The Revenue Integrity Training Toolkit

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Publisher :
ISBN 13 : 9781683081265
Total Pages : 0 pages
Book Rating : 4.0/5 (812 download)

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Book Synopsis The Revenue Integrity Training Toolkit by : Elizabeth E. Lamkin

Download or read book The Revenue Integrity Training Toolkit written by Elizabeth E. Lamkin and published by . This book was released on 2016-11-22 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Revenue Integrity Training Toolkit Elizabeth Lamkin, MHA, ACHE The revenue cycle in a hospital or health system is a continuum, and each department and role within the cycle has to work in unison to be successful. Due to the nature of today's healthcare environment some staff may not even realize that they're part of the revenue cycle. If there's a weak link, the entire system can quickly be in trouble due to issues with compliance, reimbursement, and, ultimately, patient care. This handbook will help get everyone, from billers to clinicians, on the same page improving systemic information flow and feedback loops. This toolkit comes with five handbooks that you can give to members of the revenue cycle. Bulk pricing for these handbooks is also available. In addition to the handbook, you will receive: Downloadable flow charts depicting the overarching revenue cycle and its various components and information flow Diagram of best practice committee and communication structures to help ensure a single high-functioning revenue cycle A sample payer scorecard to help track payer performance and support internal accountability Customizable team charter template for a medical records improvement committee A list of helpful resources for all aspects and departments involved in the revenue cycle Table of Contents Chapter 1: Revenue Cycle Integrity: A System Enterprise The Revenue Cycle Plan Chapter 2: Other Roles and Responsibilities Hospital Departments Hospital and Medical Staff Leader Chapter 3: Cross Functional Management of Revenue Cycle Committee Structure and Information Flow Communication and Education Outcome Measurement and Reporting for Accountability Chapter 4: Summary This handbook will help you: Recognize how all of the different pieces of the revenue cycle fit together Reduce inconsistencies and increase buy-in across departments Identify key players in the revenue cycle Create and manage revenue cycle committees that produce measurable results and improve financial accountability Engage key stakeholders in education and help them tie overarching revenue cycle goals with specific departmental goals

Core Functions of Revenue Integrity

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Publisher :
ISBN 13 : 9781683086581
Total Pages : 103 pages
Book Rating : 4.0/5 (865 download)

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Book Synopsis Core Functions of Revenue Integrity by : Valerie A. Rinkle

Download or read book Core Functions of Revenue Integrity written by Valerie A. Rinkle and published by . This book was released on 2017 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Revenue Integrity Manager's Guidebook

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Publisher :
ISBN 13 : 9781683081494
Total Pages : 140 pages
Book Rating : 4.0/5 (814 download)

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Book Synopsis The Revenue Integrity Manager's Guidebook by : Rose T Dunn

Download or read book The Revenue Integrity Manager's Guidebook written by Rose T Dunn and published by . This book was released on 2018-04 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Chargemaster Essentials Toolkit

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Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781683080862
Total Pages : 0 pages
Book Rating : 4.0/5 (88 download)

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Book Synopsis The Chargemaster Essentials Toolkit by : Valerie A. Rinkle

Download or read book The Chargemaster Essentials Toolkit written by Valerie A. Rinkle and published by Hcpro, a Division of Simplify Compliance. This book was released on 2016-12-19 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

NAHRI's Core Functions of Revenue Integrity, Second Edition

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Publisher :
ISBN 13 : 9781645351405
Total Pages : 120 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis NAHRI's Core Functions of Revenue Integrity, Second Edition by : Sarah Goodman

Download or read book NAHRI's Core Functions of Revenue Integrity, Second Edition written by Sarah Goodman and published by . This book was released on 2021-09 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: NAHRI's Core Functions of Revenue Integrity examines how each piece of revenue integrity comes together on a macro and a micro level by looking through the lens of 10 core functions. It provides actionable advice and guidance for revenue integrity professionals, whether they are new hires or experienced veterans. This book provides a well-rounded perspective on revenue integrity, covering everything from payment systems and reimbursement methodologies to denial appeals and charge capture review. It is authored by six current and past members of NAHRI's Advisory Board whose collective knowledge and experience will help revenue integrity professionals ensure their programs are running effectively and capturing revenue opportunities. Benefits of this guide include: A broad perspective of revenue integrity across 10 core functions, ranging from introductory to advanced topics Trusted guidance by expert contributors from across the country The ins and outs of revenue integrity in one comprehensive resource

Lean Software Development

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Publisher : Addison-Wesley
ISBN 13 : 0133812960
Total Pages : 236 pages
Book Rating : 4.1/5 (338 download)

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Book Synopsis Lean Software Development by : Mary Poppendieck

