Legal Aspects Of Health Care Reimbursement

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Legal Aspects of Health Care Reimbursement

Author : Robert J. Buchanan
Publisher : Beard Books
ISBN 13 : 1587980932
Total Pages : 306 pages
Book Rating : 4.5/5 (879 download)

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Book Synopsis Legal Aspects of Health Care Reimbursement by : Robert J. Buchanan

Download or read book Legal Aspects of Health Care Reimbursement written by Robert J. Buchanan and published by Beard Books. This book was released on 2001-02 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Legal Aspects of Health Care Reimbursement, written in 1985, presents a historical perspective of reimbursement legislation and regulations with regard to several important aspects of Medicare and Medicaid claims, which have a great potential for fraud and abuse. Focus is on penalties and offenses. Part I deals with Medicare. Several well-documented chapters are dedicated to long-term care, inpatient hospital reimbursement, hospice care, and end-stage renal disease. Part II, deals with Medicaid. In addition to inpatient hospital reimbursement and long-term care, there is an informative expose of abortion and family planning services, to include U.S. Supreme Court cases, legislative restrictions, regulations, and litigation. Each chapter concludes with an "Outlook" section that suggests ways of containing inequities, limiting costs or improving flawed procedures. This impeccably researched study is valuable reading not only for lawyers and health care administrators, but for all health care professionals. Book jacket.

Legal and Ethical Essentials of Health Care Administration

Author : George D. Pozgar
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284172562
Total Pages : 443 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Legal and Ethical Essentials of Health Care Administration by : George D. Pozgar

Download or read book Legal and Ethical Essentials of Health Care Administration written by George D. Pozgar and published by Jones & Bartlett Learning. This book was released on 2020-03-11 with total page 443 pages. Available in PDF, EPUB and Kindle. Book excerpt: Legal and Ethical Essentials of Health Care Administration, Second Edition is the ideal text for courses that combine a study of both the legal and ethical aspects of healthcare administration. Derived from George Pozgar’s best-selling textbook, Legal Aspects of Health Care Administration, Thirteenth Edition, this more concise text provides the reader with the necessary knowledge to become conversant with both legal and ethical issues pertinent to the healthcare profession. Using reader-friendly language, the book presents actual court cases, state and federal statues, and common-law principles to help the student understand the practical application of the concepts learned. The author includes a broad discussion of the legal system, including the sources of law and government organization as well as basic reviews of tort law, criminal issues, contracts, civil procedure and trial practice, and a wide range of real-life legal and ethical dilemmas.

Legal Aspects of Medicare & Medicaid Reimbursement

Author : Terry S. Coleman
Publisher :
ISBN 13 : 9780918945051
Total Pages : 199 pages
Book Rating : 4.9/5 (45 download)

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Book Synopsis Legal Aspects of Medicare & Medicaid Reimbursement by : Terry S. Coleman

Download or read book Legal Aspects of Medicare & Medicaid Reimbursement written by Terry S. Coleman and published by . This book was released on 1990-01-01 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Laws of Medicine

Author : Amirala S. Pasha
Publisher : Springer Nature
ISBN 13 : 3031081625
Total Pages : 548 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Laws of Medicine by : Amirala S. Pasha

Download or read book Laws of Medicine written by Amirala S. Pasha and published by Springer Nature. This book was released on 2022-09-07 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an overview of the US laws that affect clinical practice for healthcare professionals with no legal background. Divided into thirteen sections, each chapter starts with a summary of the chapter’s content and relevant legal concepts in bullet points before discussing the topics in detail. An application section is provided in many chapters to clarify essential issues by reflecting on clinically relevant case law or clinical vignette(s). Filling a crucial gap in the literature, this comprehensive guide gives healthcare professionals an understanding or a starting point to legal aspects of healthcare.

Essentials of Health Policy and Law

Author : Joel Bern Teitelbaum
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449604730
Total Pages : 309 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Essentials of Health Policy and Law by : Joel Bern Teitelbaum

Download or read book Essentials of Health Policy and Law written by Joel Bern Teitelbaum and published by Jones & Bartlett Publishers. This book was released on 2013 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given the prominent role played by policy and law in the health of all Americans, the aim of this book is to help readers understand the broad context of health policy and law. The essential policy and legal issues impacting and flowing out of the health care and public health systems, and the way health policies and laws are formulated. Think of this textbook as an extended manual.introductory, concise, and straightforward.to the seminal issues in U.S. health policy and law, and thus as a jumping off point for discussion, reflection, research, and analysis.

