The Rac Toolkit For Physician Practices

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The Rac Toolkit for Physician Practices

Author : Elizabeth E. Lamkin
Publisher :
ISBN 13 : 9781601468796
Total Pages : 0 pages
Book Rating : 4.4/5 (687 download)

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Book Synopsis The Rac Toolkit for Physician Practices by : Elizabeth E. Lamkin

Download or read book The Rac Toolkit for Physician Practices written by Elizabeth E. Lamkin and published by . This book was released on 2011-10-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: RACs are auditing practices. Learn how to prepare. The RAC Toolkit for Physician Practices is your practice's answer to turning plans into proactive action for RAC success. Authors Elizabeth Lamkin, MHA, and Amanda Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Physician practice settings are getting audited by RACs. Whether you're dealing with a RAC or another government auditor, you need a program that's running as effectively as it can be. You will use their tested, proven, and practical tools to build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical groups together for operational improvements that drop right to the bottom line. The RAC Toolkit for Physician Practices will help you get the job done right. The RAC Toolkit for Physician Practices will show you how to: * Take a systemic approach to RAC compliance * Incorporate effective structure and processes to existing systems for measurable results * Organize committees and facilitate information flow * Appeal effectively and within deadlines * Use proven tools and methods for an effective RAC program

The Rac Toolkit for Hospitals and Health Systems

Author : Elizabeth E. Lamkin
Publisher :
ISBN 13 : 9781601468284
Total Pages : 0 pages
Book Rating : 4.4/5 (682 download)

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Book Synopsis The Rac Toolkit for Hospitals and Health Systems by : Elizabeth E. Lamkin

Download or read book The Rac Toolkit for Hospitals and Health Systems written by Elizabeth E. Lamkin and published by . This book was released on 2011-05-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program Amanda W. Berglund, MS, MBA; Elizabeth E. Lamkin, MHA Learn how to respond to RAC audits. And more importantly, how to prevent them. The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program is your answer to turning plans into proactive action for RAC success. Authors Elizabeth E. Lamkin, MHA, and Amanda W. Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Whether you are responding to a Recovery Auditor or another government auditor, your program must operate as effectively as possible. You will use their tested, proven, and practical tools that will help you build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical staff together for operational improvements that directly affect your bottom line. The RAC Toolkit for Hospitals and Health Systems will help you get the job done right. The RAC Toolkit for Hospitals and Health Systems will help you achieve the following goals: Take a systemic approach to RAC compliance Incorporate effective structure and processes to existing systems for measurable results Organize committees and facilitate information flow Appeal effectively and within deadlines Use proven tools and methods for an effective RAC program Table of Contents: Chapter 1: RAC Program Overview Chapter 2: Preparing for RAC Chapter 3: The Right Structure: Organizing the Committees Chapter 4: The Right People: Three Critical Roles for RAC Prevention Chapter 5: Additional RAC Stakeholders Chapter 6: Automated Reviews Chapter 7: Complex Review and Extrapolation Chapter 8 The Appeal Appendix (Acronyms and additional resources) Take advantage of these valuable tools included in your book: RAC appeal timeline RAC preparedness checklist RAC committee structure flowchart Organizational chart for RAC-related personnel Sample RAC committee meeting agenda Sample UR committee meeting agenda Complex case review worksheet Admission review continued stay and discharge review flowchart Patient status change letter template Automated review timeline Complex review timeline Appeal letter template for appeal level 1 redetermination CMS form 20027 CMS form 20034 CMS form DAB101

Core Skills for Hospital Case Managers

Author : Tony Cesta
Publisher : HC Pro, Inc.
ISBN 13 : 1601463537
Total Pages : 319 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Core Skills for Hospital Case Managers by : Tony Cesta

