e

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Publisher :
ISBN 13 : 9781284299786
Total Pages : 0 pages
Book Rating : 4.2/5 (997 download)

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Book Synopsis Bu- Rutgers Univ - NB Health Care Finance & Mech Insurance & Reimbursement 2e by : Michael K. Harrington

Download or read book Bu- Rutgers Univ - NB Health Care Finance & Mech Insurance & Reimbursement 2e written by Michael K. Harrington and published by . This book was released on 2023-08-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Healthcare Finance

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Publisher :
ISBN 13 : 9781567937411
Total Pages : 739 pages
Book Rating : 4.9/5 (374 download)

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Book Synopsis Healthcare Finance by : Louis C. Gapenski

Download or read book Healthcare Finance written by Louis C. Gapenski and published by . This book was released on 2016 with total page 739 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential concepts of both accounting and financial management are covered in this best-selling healthcare finance book. Through clear explanations, numerous examples, and realistic practice problems, it arms future managers with the grounding they need to make financially sound decisions for their healthcare organizations. This thoroughly updated edition provides more emphasis on the unique marketplace for healthcare services and additional examples from nonhospital settings, including medical practices, clinics, home health agencies, nursing homes, and managed care organizations.

Financial and Insurance Formulas

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Publisher : Springer Science & Business Media
ISBN 13 : 379082593X
Total Pages : 418 pages
Book Rating : 4.7/5 (98 download)

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Book Synopsis Financial and Insurance Formulas by : Tomas Cipra

Download or read book Financial and Insurance Formulas written by Tomas Cipra and published by Springer Science & Business Media. This book was released on 2010-07-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: Financial and insurance calculations become more and more frequent and helpful for many users not only in their profession life but sometimes even in their personal life. Therefore a survey of formulas of ?nancial and insurance mathematics that can be applied to such calculations seems to be a suitable aid. In some cases one should use instead of the term formula more suitable terms of the type method, p- cedure or algorithm since the corresponding calculations cannot be simply summed up to a single expression, and a verbal description without introducing complicated symbols is more appropriate. The survey has the following ambitions: • The formulas should be applicable in practice: it has motivated their choice for this survey ?rst and foremost. On the other hand it is obvious that by time one puts to use in practice seemingly very abstract formulas of higher mathematics, e.g. when pricing ?nancial derivatives, evaluating ?nancial risks, applying accou- ing principles based on fair values, choosing alternative risk transfers ARL in insurance, and the like. • The formulas should be error-free (though such a goal is not achievable in full) since in the ?nancial and insurance framework one publishes sometimes in a h- tic way various untried formulas and methods that may be incorrect. Of course, the formulas are introduced here without proofs because their derivation is not the task of this survey.

Financial Management for Hospital Administration

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Author :
Publisher : Jaypee Brothers,Medical Publishers Pvt. Limited
ISBN 13 : 9788184486247
Total Pages : 282 pages
Book Rating : 4.4/5 (862 download)

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Book Synopsis Financial Management for Hospital Administration by : GR Kulkarni

Download or read book Financial Management for Hospital Administration written by GR Kulkarni and published by Jaypee Brothers,Medical Publishers Pvt. Limited. This book was released on 2009-07-01 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: - The management of health care providing institutions, centres, organizations has become so complex and complicated that it requires professional skills and techniques for their efficient performance - The professionals like personnel managers, engineers, financial and cost management accountants play a vital role to ensure efficiency and quality of services to be rendered. This book addresses all such issues and emphasises on management rather than the nitty-gritty of accounting process - It clearly explains that preparing an action plan with quantitative and qualitative terms of reference contributes to achieve growth and sustenance.

Essentials of Health Care Finance

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763789291
Total Pages : 590 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Essentials of Health Care Finance by : William Cleverley

Download or read book Essentials of Health Care Finance written by William Cleverley and published by Jones & Bartlett Learning. This book was released on 2011 with total page 590 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essentials of Health Care Finance stands firmly in its place as the leading textbook on healthcare finance. No other text so completely blends the best of current finance theory with the tools needed in day-to-day practice. Useful for all course levels as well as a professional reference, this text offers a comprehensive introduction to the field. The Seventh Edition has been thoroughly revised to reflect the current economic environment in the healthcare industry, with thoughtful descriptions and ‘real-world’ examples. As the not-for-profit health care sector has increasingly come under attack by legislators seeking new sources of tax revenue, this edition also features a new chapter on assessing community benefits including an examination of the new Schedule H of the IRS 990 form. Ancillary instructor materials for the Seventh Edition have been significantly expanded and updated. PowerPoint lecture slides now include selected examples from the chapters. Electronic versions of many of the charts and tables in the chapters are provided to enable the instructor to re-create and modify existing examples. An expanded set of test questions with detailed answers will be provided for each chapter. New excel spreadsheets for selected chapters will be created to help both the students and the instructors perform a variety of financial analysis tasks with spreadsheet templates. The instructor’s manual has been revised to include key learning points, chapter overviews, and guidelines for class discussion.

Gapenski's Healthcare Finance

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Author :
Publisher : Asociation of University Programs in Health Administration/Health Administration Press
ISBN 13 : 9781640551862
Total Pages : 0 pages
Book Rating : 4.5/5 (518 download)

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Book Synopsis Gapenski's Healthcare Finance by : Kristin L. Reiter

Download or read book Gapenski's Healthcare Finance written by Kristin L. Reiter and published by Asociation of University Programs in Health Administration/Health Administration Press. This book was released on 2020-07-27 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gapenski's Healthcare Finance: An Introduction to Accounting and Financial Management explores how healthcare organizations manage financial operations to optimally provide patient care. This significantly revised edition of one of Health Administration Press's best-selling books introduces the key foundational elements of healthcare finance, including both accounting and financial management. Numerous examples throughout showcase how healthcare finance is practiced in a variety of organizations, including hospitals, medical practices, clinics, home health agencies, nursing homes, and managed care organizations. Authors Kristin L. Reiter and Paula H. Song present the financial management and accounting concepts that are most critical to managerial decision-making. They emphasize not only financial theory and principles but also practical tools healthcare managers can use to make the crucial decisions that promote the financial well-being of their organization. Gapenski's Healthcare Finance examines the current financial environment in which providers operate, with an emphasis on health system design, healthcare insurance, and reimbursement methodologies. Dates, exhibits, references, and resources have been updated throughout. All examples and financial statements reflect current accounting and reporting standards. Extensive updates and content new to this seventh edition include: A discussion of health reform that reflects the current status of the Affordable Care Act; Information on the field's increasing focus on social determinants of health; Tax rates and examples that reflect the effects of the Tax Cuts and Jobs Act; A discussion of Medicaid expansion and health insurance exchanges; Coverage of the implications of value-based payment for the revenue cycle; Significant reorganization of the financial accounting chapters to orient students to financial accounting before the book's coverage of the income statement, statement of changes in equity, the balance sheet, and the statement of cash flows; A new chapter supplement provides expanded analysis of the double-entry accounting system; Amendments to the financial accounting conceptual framework by the Financial Accounting Standards Board; Better differentiation of risk measures of realized vs. expected return distributions In a dynamic environment, healthcare leaders need to practice good financial decision-making for the health of their patients and the financial stability of their organization. From this book, current and future managers will understand the finance problems provider organizations face and how best to solve them.