The Medical-Legal Aspects of Acute Care Medicine

Author : James E. Szalados
Publisher : Springer Nature
ISBN 13 : 3030685705
Total Pages : 694 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis The Medical-Legal Aspects of Acute Care Medicine by : James E. Szalados

Download or read book The Medical-Legal Aspects of Acute Care Medicine written by James E. Szalados and published by Springer Nature. This book was released on 2021-04-02 with total page 694 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a comprehensive resource intended to provide a state-of-the-art overview of complex ethical, regulatory, and legal issues of importance to clinical healthcare professionals in the area of acute care medicine; including, for example, physicians, advanced practice providers, nurses, pharmacists, social workers, and care managers. In addition, this book also covers key legal and regulatory issues relevant to non-clinicians, such as hospital and practice administrators; department heads, educators, and risk managers. This text reviews traditional and emerging areas of ethical and legal controversies in healthcare such as resuscitation; mass-casualty event response and triage; patient autonomy and shared decision-making; medical research and teaching; ethical and legal issues in the care of the mental health patient; and, medical record documentation and confidentiality. Furthermore, this volume includes chapters dedicated to critically important topics, such as team leadership, the team model of clinical care, drug and device regulation, professional negligence, clinical education, the law of corporations, tele-medicine and e-health, medical errors and the culture of safety, regulatory compliance, the regulation of clinical laboratories, the law of insurance, and a practical overview of claims management and billing. Authored by experts in the field, The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a valuable resource for all clinical and non-clinical healthcare professionals.

Legal Aspects of Documenting Patient Care

Author : Ronald W. Scott
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834216303
Total Pages : 248 pages
Book Rating : 4.2/5 (163 download)

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Book Synopsis Legal Aspects of Documenting Patient Care by : Ronald W. Scott

Download or read book Legal Aspects of Documenting Patient Care written by Ronald W. Scott and published by Jones & Bartlett Learning. This book was released on 2000 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition Of Our Easy-To-Use Reference Takes A Risk Management Approach To Patient Care Documentation. It Shows Clinicians From A Wide Variety Of Disciplines How To Be Objective, Precise, Unambiguous, And Timely When Documenting Treatment-Related Matters. The Content Is Written In Straightforward Lay Language And Includes Sample Documentation Forms. The New Edition Includes Information On Computerized Documentation; Coverage Of Telehealth Issues; Updates On JCAHO, CARF, And NCQA Accreditation; And Documentation Problems Specific To Non-Hospital And Managed Care Settings.

Managing Legal Compliance in the Health Care Industry

Author : George B. Moseley III
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449639658
Total Pages : 598 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Managing Legal Compliance in the Health Care Industry by : George B. Moseley III

Download or read book Managing Legal Compliance in the Health Care Industry written by George B. Moseley III and published by Jones & Bartlett Publishers. This book was released on 2013-09-20 with total page 598 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing Legal Compliance in the Health Care Industry is a comprehensive text that prepares students for this increasingly critical field in health care administration. In three sections, this unique title first examines all the key laws and regulations that health care organizations must comply with. In section two, it explores in detail the seven essential ingredients for a good compliance program. In the final section, the book explains how the compliance program must be adapted to the special needs of different types of health care organizations. Designed for graduate level students in programs of public health, health administration, and law, the text is filled with highly practical information about the ways that legal violations occur and how good compliance programs function. Key Features: - Examines in detail the current laws and regulations with which all types of health care organizations must comply - Explore the seven essential ingredients for a good compliance program - Looks at compliance programs within twelve different types of health care organizations - References real world cases of fraud and abuse - Includes Study Questions and Learning Experiences in each chapter that are designed to encourage critical thinking

For-Profit Enterprise in Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309036437
Total Pages : 580 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis For-Profit Enterprise in Health Care by : Institute of Medicine

Download or read book For-Profit Enterprise in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 1986-01-01 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt: "[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Legal and Ethical Issues for Health Professionals

Author : George D. Pozgar
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449684866
Total Pages : 582 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Legal and Ethical Issues for Health Professionals by : George D. Pozgar

Download or read book Legal and Ethical Issues for Health Professionals written by George D. Pozgar and published by Jones & Bartlett Publishers. This book was released on 2012-02-08 with total page 582 pages. Available in PDF, EPUB and Kindle. Book excerpt: Legal and Ethical Issues for Health Professionals, Third Edition provides the reader with a clear understanding of the law and ethics as it relates to health care dilemmas. The practical application of ethics in the health care setting is accomplished by interspersing the thoughts of great minds through Quotes and the real world of Newspaper Articles, patient experiences through People Stories, provider and organizational experiences through Reality Checks, and Legal Case Studies. This dynamic texts concludes with a Closet Drama that ties all the elements of the text together in one case. Each new print textbook includes an online access code for a Companion Website with helpful student resources. Access to the Companion Website may be purchased separately. http://www.jblearning.com/cart/Default.aspx?bc=7135-8&ref=jblearning Student Companion Website Includes: •Crossword Puzzles •Flashcards •Interactive Glossary •Matching Exercises •Review Questions •Web Links Instructor Resources •Instructor's Manual, including a Sample Syllabus •PowerPoint Presentations •Formatted Test Bank New to the Third Edition Content and Data Updated and Revised Throughout Numerous New: Quotes, Newspaper Articles, People Stories, Reality Checks, and Legal Case Studies Chapter 1 – New: Expanded discussion of Ethics, Virtues and Values Chapter 7 – New Topics: Patient Protection and Affordable Care Act Democracy for the Wealthy: Fairness and Justice Illusive Ethics in Public Service CMS Non-Payment For Performance of Wrong Procedures Chapter 8 – New Topic: Accreditation of Hospitals and Conflicts of Interest Chapter 9 – New Additions: New Section: Social Workers New Abstract: Incidence and Recognition of Malnutrition in Hospital Chapter 15 – New Chapter: Summary Case—Star Chamber New Appendix: Website References

