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Maximizing Billing And Collections In The Medical Practice
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Book Synopsis Maximizing Billing and Collections in the Medical Practice by : Kay Stanley
Download or read book Maximizing Billing and Collections in the Medical Practice written by Kay Stanley and published by American Medical Association Press. This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Provide analytical tools and systematic review processes for the practice administrator to strengthen the practice's business operations"--Provided by publisher.
Book Synopsis The Physician Billing Process by : Deborah L. Walker
Download or read book The Physician Billing Process written by Deborah L. Walker and published by Medical Group Management Assn. This book was released on 2004 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance.
Book Synopsis Medical Revenue Cycle Management - The Comprehensive Guide by : VIRUTI SATYAN SHIVAN
Download or read book Medical Revenue Cycle Management - The Comprehensive Guide written by VIRUTI SATYAN SHIVAN and published by Viruti Satyan Shivan. This book was released on with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This essential guide dives deep into the intricacies of Medical Revenue Cycle Management (MRCM), offering healthcare professionals, administrators, and students a clear roadmap to mastering the financial backbone of healthcare services. In a landscape where financial health is as critical as patient health, this book stands out by providing a meticulously researched, expertly written exploration of every phase of the revenue cycle—from patient registration to the final payment of balances. Without relying on images or illustrations, we navigate through complex regulations, coding challenges, and billing practices with clarity and precision, making this complex subject accessible and actionable. Our unique approach combines theoretical frameworks with practical, real-world applications, setting this book apart as a must-buy. We delve into innovative strategies for optimizing revenue, reducing denials, and enhancing patient satisfaction, all while maintaining compliance with evolving healthcare laws and regulations. By focusing on efficiency and effectiveness, we equip readers with the tools and insights needed to transform their revenue cycle processes. Whether you're looking to refine your current practices or build a foundation of knowledge from the ground up, this guide offers invaluable insights into achieving financial stability and success in the ever-changing world of healthcare.
Book Synopsis The Physician Billing Process by : Deborah Walker Keegan
Download or read book The Physician Billing Process written by Deborah Walker Keegan and published by Mgma. This book was released on 2009-02 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Full of new, innovative tools, techniques, policies and procedures, and advanced practices that allow you to diagnose and treat your revenue cycle and ensure a financially healthy bottom line. The depth and magnitude of change in health care reimbursement means that your medical practice cannot rely on the same old billing methods. Anything less than optimal performance from your billing office reduces cash flow and costs you money. The authors present cutting edge strategies to meet today s reimbursement challenges and improve the profitability of your medical practice. The authors lay out real life business practices that can be adopted tomorrow in your medical practice, including how to: Decipher consumer-directed health plans; Conduct patient financial clearance; Segment patients in terms of financial risk; Staff to effectively conduct front-end and back-end billing; Capture increased revenue at the point of care; Understand real-time claims adjudication; Shrink your collections cycle; Position your practice for pay-for-performance; Work and prevent costly claim denials and rework; Code appropriately to ensure your fair share of differential payer reimbursement; Leverage multiple technologies; and Perform a cost/benefit analysis of your revenue cycle.
Book Synopsis VA Health Care: Ineffective Medical Center Controls Results in Inappropriate Billing and Collection Practices by : Kay L. Daly
Download or read book VA Health Care: Ineffective Medical Center Controls Results in Inappropriate Billing and Collection Practices written by Kay L. Daly and published by DIANE Publishing. This book was released on 2010-02 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: Daly was asked to testify on billing practices of the Department of Veterans Affairs (VA). She had previously reported that continuing problems in billing and collection processes at VA impaired its ability to maximize revenue from private insurance companies (third-party insurers). In June 2008, she reported on its follow-up review that: (1) evaluated VA billing controls; (2) assessed VA-wide controls for collections; and (3) determined the effectiveness of VA oversight over third-party billings and collections. To perform the review, Daly conducted case-study analyses of the third-party billing function at 18 medical centers, statistically tested controls over collections VA-wide, and reviewed current oversight policies and procedures. Illustrations.
Book Synopsis Improve Billing and Collections by : HCPro (Firm)
Download or read book Improve Billing and Collections written by HCPro (Firm) and published by HC Pro, Inc.. This book was released on 2006 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Practice Management Reference Guide - First Edition by : AAPC
Download or read book Practice Management Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-03-16 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules
Book Synopsis Handling the Medical Claim by : Catherine Cochran
Download or read book Handling the Medical Claim written by Catherine Cochran and published by CRC Press. This book was released on 2012-09-25 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a doctor sees a patient, how does the doctor’s office get paid? If a claim for a service or procedure provided is denied, how does the doctor’s office get the patient’s insurance company to pay? Handling the Medical Claim: An 8-Step Guide on "How To" Correct and Resolve Claim Issues explains—from beginning to end—how to bill and collect on claims for services provided in a physician’s office. Focusing on the CMS-1500 claim form, the book explains how to prepare and file the form to submit charges to patients’ insurance companies. Written by a medical billing specialist experienced in handling medical claims and denials on both the provider and insurer sides of the business, this step-by-step guide begins by covering some basic good practice management skills. Next, it outlines each department’s specific duties based on the each department’s responsibilities for specific parts of the claim. In addition to learning how to submit and resolve claims that cannot be processed or are denied, readers will learn how to: Enter data in the doctor’s schedule, including appointment types Gather patient data from medical records Register patients, including patient information, guarantor, and policyholder and insurance information Input information about the appointment and diagnosis Use the different types of coding systems used for billing charges Understand the claim cycle, determine reimbursement, and apply payment Obtain patient and insurance information Appeal a denied claim and handle patient balances The book includes case examples and step-by-step guidance for resolving claim issues that could arise—including how to determine what part of the chapter you can find your answer and how to link your findings to the box number on the claim form to which the problem pertains. Highlighting opportunities for increasing revenue, it includes an overview of the revenue cycle and the importance of keeping cash flow moving. Packed with forms, charts, and illustrative examples, the text supplies the tools and understanding you’ll need to manage billing and collection in any physician’s office or clinical department.
