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Author: Michael K. Harrington Publisher: Jones & Bartlett Learning ISBN: 1284169030 Category : Medical Languages : en Pages : 344
Book Description
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.
Author: Michael K. Harrington Publisher: Jones & Bartlett Learning ISBN: 1284169030 Category : Medical Languages : en Pages : 344
Book Description
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.
Author: Michael K. Harrington Publisher: Jones & Bartlett Learning ISBN: 1284203298 Category : Medical Languages : en Pages : 344
Book Description
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.
Author: Michael K. Harrington Publisher: Jones & Bartlett Publishers ISBN: 1284026159 Category : Business & Economics Languages : en Pages : 370
Book Description
This book addresses the methods and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing. With up-to-date coverage of the Affordable Care Act, this text will prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. Some of the topics covered include: claims processing; the Affordable Care Act; Medicare Prospective Payment System (Inpatient); Medicare Outpatient Prospective Payment Systems (Non-Inpatient); coding for the non-HIM professional; revenue cycle management; healthcare fraud and abuse; electronic health records and meaningful use; government incentive programs; recovery audit contractors student & instructor resources. --
Author: Kyle Herbert Publisher: CRC Press ISBN: 1439898952 Category : Business & Economics Languages : en Pages : 272
Book Description
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 re
Author: Michael K. Harrington Publisher: ISBN: 9781284034929 Category : Medical Languages : en Pages : 347
Book Description
Navigate 2 Advantage Access For Health Care Finance And The Mechanics Of Insurance And Reimbursement Is A Digital-Only Access Code That Unlocks A Comprehensive And Interactive Ebook, Student Practice Activities And Assessments, A Full Suite Of Instructor Resources, And Learning Analytics Reporting System. Navigate 2 Is Nearly Here. In The Meantime, We Invite You To Redeem Your Access Code And Join Our Lounge. Once Your Navigate 2 Advantage Access Is Live, We Will Notify You Via Email. This Navigate 2 Digital-Only Package For Health Care Finance And The Mechanics Of Insurance And Reimbursement Offers The Following: •Learn: A Complete Ebook With Interactive Tools •Practice: A Virtual Study Center With Robust Practice Activities And Flashcards •Assess: A Homework And Testing Assessment Center With Prepopulated Quizzes And Examinations •Analyze: Dashboards With Learner And Educator Views That Reports Actionable Data Learn More About Navigate 2 At Http: //Www.Jblnavigate.Com/2
Author: Peter R. Kongstvedt Publisher: Jones & Bartlett Learning ISBN: 128415209X Category : Medical Languages : en Pages : 355
Book Description
Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry. The Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.
Author: Jill L. Brown Publisher: Elsevier Health Sciences ISBN: 0721605567 Category : Medical Languages : en Pages : 554
Book Description
This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding.A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process.Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care.Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations.Sidebars and Examples highlight key concepts and information related to the core text lesson.A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry.Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities.Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
Author: William O. Cleverley Publisher: Jones & Bartlett Learning ISBN: 1284260844 Category : Medical Languages : en Pages : 586
Book Description
Blending the topics of both accounting and finance, Essentials of Health Care Finance is a relevant, readable, and easily applied resource for health care management students and executives that explores finance theory and its practical application in health care across a full range of facilities, from hospitals, home health agencies, and skilled nursing facilities to surgical centers, physician practices, and integrated health systems. Carefully revised, the Ninth Edition of Essentials of Health Care Finance has been updated with additional reflection, examples, and application so that individuals with no healthcare experience can benefit from additional elaboration on key concepts such as physician practice management, flex budgeting, and strategic financial planning. The Ninth Edition also explores trends in national health expenditures and physician organizations and alignment; changes in health services financing and utilization since the enactment of the Affordable Care Act (ACA)
Author: Rhonda Orin Publisher: St. Martin's Griffin ISBN: 9781429979108 Category : Business & Economics Languages : en Pages : 256
Book Description
Most people don't understand health insurance, and insurance companies know it. Unfair denials, late payments, and hopeless confusion are the norm. At last there is a solution. In eight easy steps, Making Them Pay gives practical advice about the things that drive people crazy. Like: -Figuring out what health plans really say -Understanding what benefits they provide -Finding, and understanding, the exclusions -Determining what health plans really cost -How to talk to customer service, and other painful details -Easy ways to keep good records -Laws that can change your life-like the mandatory benefits laws in all fifty states -How to prepare successful appeals Along with this useful advice, Making Them Pay offers a much-needed sense of humor. It's filled with cartoons, sidebars, and vignettes that will make you laugh as you learn. Based on Rhonda D. Orin's extensive experience as a litigator, a journalist, and a mother fighting her own family's insurance battles, Making Them Pay is the book your health insurer doesn't want you to read. "A compact reference [that] simplifies a convoluted subject. -
Author: Michael K. Harrington
Author: Michael K. Harrington
Author: Michael K. Harrington
Author: Michael K. Harrington
Author: Michael K Harrington
Author: Kyle Herbert
Author: Michael K. Harrington
Author: Peter R. Kongstvedt
Author: Jill L. Brown
Author: William O. Cleverley
Author: Rhonda Orin