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The Reimbursement Resource Book
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Book Synopsis The Reimbursement Resource Book by :
Download or read book The Reimbursement Resource Book written by and published by . This book was released on 2003 with total page 672 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Mastering the Reimbursement Process by : Joanne M. Waters
Download or read book Mastering the Reimbursement Process written by Joanne M. Waters and published by American Medical Association Press. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Up-to-date information on proper medical billing reimbursement and the codes, third party payers, and laws that affect it"--Provided by publisher.
Book Synopsis The Reimbursement Resource Book 2002 by : American Physical Therapy Association
Download or read book The Reimbursement Resource Book 2002 written by American Physical Therapy Association and published by . This book was released on 2002 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Hospital Reimbursement by : Kyle Herbert
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 revenue cycle within a hospital setting. The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also: Covers the full range of services and procedures for which a hospital can receive reimbursement Explains the difference between a for-profit and not-for-profit hospital Contains chapters devoted to Statements of Operations (Income Statement) and Statements of Financial Position (Balance Sheet) Examines governmental cost reporting—including Worksheets A, A-6, A-8, A-8-2, B-1, B Part 1, C Part 1, D-3, D-5, and E Part A Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.
Book Synopsis Coding and Reimbursement for Hospital Inpatient Services by : Karen S. Scott
Download or read book Coding and Reimbursement for Hospital Inpatient Services written by Karen S. Scott and published by Ahima. This book was released on 2006 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive resource for hospital inpatient coding and reimbursement! Provides educators, students, and healthcare practitioners with the most authoritative guidance available for managing inpatient coding and reimbursement issues. This must-have resource was developed to give you easier access to the most up-to-date information you need for inpatient coding and reimbursement. You'll save time and make more effective decisions with this one-of-a-kind resource.Covers reimbursement methodologies for hospital inpatient services, the structure and organization of hte Medicare Inpatient Acute Care Prospective Payment System, the relationship between coding and DRG assignment, and data quality and coding compliance processes related to coding and reimbursement for inpatient services.
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 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.
Book Synopsis Correct Coding for Medicare, Compliance, and Reimbursement by : Belinda S. Frisch
Download or read book Correct Coding for Medicare, Compliance, and Reimbursement written by Belinda S. Frisch and published by Delmar Thomson Learning. This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Two CD-ROM discs in pocket.
Book Synopsis Principles of Healthcare Reimbursement by : Anne B. Casto
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.
Book Synopsis Medicare Prospective Payment and the Shaping of U.S. Health Care by : Rick Mayes
Download or read book Medicare Prospective Payment and the Shaping of U.S. Health Care written by Rick Mayes and published by JHU Press. This book was released on 2006-12-20 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the definitive work on Medicare’s prospective payment system (PPS), which had its origins in the 1972 Social Security Amendments, was first applied to hospitals in 1983, and came to fruition with the Balanced Budget Act of 1997. Here, Rick Mayes and Robert A. Berenson, M.D., explain how Medicare’s innovative payment system triggered shifts in power away from the providers (hospitals and doctors) to the payers (government insurers and employers) and how providers have responded to encroachments on their professional and financial autonomy. They conclude with a discussion of the problems with the Medicare Modernization Act of 2003 and offer prescriptions for how policy makers can use Medicare payment policy to drive improvements in the U.S. health care system. Mayes and Berenson draw from interviews with more than sixty-five major policy makers—including former Treasury secretary Robert Rubin, U.S. Representatives Pete Stark and Henry Waxman, former White House chief of staff Leon Panetta, and former administrators of the Health Care Financing Administration Gail Wilensky, Bruce Vladeck, Nancy-Ann DeParle, and Tom Scully—to explore how this payment system worked and its significant effects on the U.S. medical landscape in the past twenty years. They argue that, although managed care was an important agent of change in the 1990s, the private sector has not been the major health care innovator in the United States; rather, Medicare’s transition to PPS both initiated and repeatedly intensified the economic restructuring of the U.S. health care system.
