Medical Revenue Cycle Management The Comprehensive Guide

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Medical Revenue Cycle Management - The Comprehensive Guide

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Author : VIRUTI SATYAN SHIVAN
Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 236 pages
Book Rating : 4./5 ( download)

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.

Medical Revenue Cycle Management - The Comprehensive Guide

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Author : Viruti Satyan Shivan
Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.2/5 (241 download)

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 2024-02-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are you a student aspiring to excel in the complex world of medical revenue cycle management? Look no further! This comprehensive guide is tailor-made to equip you with the knowledge and skills necessary to navigate the intricacies of this vital healthcare discipline. Medical Revenue Cycle Management: The Comprehensive Guide is a must-have resource that covers every aspect of the revenue cycle process, from patient registration to claim reimbursement. Written with students in mind, this book offers a comprehensive overview of the subject, providing a solid foundation for your future career. Inside this guide, you will find: 1. Introduction to Medical Revenue Cycle Management: Gain a clear understanding of the revenue cycle and its significance in healthcare organizations. Explore the various roles and responsibilities involved in revenue cycle management. 2. Patient Access and Registration: Learn the fundamentals of patient registration, insurance verification, and the importance of accurate patient data collection. Understand the impact of accurate information on revenue optimization. 3. Health Insurance and Payer Systems: Explore the intricacies of health insurance, different types of payers, and their impact on revenue cycle management. Gain insights into payer contracts, claim submission, and electronic data interchange (EDI). 4. Coding and Documentation: Discover the importance of accurate medical coding and its impact on reimbursement. Master the principles of coding, documentation guidelines, and coding systems such as ICD-10-CM and CPT. 5. Claims Management and Denial Resolution: Delve into the world of claims management, including claim submission, tracking, and denial resolution. Learn effective strategies to minimize claim denials and maximize revenue recovery. 6. Billing and Reimbursement: Understand the intricacies of billing processes, including charge capture, pricing, and electronic billing systems. Explore reimbursement methodologies, such as fee-for-service and value-based reimbursement. 7. Compliance and Regulatory Considerations: Stay up to date with the ever-evolving healthcare regulations and compliance requirements. Learn about HIPAA, fraud and abuse laws, and the importance of ethical billing practices. 8. Key Performance Indicators and Revenue Cycle Analytics: Gain insights into tracking and measuring revenue cycle performance through key performance indicators (KPIs) and analytics. Learn to identify areas for improvement and optimize revenue generation. With its student-friendly approach, practical examples, and case studies, this guide ensures that you not only grasp the theoretical concepts but also develop the critical thinking and problem-solving skills necessary for success in this field. Whether you are a healthcare administration student, aspiring medical coder, or revenue cycle professional, this comprehensive guide will serve as your go-to reference, providing you with a solid foundation in medical revenue cycle management. Unlock your potential and embark on a successful career in this crucial area of healthcare administration with confidence! Don't miss out on this essential resource. Get your copy of Medical Revenue Cycle Management: A Comprehensive Guide today and take your first step towards mastering this dynamic field!

Revenue Cycle Management Toolkit

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Author :
Publisher : Hcpro Incorporated
ISBN 13 : 9781601462107
Total Pages : 0 pages
Book Rating : 4.4/5 (621 download)

Book Synopsis Revenue Cycle Management Toolkit by :

