Revenue Cycle Management A Clear And Concise Reference

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The Hospital Guide to Contemporary Utilization Review

Author : Stefani Daniels
Publisher :
ISBN 13 : 9781556452147
Total Pages : 0 pages
Book Rating : 4.4/5 (521 download)

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Book Synopsis The Hospital Guide to Contemporary Utilization Review by : Stefani Daniels

Download or read book The Hospital Guide to Contemporary Utilization Review written by Stefani Daniels and published by . This book was released on 2015-04-16 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations. The book covers a range of topics, including compliance with the UR Condition of Participation, legal obligations of a hospital, contract language, and compliant UR plan language to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best practice hospital utilization review (UR) program Describe the legal obligations of the hospital to comply with chapter 42 CFR 482.30 of the Conditions of Participation (CoP) Use the publication as a tool to assess his or her own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Facilitate the development of a contemporary UR committee Assess an organization's opportunities to improve processes to benefit patient care and hospital success Recommend compliant language for the organization's UR plan Construct commercial contract language, in collaboration with the organization's contract manager, that promotes a partnership to ensure appropriate use of acute care resources Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good utilization review plan and the hospital revenue cycle initiatives

Lab Billing and Coding

Author : Dawn Runge
Publisher : HC Pro, Inc.
ISBN 13 : 9781578396764
Total Pages : 242 pages
Book Rating : 4.3/5 (967 download)

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Book Synopsis Lab Billing and Coding by : Dawn Runge

Download or read book Lab Billing and Coding written by Dawn Runge and published by HC Pro, Inc.. This book was released on 2005 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Fordney's Medical Insurance - E-Book

Author : Linda M. Smith
Publisher : Elsevier Health Sciences
ISBN 13 : 0323594298
Total Pages : 540 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Fordney's Medical Insurance - E-Book by : Linda M. Smith

Download or read book Fordney's Medical Insurance - E-Book written by Linda M. Smith and published by Elsevier Health Sciences. This book was released on 2019-01-18 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: - NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. - NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. - NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment.

Fordney's Medical Insurance and Billing - E-Book

Author : Linda M. Smith
Publisher : Elsevier Health Sciences
ISBN 13 : 0323810748
Total Pages : 547 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Fordney's Medical Insurance and Billing - E-Book by : Linda M. Smith

Download or read book Fordney's Medical Insurance and Billing - E-Book written by Linda M. Smith and published by Elsevier Health Sciences. This book was released on 2021-10-27 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: - NEW! Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student. - NEW! Scenario boxes help you apply concepts to real-world situations. - NEW! Quick Review sections summarize chapter content and also include review questions. - NEW! Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapter's content. - NEW! Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings.

HFM Resource Guide

Author :
Publisher :
ISBN 13 :
Total Pages : 140 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis HFM Resource Guide by :

Download or read book HFM Resource Guide written by and published by . This book was released on 2004 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Business Basics of Building and Managing a Healthcare Practice

Author : Neil Baum
Publisher : Springer Nature
ISBN 13 : 3030277763
Total Pages : 209 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis The Business Basics of Building and Managing a Healthcare Practice by : Neil Baum

Download or read book The Business Basics of Building and Managing a Healthcare Practice written by Neil Baum and published by Springer Nature. This book was released on 2019-11-20 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is intended to be a roadmap towards a successful practice for medical students, residents, fellows, and doctors. This roadmap focuses on how to build and manage a medical practice, and can be applied regardless if the reader is employed, joins a small group, or if they are a doctor who decides to start their own practice. Part I covers the basic business concepts that every physician needs to know. Chapters emphasize the benefits that accrue to a physician who understands the basics of business. Part II provides a guide for doctors who are beginning a medical practice. The chapters define the various options for doctors’ employment such as solo practice, group practice, and academic medicine. The section also includes the process of negotiating contracts, identifying the advisers who help physicians become successful, and secure within their field and practice. The final part emphasizes strategies on how to build and grow a successful practice by covering topics such as hiring staff, employee motivation, creating a brand, gaining recognition, online reputation and presence, crisis management, integrating new technology, and work/life balance. The Business Basics of Building and Managing a Healthcare Practice serves as a valuable resource that helps doctors make a difference in the lives of their patients, as well as help them make good financial decisions.