Book Synopsis Music Therapy Reimbursement by : Judy Simpson
Download or read book Music Therapy Reimbursement written by Judy Simpson and published by . This book was released on 2004 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: The profession of music therapy is receiving more and more recognition as an effective intervention in a variety of healthcare settings. Given this increased attention, the question of how to fund music therapy services also is being asked more frequently by many key decision makers. Discovering potential ways to "reimburse" or "cover" music therapy services through public and private third party payment systems has become a critical component to the business of music therapy. In order for music therapists to be successful in their practices, they must demonstrate competency regarding the current healthcare market, the insurance industry, and where music therapy fits within this environment. This book is designed to provide music therapists and related professionals with a basic understanding of the reimbursement process. Students, clinicians, and educators will find this resource helpful as they explore opportunities in healthcare funding. In addition to providing valuable resources and outlining specific guidelines, this book also includes the results of surveys and interviews with member music therapists reporting the successes with third party payment. Clinicians also will find marketing tools, sample forms, and coding information as practical supports to implementing the reimbursement process in their own practices.
Book Synopsis Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition by : Anne Casto
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:
Book Synopsis CPT Professional 2022 by : American Medical Association
Download or read book CPT Professional 2022 written by American Medical Association and published by . This book was released on 2021-09-17 with total page 1200 pages. Available in PDF, EPUB and Kindle. Book excerpt: CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
Book Synopsis Principles of Coding and Reimbursement for Surgeons by : Mark Savarise
Download or read book Principles of Coding and Reimbursement for Surgeons written by Mark Savarise and published by Springer. This book was released on 2016-12-30 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides the in-depth understanding of the mechanisms that guide coding and reimbursement. The text is meant to be useful to surgeons in practice, both in general surgery and in surgical subspecialties; practice management teams of surgical practices and to resident physicians in surgery. Part 1 of the text addresses the CPT coding process, the relative valuation system (RVU), the ICD-9 and ICD-10 systems of classification, Medicare Part B payment rules for physicians, the DRG system and Medicare Part A payment for hospitals, alternative payment models, and the myriad of quality measures of importance to surgeons. Part 2 of the text addresses specific coding in areas where surgeons historically have had the most difficulty. This is not meant to substitute for the available texts, software or courses on coding, but to provide the historical background and rationale for the specific coding rules. Principles of Coding and Reimbursement for Surgeons will be of great value to general surgeons and surgical subspecialists in private practice, academic institutions, and employed positions. It will provide direction to management teams from practice and institutional levels. It is also of use to surgical trainees and to researchers in health policy issues.
Book Synopsis Handbook of Home Health Standards by : Tina M. Marrelli
Download or read book Handbook of Home Health Standards written by Tina M. Marrelli and published by Mosby Incorporated. This book was released on 2011-06-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Principles of Healthcare Reimbursement by : Anne B. Casto
Download or read book Principles of Healthcare Reimbursement written by Anne B. Casto and published by . This book was released on 2013-01-01 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Mastering the Reimbursement Process by : L. Lamar Blount
Download or read book Mastering the Reimbursement Process written by L. Lamar Blount and published by American Medical Association Press. This book was released on 1998 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rev. ed. of: Mastering the reimbursement process / Curtis J. Udell, Susan E. Garrison, Deane R. Ferguson. 1996.
Book Synopsis Health Economics from Theory to Practice by : Simon Eckermann
Download or read book Health Economics from Theory to Practice written by Simon Eckermann and published by Springer. This book was released on 2017-03-20 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a robust set of health economic principles and methods to inform societal decisions in relation to research, reimbursement and regulation (pricing and monitoring of performance in practice). We provide a theoretical and practical framework that navigates to avoid common biases and suboptimal outcomes observed in recent and current practice of health economic analysis, as opposed to claiming to be comprehensive in covering all methods. Our aim is to facilitate efficient health system decision making processes in research, reimbursement and regulation, which promote constrained optimisation of community outcomes from a societal perspective given resource constraints, available technology and processes of technology assessment. Importantly, this includes identifying an efficient process to maximize the potential that arises from research and pricing in relation to existing technology under uncertainty, given current evidence and associated opportunity costs of investment. Principles and methods are identified and illustrated across health promotion, prevention and palliative care settings as well as treatment settings. Health policy implications are also highlighted.