Download or read book Lean Software Development written by Mary Poppendieck and published by Addison-Wesley. This book was released on 2003-05-08 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lean Software Development: An Agile Toolkit Adapting agile practices to your development organization Uncovering and eradicating waste throughout the software development lifecycle Practical techniques for every development manager, project manager, and technical leader Lean software development: applying agile principles to your organization In Lean Software Development, Mary and Tom Poppendieck identify seven fundamental "lean" principles, adapt them for the world of software development, and show how they can serve as the foundation for agile development approaches that work. Along the way, they introduce 22 "thinking tools" that can help you customize the right agile practices for any environment. Better, cheaper, faster software development. You can have all three–if you adopt the same lean principles that have already revolutionized manufacturing, logistics and product development. Iterating towards excellence: software development as an exercise in discovery Managing uncertainty: "decide as late as possible" by building change into the system. Compressing the value stream: rapid development, feedback, and improvement Empowering teams and individuals without compromising coordination Software with integrity: promoting coherence, usability, fitness, maintainability, and adaptability How to "see the whole"–even when your developers are scattered across multiple locations and contractors Simply put, Lean Software Development helps you refocus development on value, flow, and people–so you can achieve breakthrough quality, savings, speed, and business alignment.

The Agile College

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Publisher : JHU Press
ISBN 13 : 1421440245
Total Pages : 265 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis The Agile College by : Nathan D. Grawe

Download or read book The Agile College written by Nathan D. Grawe and published by JHU Press. This book was released on 2021-01-12 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following Grawe's seminal first book, this volume answers the question: How can a college or university prepare for forecasted demographic disruptions? Demographic changes promise to reshape the market for higher education in the next 15 years. Colleges are already grappling with the consequences of declining family size due to low birth rates brought on by the Great Recession, as well as the continuing shift toward minority student populations. Each institution faces a distinct market context with unique organizational strengths; no one-size-fits-all answer could suffice. In this essential follow-up to Demographics and the Demand for Higher Education, Nathan D. Grawe explores how proactive institutions are preparing for the resulting challenges that lie ahead. While it isn't possible to reverse the demographic tide, most institutions, he argues persuasively, can mitigate the effects. Drawing on interviews with higher education leaders, Grawe explores successful avenues of response, including • recruitment initiatives • retention programs • revisions to the academic and cocurricular program • institutional growth plans • retrenchment efforts • collaborative action Throughout, Grawe presents readers with examples taken from a range of institutions—small and large, public and private, two-year and four-year, selective and open-access. While an effective response to demographic change must reflect the individual campus context, the cases Grawe analyzes will prompt conversations about the best paths forward. The Agile College also extends projections for higher education demand. Using data from the High School Longitudinal Study, the book updates prior work by incorporating new information on college-going after the Great Recession and pushes forecasts into the mid-2030s. What's more, the analysis expands to examine additional aspects of the higher education market, such as dual enrollment, transfer students, and the role of immigration in college demand.

Model Rules of Professional Conduct

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Publisher : American Bar Association
ISBN 13 : 9781590318737
Total Pages : 216 pages
Book Rating : 4.3/5 (187 download)

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Book Synopsis Model Rules of Professional Conduct by : American Bar Association. House of Delegates

Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.

Fostering Integrity in Research

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Publisher : National Academies Press
ISBN 13 : 0309391253
Total Pages : 327 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Fostering Integrity in Research by : National Academies of Sciences, Engineering, and Medicine

Download or read book Fostering Integrity in Research written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-01-13 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: The integrity of knowledge that emerges from research is based on individual and collective adherence to core values of objectivity, honesty, openness, fairness, accountability, and stewardship. Integrity in science means that the organizations in which research is conducted encourage those involved to exemplify these values in every step of the research process. Understanding the dynamics that support â€" or distort â€" practices that uphold the integrity of research by all participants ensures that the research enterprise advances knowledge. The 1992 report Responsible Science: Ensuring the Integrity of the Research Process evaluated issues related to scientific responsibility and the conduct of research. It provided a valuable service in describing and analyzing a very complicated set of issues, and has served as a crucial basis for thinking about research integrity for more than two decades. However, as experience has accumulated with various forms of research misconduct, detrimental research practices, and other forms of misconduct, as subsequent empirical research has revealed more about the nature of scientific misconduct, and because technological and social changes have altered the environment in which science is conducted, it is clear that the framework established more than two decades ago needs to be updated. Responsible Science served as a valuable benchmark to set the context for this most recent analysis and to help guide the committee's thought process. Fostering Integrity in Research identifies best practices in research and recommends practical options for discouraging and addressing research misconduct and detrimental research practices.