Download or read book Core Skills for Hospital Case Managers written by Tony Cesta and published by HC Pro, Inc.. This book was released on 2009-06 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: Core Skills for Hospital Case Managers: A Training Toolkit for Effective Outcomes Toni Cesta, PhD, RN, FAAN; Beverly Cunningham, MS, RN As of June 20, 2014, contact hours for nurses are no longer available with this product. Finally--an affordable, effective, and consistent training program for your hospital case managers. This one-of-a-kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department. This resource is designed to give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed. Core Skills for Hospital Case Managers is an orientation and training manual for nurses transitioning into case management, an easy-to-read reference guide for new case managers, and a source of inspiration, tools, and resources for seasoned professionals. With a flexible format, this book and CD-ROM offer practical information and customizable tools to develop and maintain a wide variety of care management skills. Table of contents Chapter 1: Hospital Case Management 101 Chapter 2: Case Manager Role Chapter 3: Roles, Functions, and Caseloads Chapter 4: The Case Management Process Chapter 5: The Case Manager's Role in Transitional and Discharge Planning Chapter 6: Utilization Management Chapter 7: Managing Long Length of Stay Patients Chapter 8: Denials: Prevention and Appeals Strategies Chapter 9: Reimbursement Chapter 10: The Role of the Case Manager in Patient Flow Chapter 11: Measuring Success: Strategic Outcome Measures Chapter 12: Dealing with the Uninsured and Underinsured Chapter 13: Working with Multidisciplinary Teams Chapter 14: Crucial Communication and Conflict Resolution Learning objectives: Discuss the evolution of hospital case management Explain the different models of hospital case management Determine the various goals of hospital case management Examine the various roles of case management Discuss the variety of functions performed by case managers Discuss the scope of the case manager position Examine staffing ratios in various models List the steps in the case management process Determine the role of case managers in documentation Examine case managers' role in discharge planning List the factors that influence the discharge planning process Determine strategies for improving discharge planning Discuss how hospital reimbursement affects utilization management (UM) List the stages of UM coordination Determine the affect of outside influences on UM Evaluate different payers' regulations regarding UM Examine case management's role in length of stay (LOS) Evaluate strategies for managing patients with long LOS Identify data used to track and trend LOS Evaluate the reasons behind denials Discuss case management's role in preventing denials Examine case management's roles in reversing denials Examine case management's role in reimbursement Determine strategies for effective case management related to reimbursement Evaluate case management's role in patient flow Discuss demand and capacity management Identify strategies for managing patient flow Identify measurable case management outcomes Explain how case managers can track quality outcome metrics Discuss other metrics case management departments can track and trend Examine ways to create a case management report card Discuss the unfunded or underfunded patient populations Describe the role of the ED case manager with unfunded or underfunded patient populations Evaluate strategies for dealing with unfunded or underfunded patient populations Examine strategies for successfully working with multidisciplinary teams Describe sources of conflict with which case managers frequently come in contact Discuss strategies for reducing conflict Intended audience Staff nurses, charge nurses, staff educators, staff development specialists, directors of education, nurse managers, and nurse leaders

Health Care Finance and the Mechanics of Insurance and Reimbursement

Author : Michael K. Harrington
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284019764
Total Pages : 700 pages
Book Rating : 4.2/5 (84 download)

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Book Synopsis Health Care Finance and the Mechanics of Insurance and Reimbursement by : Michael K. Harrington

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 2023-10-27 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Finance and the Mechanics of Insurance and Reimbursement 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, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Updated throughout the Third Edition offers expanded material on financial statements; new and expanded Skilled Nursing Facility examples; and enhanced sections on PDPM, Practice Management for Primary Care and other Specialties, Clearinghouse Processes, Predictive Modeling (data mining), and more.

Fundamentals of Clinical Data Science

Author : Pieter Kubben
Publisher : Springer
ISBN 13 : 3319997130
Total Pages : 219 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Fundamentals of Clinical Data Science by : Pieter Kubben

Download or read book Fundamentals of Clinical Data Science written by Pieter Kubben and published by Springer. This book was released on 2018-12-21 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.

Women’s Healthcare in Advanced Practice Nursing

Author : Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN
Publisher : Springer Publishing Company
ISBN 13 : 0826167225
Total Pages : 1057 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Women’s Healthcare in Advanced Practice Nursing by : Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN

Download or read book Women’s Healthcare in Advanced Practice Nursing written by Ivy M. Alexander, PhD, APRN, ANP-BC, FAANP, FAAN and published by Springer Publishing Company. This book was released on 2023-12-15 with total page 1057 pages. Available in PDF, EPUB and Kindle. Book excerpt: Holistically addresses women's health, encompassing the needs of transgender and nonbinary individuals and considering ethnicity, social class, and disability/ableness Delivering incisive and comprehensive information on the healthcare needs of women, transgender, and nonbinary persons, the third edition of this distinguished text incorporates a strong focus on the provision of high value, equitable, and unbiased care. It expands research and clinical frameworks for understanding women's health to encompass transgender and nonbinary persons and places women’s health within a holistic perspective considering ethnicity, social class, and disability/ableness. All chapters are significantly updated with new evidence-based research, clinical updates and guidelines, drug information, Covid-related information, racism, and health disparities. This text also covers current and pertinent health topics such as substance use and abuse, mental health, early pregnancy decision-making, and LGBTQ+ care, as well as abundant integrated information on care of transgender and nonbinary individuals, and enhanced information on pregnancy and primary care issues that disproportionately affect females. The book is organized for ease of use and is comprised of three distinct but interrelated sections on theoretical frameworks to guide approach and care, health promotion and prevention, and managing health conditions. Rich instructor resources include mapping content to AACN Essentials, case studies, a test bank, and PowerPoint slides. New to the Third Edition: Focuses on providing equitable, unbiased care for all women including transgender and nonbinary individuals Updated with new evidence-based research, clinical updates and guidelines, drug information, Covid-related information, and racism and health disparities information Expanded information on care of transgender individuals Enhanced content on pregnancy and related issues Four-color presentation to enhance readability Incorporates content in WHNP and CNM national certification examination blueprints Key Features: Distills cutting-edge information on women's health issues through a sociocultural framework Edited by renowned scholar/educators for AP nursing students Organized to provide easy retrieval of clinical information Addresses genetics, LGBTQ+ health, endocrine-related problems, health considerations for women caregivers, dementia care, and more Includes relevant web resources and apps in each chapter Provides extensive instructor toolkit to foster critical thinking

Public Health Research Methods for Partnerships and Practice

Author : Melody S. Goodman
Publisher : Routledge
ISBN 13 : 1498785077
Total Pages : 361 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Public Health Research Methods for Partnerships and Practice by : Melody S. Goodman

Download or read book Public Health Research Methods for Partnerships and Practice written by Melody S. Goodman and published by Routledge. This book was released on 2017-11-01 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: Translating research into practice involves creating interventions that are relevant to improving the lives of a target population. Community engaged research has emerged as an evidence-based approach to better address the complex issues that affect the health of marginalized populations. Written by leading community-engaged researchers across disciplines, each chapter covers a different topic with comprehensive guides for start-to-finish planning and execution. The book provides a training curriculum that supports a common vision among stakeholders as well as a survey of methods based on core MPH curriculum. Practical appendices and homework samples can be found online. Public Health Research Methods for Partnerships and Practice will appeal to researchers and practitioners in community or government sectors interested in conducting community-engaged work.

Evidence-Based Practice in Action: Comprehensive Strategies, Tools, and Tips From University of Iowa Hospitals & Clinics, Second Edition

Download Evidence-Based Practice in Action: Comprehensive Strategies, Tools, and Tips From University of Iowa Hospitals & Clinics, Second Edition PDF Online Free

Author : Laura Cullen
Publisher : Sigma Theta Tau
ISBN 13 : 1948057956
Total Pages : 670 pages
Book Rating : 4.9/5 (48 download)

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Book Synopsis Evidence-Based Practice in Action: Comprehensive Strategies, Tools, and Tips From University of Iowa Hospitals & Clinics, Second Edition by : Laura Cullen

Download or read book Evidence-Based Practice in Action: Comprehensive Strategies, Tools, and Tips From University of Iowa Hospitals & Clinics, Second Edition written by Laura Cullen and published by Sigma Theta Tau. This book was released on 2022-07-27 with total page 670 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Building on extensive real-life experience with EBP, this expert team from University of Iowa Hospitals & Clinics provides vital guidance to clinicians at the cutting edge of care improvement.” –Kathleen R. Stevens, EdD, MS, RN, ANEF, FAAN Castella Endowed Distinguished Professor School of Nursing and Institute for Integration of Medicine & Science (CTSA) University of Texas Health Science Center San Antonio “This new edition is essential for all who want to deliver evidence-based care. Beautifully organized, it is readable, practical, and user-friendly.” –Kathleen C. Buckwalter, PhD, RN, FAAN Professor Emerita, University of Iowa College of Nursing Distinguished Nurse Scientist in Aging, Reynolds Center Oklahoma University Health Sciences Center, College of Nursing “Evidence-Based Practice in Action, Second Edition, will continue to ensure high-quality, evidence-based care is implemented in healthcare systems across the country — and the world. It should also be a well-worn tool in every implementation scientist’s toolkit. –Heather Schacht Reisinger, PhD Professor, Department of Internal Medicine Associate Director for Engagement, Integration and Implementation Institute for Clinical and Translational Science, University of Iowa Translate knowledge, research, and clinical expertise into action. The biggest barrier to effective evidence-based practice (EBP) is the failure to effectively translate available knowledge, research, and clinical expertise into action. This failure is rarely due to lack of information, understanding, or experience. In fact, it usually comes down to a simple lack of tools and absence of a clear plan to integrate EBP into care. Problem solved: Evidence-Based Practice in Action, Second Edition, is a time-tested, application-oriented EBP resource for any EBP process model and is organized based on The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. This book offers a proven, detailed plan to help nurses and healthcare professionals promote and achieve EBP implementation, adoption, sustained use. TABLE OF CONTENTS Chapter 1: Identify Triggering Issues/Opportunities Chapter 2: State the Question or Purpose Chapter 3: Is This Topic a Priority? Chapter 4: Form a Team Chapter 5: Assemble, Appraise, and Synthesize Body of Evidence Chapter 6: Is There Sufficient Evidence? Chapter 7: Design and Pilot the Practice Change Chapter 8: Evaluation Chapter 9: Implementation Chapter 10: Is Change Appropriate for Adoption in Practice? Chapter 11: Integrate and Sustain the Practice Change Chapter 12: Disseminate Results Appendix A: The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care Appendix B: Iowa Implementation for Sustainability Framework Appendix C: Select Evidence-Based Practice Models Appendix D: Glossary

