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The Preferred Providers Handbook
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Book Synopsis The Preferred Provider's Handbook by : William L. Poynter
Download or read book The Preferred Provider's Handbook written by William L. Poynter and published by Routledge. This book was released on 2013-10-28 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 1994. A revolution has been taking place in behavioral health financing, and only those practitioners who know how to successfully market themselves to managed care organizations are likely to maintain their hold in this rapidly changing system. Realistic, clear, insightful and highly practical, The Preferred Provider's Handbook will help therapists to understand the managed care marketplace and to develop the strategies necessary to meet its many challenges. You will learn how to: Get accepted on preferred provider lists of managed care organizations (M.C.O.s); Generate patient referrals once you are accepted onto a panel of preferred providers; Retain active referral status over the long term; Zero in on the higher quality networks that produce higher income and have minimal legal risk; Break into closed provider lists-one of the most difficult but important tasks. The Handbook clearly sets forth the basics of managed care with the aim of helping psycho therapists gain an understanding and acceptance of this new system. The volume addresses strategic marketing, whereby therapists can select and pursue those managed care organizations best suited to their needs; provides tools for designing and implementing a marketing plan; and gives a framework for understanding and making profitable use of future trends-in a profes sional and ethical manner. Of particular value is a chapter discussing marketing implications for behavioral health arising from the Clinton administration's new "managed competition" plans. Armed with specific information on how to fill out an M.C.O. application, how to analyze a contract, which specialties are most desirable and which should be avoided, how to network, and much, much more, you will be well on your way to professional success. This is an essential resource for all practitioners in the managed care marketplace.
Book Synopsis The Preferred Provider's Handbook by : Rachelle A. Dorfman
Download or read book The Preferred Provider's Handbook written by Rachelle A. Dorfman and published by Psychology Press. This book was released on 1994 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: First Published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.
Book Synopsis The Health Care Handbook by : Elisabeth T. Askin
Download or read book The Health Care Handbook written by Elisabeth T. Askin and published by Lippincott Williams & Wilkins. This book was released on 2022-11-21 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: Described in the New York Times as “an astonishingly clear ‘user’s manual’ that explains our health care system and the policies that will change it,” The Health Care Handbook, by Drs. Elisabeth Askin and Nathan Moore, offers a practical, neutral, and readable overview of the U.S. health care system in a compact, convenient format. The fully revised third edition provides concise coverage on health care delivery, insurance and economics, policy, and reform—all critical components of the system in which health care professionals work. Written in a conversational and accessible tone, this popular, highly regarded handbook serves as a “one stop shop” for essential facts, systems, concepts, and analysis of the U.S. health care system, providing the tools you need to confidently evaluate current health care policy and controversies.
Download or read book The Medicare Handbook written by and published by . This book was released on with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Managed Care Contracting Handbook by : Maria K. Todd
Download or read book The Managed Care Contracting Handbook written by Maria K. Todd and published by CRC Press. This book was released on 2009-03-26 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
Book Synopsis The Handbook for Credentialing Healthcare Providers by : Ellis Knight