Download or read book Revenue Cycle Management Toolkit written by and published by Hcpro Incorporated. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow William L. Malm, ND, RN, Contributing Editor Maintain a complete, thorough revenue cycle process The scope of a healthcare organization's revenue cycle is broad, encompassing issues on the front end of operations, in the coding and chargemaster departments, and in back-end/ reimbursement duties. New elements are constantly being introduced, with concepts such as MS-DRGs, Recovery Audit Contractors, and the Present on Admission Indicator, which all require operational changes. "Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow" caters to the complexities and demands that come with managing every facet of your organization's revenue cycle, from the moment a patient walks through the door to reconciling payment for services rendered. A follow-up to HCPro's successful 2006 edition, "Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow" features forms, checklists, tips, and advice for all aspects of the revenue cycle including: Registration and scheduling Upfront collections Chargemaster maintenance Outpatient coding, including major OPPS changes, drug administration and incident-to Inpatient coding, including RACs Billing and collections Emergency department Taken from the pages of HCPro's popular newsletters Patient Access Advisor, Briefings on Coding Compliance Strategies, Briefings on APCs, and Managed Care Contracting and Reimbursement Advisor, "Revenue Cycle Management Toolkit" offers value-added management and training tools such as quizzes to reinforce learning and assess competency, and sample case studies to illustrate practical demonstrations of the material provided in the book. With a foreword written by William Malm, ND, RN, director of HCPro's Revenue Cycle Institute, "Revenue Cycle Management Toolkit" provides sensible guidance and tools you can use immediately to start strengthening all of the functions in your revenue cycle, from patient access, all the way through to managed care contracting. This book will help you: Reference specific details relevant to each step in the cycle with easy-to-navigate tabs and chapters Identify specific successful methods used by your peers, that you can implement in your own organization, including detailed case studies and applicable tools Customize important documents such as audit plans and model letters, with templates provided on the accompanying CD-ROM Discover time-sensitive analysis of important changes and programs in 2008, including MSDRGs, Recovery Audit Contractors, and the Present on Admission Indicator Take a look at the table of contents, which are chock full of ways to upgrade your revenue cycle process: Foreword Chapter 1: UNCHS Case Studies Chapter 2: Patient Access Chapter 3: Chargemaster and Outpatient Coding Chapter 4: Inpatient Coding Chapter 5: Patient Financial Services Chapter 6: Spotlight on the Emergency Department

MEDICAL REVENUE CYCLE MANAGEMENT - One Book To Make You Genius

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Author : Viruti Shivan
Publisher : Viruti Satyan Shivan
ISBN 13 : 9789359172934
Total Pages : 0 pages
Book Rating : 4.1/5 (729 download)

Book Synopsis MEDICAL REVENUE CYCLE MANAGEMENT - One Book To Make You Genius by : Viruti Shivan

Download or read book MEDICAL REVENUE CYCLE MANAGEMENT - One Book To Make You Genius written by Viruti Shivan and published by Viruti Satyan Shivan. This book was released on 2023-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical Revenue Cycle Management: One Book To Make You Genius by VIRUTI SHIVAN Are you a student aspiring to excel in the complex world of medical revenue cycle management? Look no further! This comprehensive guide is tailor-made to equip you with the knowledge and skills necessary to navigate the intricacies of this vital healthcare discipline. Medical Revenue Cycle Management: One Book To Make You Genius is a must-have resource that covers every aspect of the revenue cycle process, from patient registration to claim reimbursement. Written with students in mind, this book offers a comprehensive overview of the subject, providing a solid foundation for your future career. Inside this guide, you will find: 1. Introduction to Medical Revenue Cycle Management: Gain a clear understanding of the revenue cycle and its significance in healthcare organizations. Explore the various roles and responsibilities involved in revenue cycle management. 2. Patient Access and Registration: Learn the fundamentals of patient registration, insurance verification, and the importance of accurate patient data collection. Understand the impact of accurate information on revenue optimization. 3. Health Insurance and Payer Systems: Explore the intricacies of health insurance, different types of payers, and their impact on revenue cycle management. Gain insights into payer contracts, claim submission, and electronic data interchange (EDI). 4. Coding and Documentation: Discover the importance of accurate medical coding and its impact on reimbursement. Master the principles of coding, documentation guidelines, and coding systems such as ICD-10-CM and CPT. 5. Claims Management and Denial Resolution: Delve into the world of claims management, including claim submission, tracking, and denial resolution. Learn effective strategies to minimize claim denials and maximize revenue recovery. 6. Billing and Reimbursement: Understand the intricacies of billing processes, including charge capture, pricing, and electronic billing systems. Explore reimbursement methodologies, such as fee-for-service and value-based reimbursement. 7. Compliance and Regulatory Considerations: Stay up to date with the ever-evolving healthcare regulations and compliance requirements. Learn about HIPAA, fraud and abuse laws, and the importance of ethical billing practices. 8. Key Performance Indicators and Revenue Cycle Analytics: Gain insights into tracking and measuring revenue cycle performance through key performance indicators (KPIs) and analytics. Learn to identify areas for improvement and optimize revenue generation. With its student-friendly approach, practical examples, and case studies, this guide ensures that you not only grasp the theoretical concepts but also develop the critical thinking and problem-solving skills necessary for success in this field. Whether you are a healthcare administration student, aspiring medical coder, or revenue cycle professional, this comprehensive guide will serve as your go-to reference, providing you with a solid foundation in medical revenue cycle management. Unlock your potential and embark on a successful career in this crucial area of healthcare administration with confidence! Don't miss out on this essential resource. Get your copy of Medical Revenue Cycle Management: One Book To Make You Genius today and take your first step towards mastering this dynamic field!