Advances in Information and Communication

Author : Kohei Arai
Publisher : Springer Nature
ISBN 13 : 3030394425
Total Pages : 930 pages
Book Rating : 4.0/5 (33 download)

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Book Synopsis Advances in Information and Communication by : Kohei Arai

Download or read book Advances in Information and Communication written by Kohei Arai and published by Springer Nature. This book was released on 2020-02-13 with total page 930 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents high-quality research on the concepts and developments in the field of information and communication technologies, and their applications. It features 134 rigorously selected papers (including 10 poster papers) from the Future of Information and Communication Conference 2020 (FICC 2020), held in San Francisco, USA, from March 5 to 6, 2020, addressing state-of-the-art intelligent methods and techniques for solving real-world problems along with a vision of future research. Discussing various aspects of communication, data science, ambient intelligence, networking, computing, security and Internet of Things, the book offers researchers, scientists, industrial engineers and students valuable insights into the current research and next generation information science and communication technologies.

Clinical Anesthesia (SAE)

Author : Dr. Nishkarsh Gupta
Publisher : Wolters Kluwer India Pvt. Ltd.
ISBN 13 : 9389859913
Total Pages : 2056 pages
Book Rating : 4.3/5 (898 download)

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Book Synopsis Clinical Anesthesia (SAE) by : Dr. Nishkarsh Gupta

Download or read book Clinical Anesthesia (SAE) written by Dr. Nishkarsh Gupta and published by Wolters Kluwer India Pvt. Ltd.. This book was released on 2021-06-01 with total page 2056 pages. Available in PDF, EPUB and Kindle. Book excerpt: ###############################################################################################################################################################################################################################################################

The ASQ Pocket Guide to Failure Mode and Effect Analysis (FMEA)

Author : D.H. Stamatis
Publisher : Quality Press
ISBN 13 : 0873899008
Total Pages : 115 pages
Book Rating : 4.8/5 (738 download)

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Book Synopsis The ASQ Pocket Guide to Failure Mode and Effect Analysis (FMEA) by : D.H. Stamatis

Download or read book The ASQ Pocket Guide to Failure Mode and Effect Analysis (FMEA) written by D.H. Stamatis and published by Quality Press. This book was released on 2014-08-21 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: The recognition that all well-managed companies are interested in preventing or at least minimizing risk in their operations is the concept of risk management analysis. This pocket guide explores the process of evaluation of risk by utilizing one of the core methodologies available: the failure mode and effect analysis (FMEA). The intent in this “Pocket FMEA” is to provide the reader with a booklet that makes the FMEA concept easy to understand and provide some guidelines as to why FMEA is used in so many industries with positive results. The booklet is not a complete reference on FMEA, but rather a summary guide for anyone who wants some fast information regarding failures and how to deal with them. It covers risk, reliability and FMEA, prerequisites of FMEA, what an FMEA is, robustness, the FMEA form and rankings, types of FMEA, and much more.