Download or read book The Handbook for Credentialing Healthcare Providers written by Ellis Knight and published by . This book was released on 2016-04 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook enables your organization to systemize the tedious, ongoing, and mandatory process of credentialing your medical staff and to understand why you must! Healthcare organizations must have credentialed medical staffs to deliver their services. The reasons are two-fold: First, educated, licensed, experienced, and proven caregivers ensure that a hospital or medical practice is capable of delivering quality care. Secondly, payers require that the physicians and other licensed healthcare professionals are qualified and licensed to work with their patients. Before receiving payment for services, the provider must have specific credentials for providing that service. Verifying and documenting the credentials of a healthcare provider is tedious, ongoing, and mandatory. An organization with a large medical staff may struggle with keeping the credentialing function current, as many licenses have rolling expirations. Credentialing ensures that clinical practitioners are duly qualified, licensed, and board certified. It reports the history of malpractice claims, state-instituted sanctions, or other undesirable professional circumstances of providers. Credentialing and privileging of healthcare professionals protects patients and hospitals by minimizing the risk of medical errors that may result from the work of incompetent providers. It also undergirds the reputation and credibility of the institution in the eyes of providers and across the healthcare community. Further, credentialing with insurers forms the basis for reimbursement for professional services. Without the acceptance of the professional credentials of a provider, insurers and other third-party payers will not compensate his or her claims. The purpose of this book is to explain the necessity and to provide the process for the official documentation of each practitioner. The information presented in these chapters will serve as a practical resource for strengthening your organization's credentialing function. = Book Features! -Outlines the necessity for credentialing in the delivery of care and in attaining reimbursements for services provided -Explores options for in-house and outsourced credentialing function -Provides systematic process for ongoing credentialing operations
Book Synopsis Women's Health in Clinical Practice by : Amy Lynn Clouse
Download or read book Women's Health in Clinical Practice written by Amy Lynn Clouse and published by Springer Science & Business Media. This book was released on 2010-01-01 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book clearly elucidates many of the key issues found in the disparate literature on sex-based differences in health and illness. It provides primary care clinicians with a practical, up-to-date source of information that can lead to optimal, targeted care for women. Among the topics examined in this comprehensive volume are treating and preventing osteoporosis, diabetes, cervical cancer, eating disorders, and more.
Book Synopsis The Managed Health Care Handbook by : Peter Reid Kongstvedt
Download or read book The Managed Health Care Handbook written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2001 with total page 1448 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry.
Book Synopsis Basic Life Support Provider Manual (International English) by : American Heart Association
Download or read book Basic Life Support Provider Manual (International English) written by American Heart Association and published by . This book was released on 2020-11-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 20-2804
Book Synopsis Health Care Handbook by : Jeffrey D. Mamorsky
Download or read book Health Care Handbook written by Jeffrey D. Mamorsky and published by . This book was released on 1991 with total page 764 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Risk Adjustment Factor (Raf) Made Easy: Provider Handbook by : Barbara Jane Deaton
Download or read book Risk Adjustment Factor (Raf) Made Easy: Provider Handbook written by Barbara Jane Deaton and published by Risk Adjustment. This book was released on 2019-09-11 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providers have been counseled to code "to the highest specificity," yet are not taught how to accomplish it. Already overworked and often underpaid the Provider doesn't have time to plow through all the rules and regulations to produce the solution. Risk Adjustment Factor Made Easy hopes to cut through the jungle of red-tape, thick textbooks, and laborious internet searches to equip the Provider with quick access to the knowledge needed to be successful while providing references on topics for more exploration when desired. In this version of the Hierarchical Condition Coding (HCC) and Risk-Adjustment Factor (RAF) coding book, the busy provider will receive a simple short-cut to all the information necessary to be successful. This book is quick; easy-to-understand; focuses on common mistakes made by Providers and displays examples of proper coding with appropriate details to help the Provider describe the illnesses of their patients more effectively.HCC/RAF is designed to estimate a patient's "future" health care costs. With the changing of the payment system for Providers from "Paid for