Book Synopsis Crossing the Quality Chasm by : Institute of Medicine
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Book Synopsis VA Health Care by : United States. General Accounting Office
Download or read book VA Health Care written by United States. General Accounting Office and published by . This book was released on 1990 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Business of Medical Practice by : David Edward Marcinko
Download or read book The Business of Medical Practice written by David Edward Marcinko and published by . This book was released on 2000 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Claim Success! written by Kyle Farhat and published by Wheatmark, Inc.. This book was released on 2008 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Claim Success! is written to provide entrepreneurs, business people, and anyone investigating medical billing as a potential career, with completely up-to-date, comprehensive information about literally everything you will need to know to decide if running a medical billing and practice management company is a good business for you to consider." --Publisher.
Download or read book VA Health Care written by Kay Daly and published by DIANE Publishing. This book was released on 2009-02 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt: It was previously reported that continuing problems in billing and collection processes at the Dept. of Veterans Affairs (VA) impaired VA¿s ability to maximize revenue from private (third-party) insurance companies. VA has undertaken several initiatives to address these weaknesses. This audit: (1) evaluates VA billing controls; (2) assesses VA-wide controls for collections; (3) determines the effectiveness of VA-wide oversight; and (4) provides information on the status of key VA improvement initiatives. Includes recommendations. Charts and tables.
Book Synopsis Medical Billing and Collections Training Workbook/Journal by : Medical Billing Experts
Download or read book Medical Billing and Collections Training Workbook/Journal written by Medical Billing Experts and published by . This book was released on 2020-01-10 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a great Medical Billing and/or Collections Training Workbook/Journal for you or your staff that are learning how to successfully contact insurance carriers for statuses of medical claims. Whether you are working facility claims [UB04s] or professional/physician claims [CMS 1500], then this is a great tool to have on your desk as you are maneuvering through the red tape of claims follow-up. This Medical Collectors' Journal has the following; Training pages for 10 accounts Provider NPI/TAX ID fields Provider information fields Patient demographic fields Claims detail fields [such as claim number, dates of service, etc.] Places to jot down claim status notes Glossy cover and design 174 Pages 8.5" x 11" etc. Great for hospital business office staff, physician office staff, specialists, etc. Fantastic for Medical Billing and Coding students, teachers, trainers, etc. Save time and money by simply preparing accounts PRIOR to contacting various insurance carriers. NOTE: insurance reps know when you are prepared and are often more than willing to work through multiple accounts per phone call which saves healthcare providers time and money. Purchase multiple Claim Status Journals for each insurance carrier. Enjoy!
Book Synopsis Assessing and Improving Billing and Collections by : Cam McClellan Teems
Download or read book Assessing and Improving Billing and Collections written by Cam McClellan Teems and published by American Medical Association Press. This book was released on 2000 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a systematic approach to reviewing the medical billing office. Accompanying diskette includes sample tables and forms in Microsoft Word 6.0 for use.
Book Synopsis Guide to Medical Billing by : Sharon Brown
Download or read book Guide to Medical Billing written by Sharon Brown and published by Prentice Hall. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For all courses in medical billing, medical coding, and/or medical insurance, in any institution or environment. This unique textbook/workbook brings together all the theory and practical skills students need to succeed as medical billers. After introducing students to the medical practice, it presents in-depth coverage of every common medical billing procedure and practice used in both medical offices and hospitals. This edition includes extensive new coverage of transitioning to ICD-10-CM from ICD-9-CM in medical offices, and using the newer UB-04 form in hospitals. Coverage also includes: Current Procedural Terminology (CPT(R)) coding, stress and time management, CMS-1500 forms and medical procedures, hospital procedures, basic office functions and communications, and much more. To enhance understanding and retention, the text uses proven pedagogical features, including learning objectives, key terms and definitions, critical thinking questions, in-text chapter activities simulating professional practice, and additional end-of-chapter exercises.
Book Synopsis Get the Money in the Door by : Sarah J. Holt
Download or read book Get the Money in the Door written by Sarah J. Holt and published by Mgma. This book was released on 2010 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: "An insurance primer and personal handbook for insurance staff, a teaching and hiring tool for managers with direct responsibility for insurance departments, and a resource for medical practice executives who need to be aware of what insurance department employees must know to maximize their role in the revenue cycle"--Provided by publisher.