The Art and Science of Medical Billing and Coding

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Author : Charlotte Rivers
Publisher : Independently Published
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.3/5 (28 download)

Book Synopsis The Art and Science of Medical Billing and Coding by : Charlotte Rivers

Download or read book The Art and Science of Medical Billing and Coding written by Charlotte Rivers and published by Independently Published. This book was released on 2024-03-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unlock the complexities of healthcare revenue management with "The Art and Science of Medical Billing and Coding" Whether you're a seasoned professional or just starting out in the field, this book offers a complete roadmap to understanding and excelling in medical billing and coding. In an era where accurate coding and billing are paramount to a healthcare institution's financial health, this book serves as your ultimate companion. Delve into the world of medical terminology, procedural coding, and claim submission, all while gaining a deep understanding of the revenue cycle management process. Inside these pages, you'll find: Foundational Knowledge: Begin your journey with an exploration of the fundamental principles of medical billing and coding. Grasp the significance of accurate documentation, learn to decipher complex medical terminology, and uncover the secrets of coding systems like CPT, ICD-10, and HCPCS Level II. Step-by-Step Guidance: Navigate the intricate web of coding guidelines and regulations with confidence. Follow step-by-step instructions for assigning codes to diagnoses, procedures, and supplies, ensuring compliance with industry standards and government regulations. Real-world Case Studies: Put theory into practice with real-world case studies that mimic the challenges and decisions faced in actual healthcare settings. Learn to analyze patient records, apply the appropriate codes, and prepare error-free claims for submission. Navigating the Revenue Cycle: Gain insights into the broader revenue cycle management process. From patient registration and insurance verification to claims submission and reimbursement, understand how each stage contributes to the financial success of healthcare organizations. Coding Ethics and Compliance: Explore the ethical considerations and compliance requirements that underpin medical coding and billing. Learn to maintain patient privacy, uphold coding integrity, and adhere to industry standards to ensure accurate reimbursement. Advanced Strategies: Elevate your skills with advanced coding techniques and strategies. Discover how to handle complex scenarios, navigate insurance denials and appeals, and optimize the revenue cycle for enhanced financial outcomes. "The Art and Science of Medical Billing and Coding" is not just a book; it's your indispensable resource for achieving excellence in the crucial domains of medical billing and coding. Whether you're a student, a professional looking to upskill, or a healthcare administrator aiming to streamline revenue management, this guide will empower you to succeed in a dynamic and rewarding field.

Revenue Cycle Management

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Author : Kem Tolliver
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)

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.