Your Home Loan Toolkit

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Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781530666010
Total Pages : 26 pages
Book Rating : 4.6/5 (66 download)

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Book Synopsis Your Home Loan Toolkit by : Consumer Financial Consumer Financial Protection Bureau

Download or read book Your Home Loan Toolkit written by Consumer Financial Consumer Financial Protection Bureau and published by Createspace Independent Publishing Platform. This book was released on 2016-03-22 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: Buying a home is exciting and, let's face it, complicated. This booklet is a toolkit that can help you make better choices along your path to owning a home.

Registries for Evaluating Patient Outcomes

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Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.5/5 (876 download)

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Book Synopsis Registries for Evaluating Patient Outcomes by : Agency for Healthcare Research and Quality/AHRQ

Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.

Registered Health Information Administrator (RHIA)

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Publisher : Debolsillo
ISBN 13 : 9781584262329
Total Pages : 438 pages
Book Rating : 4.2/5 (623 download)

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Book Synopsis Registered Health Information Administrator (RHIA) by : Patricia Shaw

Download or read book Registered Health Information Administrator (RHIA) written by Patricia Shaw and published by Debolsillo. This book was released on 2010-01-01 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Managing Conflict of Interest in the Public Sector

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Publisher : Org. for Economic Cooperation & Development
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Managing Conflict of Interest in the Public Sector by : Howard Whitton

Download or read book Managing Conflict of Interest in the Public Sector written by Howard Whitton and published by Org. for Economic Cooperation & Development. This book was released on 2005 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: Conflicts of interest in both the public and private sectors have become a major matter of public concern world-wide. The OECD Guidelines define a conflict of interest as occurring when a public official has private-capacity interests which could improperly influence the performance of their official duties and responsibilities. However, identifying a specific conflict of interest in practice can be difficult. And resolving the conflicting interests appropriately in a particular case is something that most people find even more challenging. The Toolkit focuses on specific techniques, resources and strategies for: Identifying, managing and preventing conflict-of-interest situations more effectively; and Increasing integrity in official decision-making, which might be compromised by a conflict of interest. This Toolkit provides non-technical, practical help to enable officials to recognise problematic situations and help them to ensure that integrity and reputation are not compromised. The tools themselves are provided in generic form. They are based on examples of sound conflict-of-interest policy and practice drawn from various OECD member and non-member countries. They have been designed for adaptation to suit countries with different legal and administrative systems. FURTHER READING: Managing Conflict of Interest in the Public Service: OECD Guidelines and Country Experiences

Evidence-based Practice in Nursing

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Publisher : SAGE
ISBN 13 : 1529786622
Total Pages : 230 pages
Book Rating : 4.5/5 (297 download)

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Book Synopsis Evidence-based Practice in Nursing by : Peter Ellis

Download or read book Evidence-based Practice in Nursing written by Peter Ellis and published by SAGE. This book was released on 2022-10-26 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-based practice is central to safe, high-quality and effective nursing. However, learning how to critique evidence and apply it to practice can be challenging at first. Written in clear, student-friendly language, this book builds your understanding of the terminology, theory and practice of using evidence. Learn how to evaluate different sources of evidence, apply this to your clinical decision making and, ultimately, contribute to an evidence-based culture in your workplace. Key features o Each chapter is mapped to the new 2018 NMC standards, showing how what you have learned relates to the requirements of a registered nurse o Filled with activities and student case studies to help you understand how to identify, evaluate and implement evidence-based practice o Promotes an evidence-based culture in all aspects of nursing practice, supporting your professional identity and development

Core Skills for Hospital Case Managers

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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

Collective Management of Copyright and Related Rights

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Publisher : WIPO
ISBN 13 : 9280534653
Total Pages : 252 pages
Book Rating : 4.2/5 (85 download)

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Book Synopsis Collective Management of Copyright and Related Rights by : World Intellectual Property Organization

Download or read book Collective Management of Copyright and Related Rights written by World Intellectual Property Organization and published by WIPO. This book was released on 2022-12-22 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition of Collective Management of Copyright and Related Rights presents an in-depth revision with invaluable updates on the different systems, legislative options and best practices of CMOs worldwide. As with previous editions, the book is written to reach a wide audience, with a special focus on questions that might emerge for governments as they prepare, adopt and apply collective management norms and regulations. The edition also sheds light on new copyright and related rights developments, including digital, technological and business trends, from all over the world. Additionally, there is detailed discussion on topics such as aspects of competition, national treatment, and different models of collective management.

The Knowledge Management Toolkit

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Publisher :
ISBN 13 :
Total Pages : 648 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Knowledge Management Toolkit by : Amrit Tiwana

Download or read book The Knowledge Management Toolkit written by Amrit Tiwana and published by . This book was released on 2000 with total page 648 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual will enable the user to identify the changes that need to be made in order to leverage the company's intellectual capital and to bring about the processes, infractructure and organizational procedures that will enable you to build and use your corporate knowledge base.