The Power of Business Process Improvement

Author : Susan Page
Publisher : AMACOM
ISBN 13 : 0814414796
Total Pages : 354 pages
Book Rating : 4.8/5 (144 download)

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Book Synopsis The Power of Business Process Improvement by : Susan Page

Download or read book The Power of Business Process Improvement written by Susan Page and published by AMACOM. This book was released on 2010-02-17 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: Baffled by repeated mistakes in your department? Want to focus your employees' limited time on more valuable work? The answer to these challenges and more is business process improvement (BPI). Every process in every organization can be made more effective, cost-efficient, and adaptable to changing business needs. The good news is you don't need to be a BPM expert to get great results. Written by an experienced process analyst, this how-to guide presents a simple, bottom-line approach to process improvement work. With its proven 10-step method you can: Identify and prioritize the processes that need fixing * Eliminate duplication and bureaucracy * Control costs * Establish internal controls to reduce human error * Test and rework the process before introducing it * Implement the changes Now in its second edition, The Power of Business Process Improvement is even more user-friendly with new software suggestions, quizzes, a comparison of industry improvement methods, and examples to help you apply the ideas. Whether you are new to BPI or a seasoned pro, you will have business running better in no time.

Healthcare Financial Management

Author :
Publisher :
ISBN 13 :
Total Pages : 792 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Healthcare Financial Management by :

Download or read book Healthcare Financial Management written by and published by . This book was released on 2007 with total page 792 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some issues accompanied by supplements.

Food, Labor, and Beverage Cost Control

Author : Edward E. Sanders
Publisher : Waveland Press
ISBN 13 : 1478645679
Total Pages : 349 pages
Book Rating : 4.4/5 (786 download)

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Book Synopsis Food, Labor, and Beverage Cost Control by : Edward E. Sanders

Download or read book Food, Labor, and Beverage Cost Control written by Edward E. Sanders and published by Waveland Press. This book was released on 2020-06-01 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thorough coverage of food and beverage cost control strategies that can be taken from the classroom to the workplace! The material presented in this book represents a thorough coverage of the most essential cost-control categories. There are 14 chapters within the six cost-analysis sections of the Operating Cycle of Control. The sections flow in a logical sequence that presents a path for understanding cost control from menu concept to financial reporting. The six cost-analysis sections are self-contained, so that the reader (student) can go to any section for specific cost-control procedures. Therefore, the book can be taken from the classroom to the workplace. New to this edition: • Clearly defined chapter learning objectives with end-of-chapter discussion questions that can assess readers (students) level of comprehension. • Project exercises following each chapter that are designed to test applied knowledge. • Restaurant Reality Stories that reflect upon what often occurs in restaurant businesses are appropriately placed within each of the 6 sections of the Operating Cycle of Control. • Mobile foodservice (food trucks and trailers) is presented in the Appendix—Restaurant Case and concludes with a project exercise to create a food-truck menu, as well as operational and marketing plans for a mobile foodservice as an additional business revenue source for the existing three-tiered restaurant operation case. • Key Cost and Analysis Formulas (Quick Reference)

The Principles of Business Computing

Author : M. G. Eccles
Publisher : Juta and Company Ltd
ISBN 13 : 9780702151576
Total Pages : 596 pages
Book Rating : 4.1/5 (515 download)

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Book Synopsis The Principles of Business Computing by : M. G. Eccles

Download or read book The Principles of Business Computing written by M. G. Eccles and published by Juta and Company Ltd. This book was released on 2000-01-31 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by four prominent academics, this is one of South Africa’s best-selling computer books. It was written specifically for those managing or using computers for the first time, be they accountants, lawyers, or other business people. It is also an ideal introduction to business computing for the commerce student.