Mild Traumatic Brain Injury Rehabilitation Toolkit

Author : Margaret M. Weightman
Publisher : Department of the Army
ISBN 13 :
Total Pages : 688 pages
Book Rating : 4.E/5 ( download)

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Book Synopsis Mild Traumatic Brain Injury Rehabilitation Toolkit by : Margaret M. Weightman

Download or read book Mild Traumatic Brain Injury Rehabilitation Toolkit written by Margaret M. Weightman and published by Department of the Army. This book was released on 2014 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt: NOTE: NO FURTHER DISSCOUNT ON THIS PRODUCT TITLE --OVERSTOCK SALE -- Significantly reduced list price Traumatic brain injury (TBI) is a complex condition for which limited research exists. The recent conflicts in Iraq and Afghanistan have resulted in numerous service members returning home after sustaining TBI, and healthcare providers scrambling to find resources on how to treat them. This toolkit is a comprehensive source of inventories and therapy options for treating service members with mild TBI. All aspects of mild TBI are covered, including vestibular disorders, vision impairment, balance issues, posttraumatic headache, temporomandibular dysfunction, cognition, and fitness, among others. With easy-to-follow treatment options and evaluation instruments, this toolkit is a one-stop resource for clinicians and therapists working with patients with mild TBI.

Software As a Medical Device

Author : Gloria Hall
Publisher :
ISBN 13 : 9781947493612
Total Pages : pages
Book Rating : 4.4/5 (936 download)

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Book Synopsis Software As a Medical Device by : Gloria Hall

Download or read book Software As a Medical Device written by Gloria Hall and published by . This book was released on 2021-04-23 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Group Practice Journal

Author :
Publisher :
ISBN 13 :
Total Pages : 604 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis Group Practice Journal by :

Download or read book Group Practice Journal written by and published by . This book was released on 2000 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Medical Journal of Australia

Author :
Publisher :
ISBN 13 :
Total Pages : 1748 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis Medical Journal of Australia by :

Download or read book Medical Journal of Australia written by and published by . This book was released on 1926 with total page 1748 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Emergency and Disaster Management: Concepts, Methodologies, Tools, and Applications

Author : Management Association, Information Resources
Publisher : IGI Global
ISBN 13 : 152256196X
Total Pages : 1723 pages
Book Rating : 4.5/5 (225 download)

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Book Synopsis Emergency and Disaster Management: Concepts, Methodologies, Tools, and Applications by : Management Association, Information Resources

Download or read book Emergency and Disaster Management: Concepts, Methodologies, Tools, and Applications written by Management Association, Information Resources and published by IGI Global. This book was released on 2018-07-06 with total page 1723 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a world of earthquakes, tsunamis, and terrorist attacks, emergency response plans are crucial to solving problems, overcoming challenges, and restoring and improving communities that have been affected by these catastrophic events. Although the necessity for quick and efficient aid is understood, researchers and professionals continue to strive for the best practices and methodologies to properly handle such significant events. Emergency and Disaster Management: Concepts, Methodologies, Tools, and Applications is an innovative reference source for the latest research on the theoretical and practical components of initiating crisis management and emergency response. Highlighting a range of topics such as preparedness and assessment, aid and relief, and the integration of smart technologies, this multi-volume book is designed for emergency professionals, policy makers, practitioners, academicians, and researchers interested in all aspects of disaster, crisis, and emergency studies.

Coding for Medical Necessity Reference Guide - First Edition

Author : AAPC
Publisher : AAPC
ISBN 13 : 1626889805
Total Pages : 17 pages
Book Rating : 4.6/5 (268 download)

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Book Synopsis Coding for Medical Necessity Reference Guide - First Edition by : AAPC

Download or read book Coding for Medical Necessity Reference Guide - First Edition written by AAPC and published by AAPC. This book was released on 2020-03-18 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master coding concepts related to medical necessity and report compliant codes for your services. Revenue loss, rework, payback demands—how much are medical necessity errors costing your practice? And that’s to say nothing of potential civil penalties. Get medical necessity wrong and it’s considered a “knowingly false” act punishable under the FCA. Stay liability-free and get reimbursed for your services with reliable medical necessity know-how. AAPC’s Coding for Medical Necessity Reference Guide provides you with step-by-step tutorials to remedy the range of documentation and coding issues at the crux of medical necessity claim errors. Learn how to integrate best practices within your clinical processes—including spot-checks and self-audits to identify problems. Benefit from real-world reporting examples, Q&A, and expert guidance across specialties to master coding for medical necessity. Learn how to lock in medical necessity and keep your practice safe and profitable: Avoid Medical Necessity Errors with CERT Smarts Rules to Improve Provider Documentation Denials? Pay Attention to Procedure/Diagnosis Linkage Nail Down the Ins and Outs of Time-based Coding Expert Guidance to Fend Off RAC Audits and Denials Beat E/M Coding Confusion with Payer Advice Improve Your ABN Know How with This FAQ