Medical and Dental Expenses

Author :
Publisher :
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4.:/5 (3 download)

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Book Synopsis Medical and Dental Expenses by :

Download or read book Medical and Dental Expenses written by and published by . This book was released on 1990 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Understanding Value Based Healthcare

Author : Vineet Arora
Publisher : McGraw Hill Professional
ISBN 13 : 007181700X
Total Pages : 320 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Understanding Value Based Healthcare by : Vineet Arora

Download or read book Understanding Value Based Healthcare written by Vineet Arora and published by McGraw Hill Professional. This book was released on 2015-04-03 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provide outstanding healthcare while keeping within budget with this comprehensive, engagingly written guide Understanding Value-Based Healthcare is a succinct, interestingly written primer on the core issues involved in maximizing the efficacy and outcomes of medical care when cost is a factor in the decision-making process. Written by internationally recognized experts on cost- and value-based healthcare, this timely book delivers practical and clinically focused guidance on one of the most debated topics in medicine and medicine administration today. Understanding Value-Based Healthcare is divided into three sections: Section 1 Introduction to Value in Healthcare lays the groundwork for understanding this complex topic. Coverage includes the current state of healthcare costs and waste in the USA, the challenges of understanding healthcare pricing, ethics of cost-conscious care, and more. Section 2 Causes of Waste covers important issues such as variation in resource utilization, the role of technology diffusion, lost opportunities to deliver value, and barriers to providing high-value care. Section 3 Solutions and Tools discusses teaching cost awareness and evidence-based medicine, the role of patients, high-value medication prescribing, screening and prevention, incentives, and implementing value-based initiatives. The authors include valuable case studies within each chapter to demonstrate how the material relates to real-world situations faced by clinicians on a daily basis. .

AHLA Health Care Compliance Legal Issues Manual (Non-members)

Author : American Health Lawyers Association
Publisher :
ISBN 13 : 9781522173441
Total Pages : pages
Book Rating : 4.1/5 (734 download)

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Book Synopsis AHLA Health Care Compliance Legal Issues Manual (Non-members) by : American Health Lawyers Association

Download or read book AHLA Health Care Compliance Legal Issues Manual (Non-members) written by American Health Lawyers Association and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by experts with years of health care compliance experience, this new edition integrates changes in regulation, trends in enforcement, and the reasoning of the courts to help you navigate emerging and unsettled areas of compliance risk, such as self-disclosure obligations, risks associated with opioid use, and the impact of statistical sampling.Highlights of this edition include:All new glossary of health care compliance terms, including key statutes, acronyms, governing agencies, and moreExpanded civil monetary penalty and exclusion authorities under 2017 final rulesDiscussion of core elements of compliance programs for Medicare Advantage Plans and Part D Plans as established by federal regulationsExpanded whistleblower protections under federal and state law, false claims based on lack of medical necessity, materiality after Escobar, and recent enforcement activityExpanded discussion of determinations of medical necessity, CMS review of medical necessity terminations, consequences, and appeals processesRecent health information privacy and security developments, including new guidance, risks associated with innovative technologies, and trends in Health Insurance Portability and Accountability Act (HIPAA) enforcement activityNew chapters:Chapter 1, Glossary of Key TermsChapter 10, The Relationship between Enforcement and ComplianceChapter 17, Health Care Civil Rights and Nondiscrimination Under Section 1557 of the Affordable Care ActChapter 19, Behavioral Health

The Affordable Care Act

Author : Tamara Thompson
Publisher : Greenhaven Publishing LLC
ISBN 13 : 0737776196
Total Pages : 130 pages
Book Rating : 4.7/5 (377 download)

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Book Synopsis The Affordable Care Act by : Tamara Thompson

Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Price Setting and Price Regulation in Health Care

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264508864
Total Pages : 298 pages
Book Rating : 4.2/5 (645 download)

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Book Synopsis Price Setting and Price Regulation in Health Care by : OECD

Download or read book Price Setting and Price Regulation in Health Care written by OECD and published by OECD Publishing. This book was released on 2019-06-26 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).