Revenue Cycle Management A Complete Guide - 2020 Edition

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Author : Gerardus Blokdyk
Publisher :
ISBN 13 : 9780655966548
Total Pages : 0 pages
Book Rating : 4.9/5 (665 download)

Book Synopsis Revenue Cycle Management A Complete Guide - 2020 Edition by : Gerardus Blokdyk

Download or read book Revenue Cycle Management A Complete Guide - 2020 Edition written by Gerardus Blokdyk and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Provider Revenue Cycle Management A Complete Guide - 2020 Edition

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Author : Gerardus Blokdyk
Publisher :
ISBN 13 : 9780655971368
Total Pages : 0 pages
Book Rating : 4.9/5 (713 download)

Book Synopsis Provider Revenue Cycle Management A Complete Guide - 2020 Edition by : Gerardus Blokdyk

Download or read book Provider Revenue Cycle Management A Complete Guide - 2020 Edition written by Gerardus Blokdyk and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Revenue Cycle Management

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Author : HCPro (Firm)
Publisher : HC Pro, Inc.
ISBN 13 : 1578397634
Total Pages : 155 pages
Book Rating : 4.5/5 (783 download)

Book Synopsis Revenue Cycle Management by : HCPro (Firm)

Download or read book Revenue Cycle Management written by HCPro (Firm) and published by HC Pro, Inc.. This book was released on 2006 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Insurance: A Revenue Cycle Process Approach

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Author : Nenna L. Bayes, BA, MEd
Publisher : McGraw-Hill Education
ISBN 13 : 9781259608551
Total Pages : 0 pages
Book Rating : 4.6/5 (85 download)

Book Synopsis Medical Insurance: A Revenue Cycle Process Approach by : Nenna L. Bayes, BA, MEd

Download or read book Medical Insurance: A Revenue Cycle Process Approach written by Nenna L. Bayes, BA, MEd and published by McGraw-Hill Education. This book was released on 2019-01-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Eighth edition of Medical Insurance: A Revenue Cycle Process Approach emphasizes the revenue cycle—ten steps that clearly identify all the components needed to successfully manage the medical insurance claims process . The cycle shows how administrative medical professionals “follow the money .” Medical insurance specialists must be familiar with the rules and guidelines of each health plan in order to submit proper documentation, which then ensures that offices receive maximum, appropriate reimbursement for services provided . Learn the skills you need for your health professions career using multiple digital resources . Read and study the content more effectively—spending more time on topics you don’t know and less time on the topics you do by using SmartBook®, McGraw-Hill Education’s revolutionary adaptive learning technology

Medical Coding and Billing - The Comprehensive Guide

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Author : VIRUTI SHIVAN
Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 803 pages
Book Rating : 4./5 ( download)

Book Synopsis Medical Coding and Billing - The Comprehensive Guide by : VIRUTI SHIVAN

Download or read book Medical Coding and Billing - The Comprehensive Guide written by VIRUTI SHIVAN and published by Viruti Satyan Shivan. This book was released on with total page 803 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dive into the world of medical coding and billing with "Medical Coding and Billing - The Comprehensive Guide." This essential resource provides a thorough understanding of the crucial role these fields play in healthcare administration. Whether you're a student, a healthcare professional, or simply interested in the administrative side of healthcare, this guide offers comprehensive coverage of the latest coding systems, billing procedures, and regulatory requirements. Written by experts in the field, the book navigates through complex coding systems, including ICD-10, CPT, and HCPCS, ensuring you're up-to-date with current practices. Beyond the codes, it delves into the practical aspects of billing, claims processing, and the nuances of insurance. Essential topics like compliance, ethics, and the impact of coding on revenue cycle management are covered in depth. This guide also addresses the ever-evolving landscape of healthcare legislation, providing insights into how these changes affect medical coding and billing. Furthermore, to ensure a clear focus on content, this book does not include images or illustrations for copyright purposes. Whether you're aiming for certification or looking to enhance your professional skills, "Medical Coding and Billing - The Comprehensive Guide" is your indispensable resource in mastering the intricacies of this vital healthcare industry role.

Revenue Cycle Management Software A Complete Guide - 2020 Edition

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Author : Gerardus Blokdyk
Publisher :
ISBN 13 : 9780655977261
Total Pages : 0 pages
Book Rating : 4.9/5 (772 download)

Book Synopsis Revenue Cycle Management Software A Complete Guide - 2020 Edition by : Gerardus Blokdyk

Download or read book Revenue Cycle Management Software A Complete Guide - 2020 Edition written by Gerardus Blokdyk and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Revenue Cycle Management Software A Complete Guide - 2020 Edition.