Services Rendered" to "Risk-Adjustment Value-Based Care" adherence to coding guidelines are vital to a Provider's bottom line. With the coding details listed, you will learn which codes carry high value and why the codes currently used are not increasing your risk score; thereby, lowering potential earnings. The business end of the practice often suffers because of simple coding errors. This RAF book will arm the provider with the tools necessary to ensure success in the "Value-Based Care" system. ABOUT THE AUTHOR: Barbara Jane Deaton, MSN, FNP-BC, ENP-BCBarbara holds a Master of Science in Nursing and is dually certified as a Family Nurse Practitioner and an Emergency Nurse Practitioner. She owns her own practice in North Carolina and is deeply involved in Risk Adjustment Factor Coding. She has been recognized by a major insurance agency for her understanding of the Risk Adjustment Factor and its role in the future of medicine. Her own risk score has significantly increased by implementing the rules contained in this book.Barbara has won numerous awards since entering the medical field. Among her awards are "Best Nurse Practitioner Award in Morganton, NC 2018" for Inclusion in the 2019-2020 Edition of Worldwide Leaders in Healthcare: nominated Best Nurse Practitioner Preceptor 2019 by Perdue University: Business of the Year Award in Burke County, NC Foundation Award; and the Emergency Physicians Award by the United States Commerce Association.NOTE FROM THE AUTHOR: Over the past year, as I became more interested in the Risk Adjustment Factor (RAF), I realized that much of my research portrayed RAF as complex and extremely difficult to learn. When I began putting RAF into play in my own practice, I realized that as a Family Provider, the main codes continued to reappear. The techniques developed became second nature. Gifted with the ability to translate complex medical problems into simple language for some of my uneducated patients; I became aware that this gift should be used to break down the barriers that exist with Risk Adjustment Factor Coding. This book is written in a simplified format with characterizations to help get the point across. By placing these techniques into practice, the patient's illnesses will be accurately portrayed, and the Provider's bottom line will improve
Book Synopsis Medicare Handbook, 2017 Edition by : Stein, Chiplin
Download or read book Medicare Handbook, 2017 Edition written by Stein, Chiplin and published by Wolters Kluwer. This book was released on 2016-12-15 with total page 1008 pages. Available in PDF, EPUB and Kindle. Book excerpt: To provide effective service in helping clients understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the most current information from a source you can trust - Medicare Handbook. This is the indispensable resource for clarifying Medicare's confusing rules and regulations. Prepared by an outstanding team of experts from the Center for Medicare Advocacy, Inc., it addresses issues you need to master to provide effective planning advice or advocacy services, including: Medicare eligibility rules and enrollment requirements; Medicare covered services, deductibles, and co-payments; coinsurance, premiums, penalties; coverage criteria for each of the programs; problem areas of concern for the advocate; grievance and appeals procedures. The 2017 Edition of Medicare Handbook offers expert guidance on: Health Care Reform Prescription Drug Coverage Enrollment and Eligibility Medigap Coverage Medicare Secondary Payer Issues Grievance and Appeals Home Health Care Managed Care Plans Hospice Care And more! In addition, Medicare Handbook will help resolve the kinds of questions that arise on a regular basis, such as: How do I appeal a denial of services? What steps do I need to take in order to receive Medicare covered home health care? What are the elements of Medicare's appeal process for the denial of coverage of an item, service, or procedure? Does my state have to help me enroll in Medicare so that I can get assistance through a Medicare Savings Program? When should I sign up for a Medigap plan? If I am on Medicare, do I have to buy health insurance in the insurance marketplace created by the Affordable Care Act? Is it true that I have to show medical improvement in order to get nursing and therapy services for my chronic condition? And more! The 2017 Medicare Handbook is the indispensable resource that provides: Extensive discussion and examples of how Medicare rules apply in the real world Case citations, checklists, worksheets, and other practice tools to help in obtaining coverage for clients, while minimizing research and drafting time Practice pointers and cautionary notes regarding coverage and eligibility questions where advocacy problems arise, and those areas in which coverage has been reduced or denied And more!
Book Synopsis Pediatric Emergency Assessment, Recognition, and Stabilization by :
Download or read book Pediatric Emergency Assessment, Recognition, and Stabilization written by and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Handbook, 2019 Edition (IL) by : Stein, Chiplin
Download or read book Medicare Handbook, 2019 Edition (IL) written by Stein, Chiplin and published by Wolters Kluwer. This book was released on 2018-12-26 with total page 832 pages. Available in PDF, EPUB and Kindle. Book excerpt: To provide effective service in helping people understand how they are going to be affected by health care reform and how to obtain coverage, pursue an appeal, or plan for long-term care or retirement, you need the most current information from a source you can trust - Medicare Handbook. This is the indispensable resource for clarifying Medicare's confusing rules and regulations. Prepared by an outstanding team of experts from the Center for Medicare Advocacy, it addresses issues you need to master to provide effective planning advice or advocacy services, including: Medicare eligibility rules and enrollment requirements; Medicare covered services, deductibles, and co-payments; coinsurance, premiums, penalties; coverage criteria for each of the programs; problem areas of concern for the advocate; grievance and appeals procedures. The 2019 Edition of Medicare Handbook offers expert guidance on: Medicare Enrollment and Eligibility Medicare Coverage in all Care-Settings Medicare Coverage for People with Chronic Conditions Medicare Home Health Coverage and Access to Care Prescription Drug Coverage Medicare Advantage Plans Medicare Appeals Health Care Reform And more! In addition, Medicare Handbook will help resolve the kinds of questions that arise on a regular basis, such as: How do I appeal a denial of services? What steps do I need to take in order to receive Medicare covered home health care? What are the elements of Medicare's appeal process for the denial of coverage of an item, service, or procedure? Does my state have to help me enroll in Medicare so that I can get assistance through a Medicare Savings Program? When should I sign up for a Medigap plan? If I am enrolled in Medicare, do I have to buy health insurance in the insurance marketplace created by the Affordable Care Act? Is it true that I have to show medical improvement in order to get Medicare for my nursing and therapy services? And more! The 2019 Medicare Handbook is the indispensable resource that provides: Extensive discussion and examples of how Medicare rules apply in the real world Case citations, checklists, worksheets, and other practice tools to help in obtaining coverage for clients, while minimizing research and drafting time Practice pointers and cautionary notes regarding coverage and eligibility questions when advocacy problems arise, and those areas in which coverage has often been reduced or denied And more! Note: Online subscriptions are for three-month periods. Previous Edition: Medicare Handbook, 2018 Edition ISBN 9781454884224
Book Synopsis Patient Handbook to Medical Care by : J. L. Richardson
Download or read book Patient Handbook to Medical Care written by J. L. Richardson and published by J. L. Richardson M.D.. This book was released on 2006-12 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise, informative handbook provides patients with a doctors perspective on professional healthcare and allows patients to become their own best health advocates. The six chapters are arranged in an order that corresponds with the basic steps of healthcare, covering such things as the importance of keeping a medical diary and maintaining records to what to expect from a doctors visit to how to obtain quality health insurance. The book aims to teach readers to become proactive and to take their health, as much as possible, into their own hands.
Book Synopsis Primary Care Psychiatry Handbook by : Shawn Hersevoort
Download or read book Primary Care Psychiatry Handbook written by Shawn Hersevoort and published by Lippincott Williams & Wilkins. This book was released on 2018-10-22 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Written by a psychiatrist who works full-time in the primary care setting, Primary Care Psychiatry Handbook is a quick, practical guide to the key diagnostic and therapeutic information you need to offer optimal mental health care to your patients. Derived from Primary Care Psychiatry, 2nd Edition, this high-yield, point of care handbook uses quick-reference tables, key points, and more to help you answer the question, “What do I do right now?”
Book Synopsis Handbook of Research on Redesigning the Future of Internet Architectures by : Boucadair, Mohamed
Download or read book Handbook of Research on Redesigning the Future of Internet Architectures written by Boucadair, Mohamed and published by IGI Global. This book was released on 2015-05-31 with total page 656 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the volume of global Internet traffic increases, the Internet is beginning to suffer from a broad spectrum of performance-degrading infrastructural limitations that threaten to jeopardize the continued growth of new, innovative services. In answer to this challenge, computer scientists seek to maintain the original design principles of the Internet while allowing for a more dynamic approach to the manner in which networks are designed and operated. The Handbook of Research on Redesigning the Future of Internet Architectures covers some of the hottest topics currently being debated by the Internet community at large, including Internet governance, privacy issues, service delivery automation, advanced networking schemes, and new approaches to Internet traffic-forwarding and path-computation mechanics. Targeting students, network-engineers, and technical strategists, this book seeks to provide a broad and comprehensive look at the next wave of revolutionary ideas poised to reshape the very foundation of the Internet as we know it.
