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Author : Anne Casto
Publisher :
ISBN 13 : 9781584269151
Total Pages : 0 pages
Book Rating : 4.2/5 (691 download)
Download or read book Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition written by Anne Casto and published by . This book was released on 2023-10-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Anne Casto
Publisher :
ISBN 13 : 9781584268000
Total Pages : pages
Book Rating : 4.2/5 (68 download)
Download or read book Principles of Healthcare Reimbursement, Seventh Edition written by Anne Casto and published by . This book was released on 2020-03-31 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Anne B. Casto
Publisher : Ahima
ISBN 13 : 9781584266464
Total Pages : 364 pages
Book Rating : 4.2/5 (664 download)
Download or read book Principles of Healthcare Reimbursement written by Anne B. Casto and published by Ahima. This book was released on 2018-08 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: The sixth edition of Principles of Healthcare Reimbursement gives educators, students, and healthcare professionals comprehensive, up-to-date information on healthcare reimbursement systems, and the impact each system has on the entire US healthcare delivery system and economy, in one trusted source. In addition to describing healthcare reimbursement methodologies and systems, this text discusses the impact of health insurance, coding and billing compliance and value-based purchasing initiatives. New and future healthcare professionals desiring to work in healthcare finance, revenue cycle, compliance and coding will gain the knowledge and training they need to succeed. Key Features include: New 4-color interior design! -- Covers accessing and using fee schedules, payment classification groups, exclusion lists, market baskets, and wage indexes required for accurate reimbursement -- Explains the various methods, plans, and programs that typify government-sponsored payment systems, commercial insurance, and managed-care -- Describes various types of healthcare cost-sharing and their effects on providers and consumers -- Illustrates specialized data collection instruments and electronic submission software used in postacute care -- Provided by publisher.
Author : Michael K. Harrington
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284169030
Total Pages : 344 pages
Book Rating : 4.2/5 (841 download)
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.
Author : AHIMA
Publisher : Prentice Hall
ISBN 13 : 9780134244440
Total Pages : 0 pages
Book Rating : 4.2/5 (444 download)
Download or read book Principles of Healthcare Reimbursement written by AHIMA and published by Prentice Hall. This book was released on 2015-08-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Viruti Shivan
Publisher : Viruti Satyan Shivan
ISBN 13 : 9789359172934
Total Pages : 0 pages
Book Rating : 4.1/5 (729 download)
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!
Author : Anne B. Casto
Publisher : Amer Health Information Management
ISBN 13 : 9781584261926
Total Pages : 356 pages
Book Rating : 4.2/5 (619 download)
Download or read book Principles of Healthcare Reimbursement written by Anne B. Casto and published by Amer Health Information Management. This book was released on 2009 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Kyle Herbert
Publisher : CRC Press
ISBN 13 : 146656802X
Total Pages : 275 pages
Book Rating : 4.4/5 (665 download)
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 275 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
Author : VIRUTI SATYAN SHIVAN
Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 236 pages
Book Rating : 4./5 ( download)
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.
Author : Joan Liebler
Publisher : Jones & Bartlett Publishers
ISBN 13 : 144961468X
Total Pages : 553 pages
Book Rating : 4.4/5 (496 download)
Download or read book Management Principles for Health Professionals written by Joan Liebler and published by Jones & Bartlett Publishers. This book was released on 2012 with total page 553 pages. Available in PDF, EPUB and Kindle. Book excerpt: Management Principles for Health Professionals is a practical guide for new or future practicing healthcare managers. The customary activities of the manager—planning, organizing, decision making, staffing, motivating, and budgeting—are succinctly defined, explained, and presented with detailed examples drawn from a variety of health care settings. Students will learn proven management concepts, techniques, models, and tools for managing individuals or teams with skill and ease. The Sixth Edition is loaded with all-new examples from real-world healthcare settings and covers many current topics such as: ? Emerging implications of the Patient Protection and Affordable Care Act of 2010. ? A template to track the areas of impact of this major law is presented; this enables a manager to identify the topics to monitor and to prepare responses to changes as they unfold. ? Developments concerning electronic health record initiatives ? Adapting and revitalizing one’s career; ? Information concerning various staffing alternatives such as outsourcing and telecommuting, and updates the material concerning job descriptions and their application. New material has been added in the section on consultant's contracts and reports. ? Patient privacy and the detection and prevention of medical identity theft, and much more.
Author : Joanne Valerius
Publisher :
ISBN 13 : 9781266283246
Total Pages : 0 pages
Book Rating : 4.2/5 (832 download)
Download or read book Medical Insurance written by Joanne Valerius and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Follow the Money! Medical insurance plays an important role in the financial well-being of every healthcare business. The regulatory environment of medical insurance is now evolving faster than ever. Changes due to healthcare reform require medical office professionals to acquire and maintain an in-depth understanding of compliance, electronic health records, medical coding, and more. The eighth edition of Medical Insurance: A Revenue Cycle Process Approach emphasizes the revenue cycle 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"--
Author : Nenna L. Bayes, BA, MEd
Publisher : McGraw-Hill Education
ISBN 13 : 9781259608551
Total Pages : 0 pages
Book Rating : 4.6/5 (85 download)
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
Author : Lawrence F. Wolper
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763748218
Total Pages : 728 pages
Book Rating : 4.7/5 (637 download)
Download or read book Physician Practice Management written by Lawrence F. Wolper and published by Jones & Bartlett Learning. This book was released on 2005 with total page 728 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Sciences & Professions
Author : Viruti Satyan Shivan
Publisher : Viruti Satyan Shivan
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.2/5 (241 download)
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!
Author : Melanie S. Brodnik
Publisher :
ISBN 13 : 9781584260738
Total Pages : 552 pages
Book Rating : 4.2/5 (67 download)
Download or read book Fundamentals of Law for Health Informatics and Information Management written by Melanie S. Brodnik and published by . This book was released on 2013-08-15 with total page 552 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health law is a rapidly changing field, and students entering the HIM fields require the most recent knowledge to move the profession forward and achieve legal compliance. This revised reprint of Fundamentals of Law for Health Informatics and Information Management contains updates to the second edition. New features and major updates in to this edition include: Medical Identity Theft and Red Flags Rule Contracts, Antitrust, and Corporate Healthcare Liability 2013 HIPAA Privacy and Security updates under ARRA and HITECH updates, including Breach Notification Requirements Meaningful Use E-Discovery Security Safeguard Mechanisms Key Features Online resources include a linked reference list Addresses topics critical to effective HIM practice Instructor manual available online
Author :
Publisher : Hcpro Incorporated
ISBN 13 : 9781601462107
Total Pages : 0 pages
Book Rating : 4.4/5 (621 download)
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
Author : Blair A. Keagy
Publisher : John Wiley & Sons
ISBN 13 : 111842932X
Total Pages : 518 pages
Book Rating : 4.1/5 (184 download)
Download or read book Essentials of Physician Practice Management written by Blair A. Keagy and published by John Wiley & Sons. This book was released on 2012-06-14 with total page 518 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essentials of Physician Practice Management offers a practical reference for administrators and medical directors and provides a comprehensive text for those preparing for a career in medical administration, practice management, and health plan administration. Essentials of Physician Practice Management is filled with valuable insights into every aspect of medical practice management including operations, financial management, strategic planning, regulation and risk management, human resources, and community relations.