The Hospital Guide to Contemporary Utilization Review

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Author : Stefani Daniels
Publisher :
ISBN 13 : 9781556452147
Total Pages : 0 pages
Book Rating : 4.4/5 (521 download)

Book Synopsis The Hospital Guide to Contemporary Utilization Review by : Stefani Daniels

Download or read book The Hospital Guide to Contemporary Utilization Review written by Stefani Daniels and published by . This book was released on 2015-04-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations. The book covers a range of topics, including compliance with the UR Condition of Participation, legal obligations of a hospital, contract language, and compliant UR plan language to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best practice hospital utilization review (UR) program Describe the legal obligations of the hospital to comply with chapter 42 CFR 482.30 of the Conditions of Participation (CoP) Use the publication as a tool to assess his or her own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Facilitate the development of a contemporary UR committee Assess an organization's opportunities to improve processes to benefit patient care and hospital success Recommend compliant language for the organization's UR plan Construct commercial contract language, in collaboration with the organization's contract manager, that promotes a partnership to ensure appropriate use of acute care resources Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good utilization review plan and the hospital revenue cycle initiatives

Medical Coding and Billing - The Comprehensive Guide

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Author : Viruti Satyan Shivan
Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.2/5 (248 download)

Book Synopsis Medical Coding and Billing - The Comprehensive Guide by : Viruti Satyan Shivan

Download or read book Medical Coding and Billing - The Comprehensive Guide written by Viruti Satyan Shivan and published by Viruti Satyan Shivan. This book was released on 2024-02-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dive into the world of medical coding and billing with "Medical Coding and Billing - The Comprehensive Guide." This essential resource provides a thorough understanding of the crucial role these fields play in healthcare administration. Whether you're a student, a healthcare professional, or simply interested in the administrative side of healthcare, this guide offers comprehensive coverage of the latest coding systems, billing procedures, and regulatory requirements. Written by experts in the field, the book navigates through complex coding systems, including ICD-10, CPT, and HCPCS, ensuring you're up-to-date with current practices. Beyond the codes, it delves into the practical aspects of billing, claims processing, and the nuances of insurance. Essential topics like compliance, ethics, and the impact of coding on revenue cycle management are covered in depth. This guide also addresses the ever-evolving landscape of healthcare legislation, providing insights into how these changes affect medical coding and billing. Furthermore, to ensure a clear focus on content, this book does not include images or illustrations for copyright purposes. Whether you're aiming for certification or looking to enhance your professional skills, "Medical Coding and Billing - The Comprehensive Guide" is your indispensable resource in mastering the intricacies of this vital healthcare industry role.

Reimbursement Manual for the Medical Office

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Author : James B. Davis
Publisher :
ISBN 13 : 9781878487377
Total Pages : 320 pages
Book Rating : 4.4/5 (873 download)

Book Synopsis Reimbursement Manual for the Medical Office by : James B. Davis

Download or read book Reimbursement Manual for the Medical Office written by James B. Davis and published by . This book was released on 1992 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Physician Billing Process

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Author : Deborah Walker Keegan
Publisher : Medical Group Management Association/Center for Research in Ambulatory Health Care Administration
ISBN 13 : 9781568294940
Total Pages : 421 pages
Book Rating : 4.2/5 (949 download)

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 Medical Group Management Association/Center for Research in Ambulatory Health Care Administration. This book was released on 2016 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition of the MGMA bestseller on physician billing process and revenue cycle management is a completely revised, comprehensive manual. Delivering proven solutions to optimize your revenue cycle, this professional fee billing primer is business-critical whether you're new to managing the revenue cycle or a seasoned professional.

Reimbursement Manual for the Medical Office

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Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (128 download)

Book Synopsis Reimbursement Manual for the Medical Office by :

Download or read book Reimbursement Manual for the Medical Office written by and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: