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Download and Read online Principles Of Healthcare Reimbursement ebooks in PDF, epub, Tuebl Mobi, Kindle Book. Get Free Principles Of Healthcare Reimbursement Textbook and unlimited access to our library by created an account. Fast Download speed and ads Free!

Principles of Healthcare Reimbursement

Author: Anne B. Casto,Elizabeth Forrestal
Publsiher: Unknown
Total Pages: 371
Release: 2015
ISBN 10: 9781584264347
ISBN 13: 1584264349
Language: EN, FR, DE, ES & NL
Principles of Healthcare Reimbursement Book Review:

Principles of Healthcare Reimbursement

Author: Anne B. Casto,Elizabeth Layman
Publsiher: Amer Health Information Management
Total Pages: 296
Release: 2006-01-01
ISBN 10: 9781584260707
ISBN 13: 158426070X
Language: EN, FR, DE, ES & NL
Principles of Healthcare Reimbursement Book Review:

Principles of Healthcare Reimbursement integrates information about all US healthcare payment systems into one authoritative resource. Boost your understanding of the complex financial systems in today's healthcare environment, including the basics of health insurance, public funding programs, managed care contracting, and how services are paid. Gain clear insight into how reimbursement systems have made an impace on providers and payers, consumers, public policy makers, and the development of classification and information technology systems over the years.

Principles of Healthcare Reimbursement

Author: Anne B. Casto
Publsiher: Unknown
Total Pages: 351
Release: 2013-01-01
ISBN 10: 9781584263401
ISBN 13: 1584263407
Language: EN, FR, DE, ES & NL
Principles of Healthcare Reimbursement Book Review:

Principles of Healthcare Reimbursement Seventh Edition

Author: Anne Casto
Publsiher: Unknown
Total Pages: 329
Release: 2020-03-31
ISBN 10: 9781584268000
ISBN 13: 158426800X
Language: EN, FR, DE, ES & NL
Principles of Healthcare Reimbursement Seventh Edition Book Review:

Hospital Reimbursement

Author: Kyle Herbert
Publsiher: CRC Press
Total Pages: 272
Release: 2012-06-05
ISBN 10: 1439898944
ISBN 13: 9781439898949
Language: EN, FR, DE, ES & NL

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.

Principles of Healthcare Reimbursement

Author: Ahima
Publsiher: Prentice Hall
Total Pages: 368
Release: 2015-08-03
ISBN 10: 9780134244440
ISBN 13: 0134244443
Language: EN, FR, DE, ES & NL
Principles of Healthcare Reimbursement Book Review:

Principles of Healthcare Reimbursement

Author: Anne B. Casto,Elizabeth Layman
Publsiher: Amer Health Information Management
Total Pages: 356
Release: 2009
ISBN 10: 9781584261926
ISBN 13: 1584261927
Language: EN, FR, DE, ES & NL
Principles of Healthcare Reimbursement Book Review:

Health Care Finance and the Mechanics of Insurance and Reimbursement

Author: Michael K. Harrington
Publsiher: Jones & Bartlett Learning
Total Pages: 300
Release: 2019-10-01
ISBN 10: 1284169030
ISBN 13: 9781284169034
Language: EN, FR, DE, ES & NL
Health Care Finance and the Mechanics of Insurance and Reimbursement Book Review:

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.

Principles of Healthcare Student Workbook

Author: Anne B. Casto,Elizabeth Forrestal,Elizabeth Layman,American Health Information Management Association
Publsiher: Unknown
Total Pages: 62
Release: 2009-11-09
ISBN 10: 9781584262077
ISBN 13: 1584262079
Language: EN, FR, DE, ES & NL
Principles of Healthcare Student Workbook Book Review:

Revenue Cycle Management Toolkit

Author: Anonim
Publsiher: Hcpro Incorporated
Total Pages: 254
Release: 2008
ISBN 10: 9781601462107
ISBN 13: 1601462107
Language: EN, FR, DE, ES & NL

Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow William L. Malm, ND, RN, Contributing Editor Maintain a complete, thorough revenue cycle process The scope of a healthcare organization's revenue cycle is broad, encompassing issues on the front end of operations, in the coding and chargemaster departments, and in back-end/ reimbursement duties. New elements are constantly being introduced, with concepts such as MS-DRGs, Recovery Audit Contractors, and the Present on Admission Indicator, which all require operational changes. 'Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow' caters to the complexities and demands that come with managing every facet of your organization's revenue cycle, from the moment a patient walks through the door to reconciling payment for services rendered. A follow-up to HCPro's successful 2006 edition, 'Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow' features forms, checklists, tips, and advice for all aspects of the revenue cycle including: Registration and scheduling Upfront collections Chargemaster maintenance Outpatient coding, including major OPPS changes, drug administration and incident-to Inpatient coding, including RACs Billing and collections Emergency department Taken from the pages of HCPro's popular newsletters Patient Access Advisor, Briefings on Coding Compliance Strategies, Briefings on APCs, and Managed Care Contracting and Reimbursement Advisor, 'Revenue Cycle Management Toolkit' offers value-added management and training tools such as quizzes to reinforce learning and assess competency, and sample case studies to illustrate practical demonstrations of the material provided in the book. With a foreword written by William Malm, ND, RN, director of HCPro's Revenue Cycle Institute, 'Revenue Cycle Management Toolkit' provides sensible guidance and tools you can use immediately to start strengthening all of the functions in your revenue cycle, from patient access, all the way through to managed care contracting. This book will help you: Reference specific details relevant to each step in the cycle with easy-to-navigate tabs and chapters Identify specific successful methods used by your peers, that you can implement in your own organization, including detailed case studies and applicable tools Customize important documents such as audit plans and model letters, with templates provided on the accompanying CD-ROM Discover time-sensitive analysis of important changes and programs in 2008, including MSDRGs, Recovery Audit Contractors, and the Present on Admission Indicator Take a look at the table of contents, which are chock full of ways to upgrade your revenue cycle process: Foreword Chapter 1: UNCHS Case Studies Chapter 2: Patient Access Chapter 3: Chargemaster and Outpatient Coding Chapter 4: Inpatient Coding Chapter 5: Patient Financial Services Chapter 6: Spotlight on the Emergency Department

Compliance for Coding Billing Reimbursement 2nd Edition

Author: Duane C. Abbey
Publsiher: CRC Press
Total Pages: 232
Release: 2008-04-02
ISBN 10: 1563273683
ISBN 13: 9781563273681
Language: EN, FR, DE, ES & NL
Compliance for Coding Billing Reimbursement 2nd Edition Book Review:

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While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.

Documentation for Health Records

Author: Cheryl Gregg Fahrenholz,Ruthann Russo
Publsiher: Unknown
Total Pages: 744
Release: 2013-01-01
ISBN 10: 9781584262626
ISBN 13: 1584262621
Language: EN, FR, DE, ES & NL

Health Care Comes Home

Author: National Research Council,Division of Behavioral and Social Sciences and Education,Board on Human-Systems Integration,Committee on the Role of Human Factors in Home Health Care
Publsiher: National Academies Press
Total Pages: 202
Release: 2011-06-22
ISBN 10: 0309212405
ISBN 13: 9780309212403
Language: EN, FR, DE, ES & NL

In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.

The Future of the Public s Health in the 21st Century

Author: Institute of Medicine,Board on Health Promotion and Disease Prevention,Committee on Assuring the Health of the Public in the 21st Century
Publsiher: National Academies Press
Total Pages: 536
Release: 2003-02-01
ISBN 10: 9780309133180
ISBN 13: 0309133181
Language: EN, FR, DE, ES & NL
The Future of the Public s Health in the 21st Century Book Review:

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation’s public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public’s Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation’s health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public’s health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Health Information Management

Author: Kathleen M. LaTour
Publsiher: Amer Health Information Management
Total Pages: 971
Release: 2006-01-01
ISBN 10: 9781584261421
ISBN 13: 1584261420
Language: EN, FR, DE, ES & NL

The second edition of Health Information Management: Concepts, Principles, and Practice, by Kathleen M. LaTour, MA, RHIA, and Shirley Eichenwald, MBA, RHIA , builds on the success of the first edition, the most widely used textbook in health information management baccalaureate programs in the country. Updated and expanded to include information on emerging issues, including RHIOs (Regional Health Information Organizations) and EHRs (electronic health records), this book is modeled on the current AHIMA curriculum for health information management (HIM) programs. KEY FEATURES: Updated to reflect the current AHIMA model curriculum for AHIMA accredited HIM programs Clearly and concisely written so that students are able to grasp and master key HIM concepts Check Your Understanding sections in each chapter ensure students are building a framework for HIM principlesA new standalone student workbook with in-class case study questions, application exercises, and review quizzes as well as extensive instructor resource materials including lesson plans, exercises, activities, PowerPoint slides, and test bank provide a complete learning system for mastering health information management knowledge.

Pharmacoeconomics

Author: Renee J. G. Arnold
Publsiher: CRC Press
Total Pages: 264
Release: 2016-04-19
ISBN 10: 9781420084405
ISBN 13: 1420084402
Language: EN, FR, DE, ES & NL

The pharmaceutical industry is almost boundless in its ability to supply new drug therapies, but how does one decide which are the best medicines to use within restricted budgets? With particular emphasis on modeling, methodologies, data sources, and application to real-world dilemmas, Pharmacoeconomics: From Theory to Practice provides an introduction to the major concepts and principles of pharmacoeconomics and cost-effectiveness analysis (CEA). As a running theme, the book explores the collaboration among members of the pharmaceutical industry, academia, and government in the development of the human papillomavirus vaccine to demonstrate the full range of ethical and moral issues, as well as overall public health and commercial concerns that are often involved in decisions entailing CEA. Readers will learn about the international use of pharmacoeconomics in drug regulation, drug approval, and pricing, and the book provides examples of pharmacoeconomic models used to support these purposes in government, the pharmaceutical industry, and healthcare settings. In this era of finite budgets, healthcare rationing, medication shortages, and the global aging and burgeoning of populations, numerous stakeholders in the healthcare arena must understand the basic principles of pharmacoeconomics and how these may be correctly applied to facilitate drug development, drug approval, rationing, patient segmentation, disease management, and pricing model development. Focusing on how to save money, not by restricting access to necessary services, but by using available resources more efficiently and rationally, this volume arms decision makers with the tools they need to make wise choices in an area where the stakes are so high. Daniel E. Levy, editor of the Drug Discovery Series, is the founder of DEL BioPharma, a consulting service for drug discovery programs. He also maintains a blog that explores organic chemistry.

Encyclopedia of Healthcare Information Systems

Author: Wickramasinghe, Nilmini,Geisler, Eliezer
Publsiher: IGI Global
Total Pages: 1566
Release: 2008-06-30
ISBN 10: 1599048906
ISBN 13: 9781599048901
Language: EN, FR, DE, ES & NL
Encyclopedia of Healthcare Information Systems Book Review:

Healthcare, a vital industry that touches most of us in our lives, faces major challenges in demographics, technology, and finance. Longer life expectancy and an aging population, technological advancements that keep people younger and healthier, and financial issues area constant strain on healthcare organizations' resources and management. Focusing on the organization's ability to improve access, quality, and value of care to the patient may present possible solutions to these challenges. The Encyclopedia of Healthcare Information Systems provides an extensive and rich compilation of international research, discussing the use, adoption, design, and diffusion of information communication technologies (ICTs) in healthcare, including the role of ICTs in the future of healthcare delivery; access, quality, and value of healthcare; nature and evaluation of medical technologies; ethics and social implications; and medical information management.

Price Setting and Price Regulation in Health Care

Author: OECD,World Health Organization,Barber Sarah L,Lorenzoni Luca,Ong Paul
Publsiher: OECD Publishing
Total Pages: 298
Release: 2019-06-26
ISBN 10: 9264508864
ISBN 13: 9789264508866
Language: EN, FR, DE, ES & NL
Price Setting and Price Regulation in Health Care Book Review:

The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).

Hospital Reimbursement

Author: Kyle Herbert
Publsiher: CRC Press
Total Pages: 272
Release: 2012-06-05
ISBN 10: 146656802X
ISBN 13: 9781466568020
Language: EN, FR, DE, ES & NL

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

The Role of Human Factors in Home Health Care

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Author: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Human-Systems Integration,Committee on the Role of Human Factors in Home Health Care
Publsiher: National Academies Press
Total Pages: 322
Release: 2010-11-14
ISBN 10: 0309156297
ISBN 13: 9780309156295
Language: EN, FR, DE, ES & NL
The Role of Human Factors in Home Health Care Book Review:

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The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research--the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments. To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices. On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.