Business Model Generation

Author : Alexander Osterwalder
Publisher : John Wiley & Sons
ISBN 13 : 1118656407
Total Pages : 295 pages
Book Rating : 4.1/5 (186 download)

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Book Synopsis Business Model Generation by : Alexander Osterwalder

Download or read book Business Model Generation written by Alexander Osterwalder and published by John Wiley & Sons. This book was released on 2013-02-01 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Business Model Generation is a handbook for visionaries, game changers, and challengers striving to defy outmoded business models and design tomorrow's enterprises. If your organization needs to adapt to harsh new realities, but you don't yet have a strategy that will get you out in front of your competitors, you need Business Model Generation. Co-created by 470 "Business Model Canvas" practitioners from 45 countries, the book features a beautiful, highly visual, 4-color design that takes powerful strategic ideas and tools, and makes them easy to implement in your organization. It explains the most common Business Model patterns, based on concepts from leading business thinkers, and helps you reinterpret them for your own context. You will learn how to systematically understand, design, and implement a game-changing business model--or analyze and renovate an old one. Along the way, you'll understand at a much deeper level your customers, distribution channels, partners, revenue streams, costs, and your core value proposition. Business Model Generation features practical innovation techniques used today by leading consultants and companies worldwide, including 3M, Ericsson, Capgemini, Deloitte, and others. Designed for doers, it is for those ready to abandon outmoded thinking and embrace new models of value creation: for executives, consultants, entrepreneurs, and leaders of all organizations. If you're ready to change the rules, you belong to "the business model generation!"

Healthcare Finance

Author : Louis C. Gapenski
Publisher :
ISBN 13 : 9781567937411
Total Pages : 739 pages
Book Rating : 4.9/5 (374 download)

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Book Synopsis Healthcare Finance by : Louis C. Gapenski

Download or read book Healthcare Finance written by Louis C. Gapenski and published by . This book was released on 2016 with total page 739 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential concepts of both accounting and financial management are covered in this best-selling healthcare finance book. Through clear explanations, numerous examples, and realistic practice problems, it arms future managers with the grounding they need to make financially sound decisions for their healthcare organizations. This thoroughly updated edition provides more emphasis on the unique marketplace for healthcare services and additional examples from nonhospital settings, including medical practices, clinics, home health agencies, nursing homes, and managed care organizations.

Health Professions Education

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Gapenski's Healthcare Finance

Author : Kristin Leanne Reiter
Publisher :
ISBN 13 : 9781640551909
Total Pages : pages
Book Rating : 4.5/5 (519 download)

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Book Synopsis Gapenski's Healthcare Finance by : Kristin Leanne Reiter

Download or read book Gapenski's Healthcare Finance written by Kristin Leanne Reiter and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "This best-selling textbook covers the essential concepts of accounting and financial management in healthcare"--

Health Care Administration

Author : Lawrence F. Wolper
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763731441
Total Pages : 994 pages
Book Rating : 4.7/5 (314 download)

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Book Synopsis Health Care Administration by : Lawrence F. Wolper

Download or read book Health Care Administration written by Lawrence F. Wolper and published by Jones & Bartlett Learning. This book was released on 2004 with total page 994 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Administration continues to be the definitive guide to contemporary health administration and is a must-have reference for students and professionals. This classic text provides comprehensive coverage of detailed functional, technical, and organizational matters.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)

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Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD

Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

The Denials Management Training Handbook

Author : Tanja Twist
Publisher :
ISBN 13 : 9781683081470
Total Pages : 56 pages
Book Rating : 4.0/5 (814 download)

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Book Synopsis The Denials Management Training Handbook by : Tanja Twist

Download or read book The Denials Management Training Handbook written by Tanja Twist and published by . This book was released on 2017-01-17 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Denials Management Training Handbook (Pack of 5) Tanja Twist, MBA/HCM Many hospitals struggle with denials management thanks to the complex regulations and various types of denials. Payers often send denials to the wrong person, and hospitals may lose valuable research and appeals time as a result. In addition, drafting effective appeals letters that follow Medicare's regulations can be time-consuming and difficult even for experienced staff. Worst of all, the hard work of managing denials and submitting appeals on the back end can all be wasted if there is no system to use denials data to address root causes on the front end. The Denials Management Training Handbook provides clear, concise explanations of the complex appeal guidelines for Medicare and other payers. This information is presented in an easy-to-understand handbook for distribution to staff members involved in preventing and handling appeals. This handbook will help you manage the denials management process by: Providing an overview of common denial types and appeal timelines Giving you sample forms and templates Exploring best practices for improving the denials management process throughout the revenue cycle Gliding in the use of denials data to track recurrent denials and address their causes