DRG Expert 2002

DRG Expert 2002 PDF Author: Medicode Staff
Publisher: Saint Anthony Pub
ISBN: 9781563297786
Category : Reference
Languages : en
Pages : 604

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DRG Expert 2002

DRG Expert 2002 PDF Author: Medicode Staff
Publisher: Saint Anthony Pub
ISBN: 9781563297786
Category : Reference
Languages : en
Pages : 604

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Book Description


Drg Expert

Drg Expert PDF Author: Optum360
Publisher: Optuminsight
ISBN: 9781622541843
Category :
Languages : en
Pages : 0

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2002 ICD-9-CM Expert for Hospitals

2002 ICD-9-CM Expert for Hospitals PDF Author: Anita C. Hart
Publisher:
ISBN:
Category : Classification
Languages : en
Pages : 1134

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Drg Expert 2017 (Spiral)

Drg Expert 2017 (Spiral) PDF Author:
Publisher: Optum 360
ISBN: 9781622542918
Category :
Languages : en
Pages : 0

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CPT Expert 2002

CPT Expert 2002 PDF Author: Medicode
Publisher:
ISBN: 9781563298301
Category : Business & Economics
Languages : en
Pages : 412

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Does Health Insurance Impede Trade in Health Care Services?

Does Health Insurance Impede Trade in Health Care Services? PDF Author: Aaditya Mattoo
Publisher: World Bank Publications
ISBN:
Category : Health insurance
Languages : en
Pages : 35

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Book Description
There is limited trade in health services despite big differences in the price of health care across countries. Whether patients travel abroad for health care depends on the coverage of treatments by their health insurance plan. Under existing health insurance contracts, the gains from trade are not fully internalized by the consumer. The result is a strong "local-market bias" in the consumption of health care. A simple modification of existing insurance products can create sufficient incentives for consumers to travel. For just 15 highly tradable, low-risk treatments, the annual savings to the United States would be $1.4 billion even if only one in 10 patients who need these treatments went abroad. Half of these annual savings would accrue to the Medicare program alone. The authors examine how measures by destination countries to improve and credibly signal the quality of health care can enhance the scope for trade.

DRG Desk Reference

DRG Desk Reference PDF Author: Optum
Publisher: Optuminsight
ISBN: 9781601519443
Category : Compliance auditing
Languages : en
Pages : 0

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Book Description
The 2014 DRG Desk Reference gives access to crucial information to improve MS-DRG assignment practices, gives guidance on how to accurately assign DRGs under the MS-DRG system, provides advice on clinical indicators of CC and MCC conditions, and provides a tutorial on how to completely and effectively audit DRGs. The DRG Desk Reference is designed to work hand-in-hand with the Optum DRG Expert to answer all your DRG questions. Features and benefits Optum Edge -Optimizing tips. Know the major factors involved in moving a patient from a lower-paying MS-DRG to a higher one to receive optimal payment while staying in compliance. Optum Edge -Recovery audit contractor (RAC) program resource. Understand the types of reviews, target strategies, and targeted and top-audited DRGs. Optum Edge -Present-on-admission (POA) tutorial with source documentation table. Summarizes AHA Coding Clinic references concerning documentation issues and how they relate to assigning appropriate diagnosis codes. Optum Edge -DRG decision trees. Clearly understand the logic behind assigning a DRG within an MDC. Available on the eBook and our exclusive DRG Desk Reference website. Optum Edge -DRG history and overview. Includes an overview of the basic characteristics of the DRG classification system and development of the MS-DRG system, history, and relationship to the IPPS. Optum Edge -Documentation specificity tables. Locate diagnoses that require additional physician specificity in documentation in order to assign a code that is designated an MCC or CC such as CHF, COPD, arthropathies, and ESRD. Abnormal EKGs, noninvasive diagnostic test findings and abnormal laboratory finding indicators. Recognize key indicators of possible missed CC and MCC condition reporting based upon clues found in the medical record. Newly deactivated and most commonly missed CC and MCC references. Perform accurate audits by knowing the most commonly missed CCs in the medical record. IC

The Physician Compliance Auditing and Monitoring Manual

The Physician Compliance Auditing and Monitoring Manual PDF Author: Bill Dacey
Publisher: Delmar
ISBN:
Category : Medical
Languages : en
Pages : 278

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Encyclopedia of Health Care Management

Encyclopedia of Health Care Management PDF Author: Michael J. Stahl
Publisher: SAGE Publications
ISBN: 1452265240
Category : Medical
Languages : en
Pages : 665

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Book Description
"The most comprehensive one-volume reference work on health care management published in the last 10 years, this work brings together much useful information and will appeal to a broad audience. Health science libraries, college libraries, and large public libraries will want to invest in this title." --BOOKLIST "This volume should be considered by academic and public libraries with large healthcare management or business collections as the only current reference on this topic." --LIBRARY JOURNAL "The Encyclopedia of Health Care Management would be useful for those involved in any aspect of health care, whether as a student, instructor, practitioner, researcher, or administrator. This book would be of great use in reference collections at public, university, hospital, and corporate libraries." --E-STREAMS Health care is one of today′s most discussed and debated topics. From issues such as accessibility to costs to quality, the debates range widely among doctors, patients, employers, and insurers. A popular topic in political campaigns and the media, health care and health care management is also a quiet and unremitting concern in the private and personal lives of individuals who worry about someday having to choose between food and prescription drugs. For this reason, in today′s health care industry, good business practices may be as important as the practice of medicine in assuring the continued health of the industry. The Encyclopedia of Health Care Management will prove invaluable to libraries serving students and professionals in health and business. It will also be an essential reference for physicians, providers and their employees, and students and professors in health and management for responsible and successful practice and administration in the health care industry. This encyclopedia is the most comprehensive reference work on the business of health care, with up-to-date information across a broad range of issues affecting every aspect of the industry and the people it serves, employs, and influences. Key Features The most comprehensive reference work on health care management Broad range of timely topics, spanning academic, corporate and governmental arenas Over 600 entries More than 160 expert contributors in the fields of medicine, public health, and business Tables on Health Care Acronyms Medical Degrees Medical Legislation Medical Organizations Medical Specialties About the Editor Michael J. Stahl, Ph.D. is Director of the Physician Executive MBA Program and Distinguished Professor of Management in the College of Business at the University of Tennessee, Knoxville. Dr. Stahl received his B.S. in Electrical Engineering from the State University of NY at Buffalo and his Ph.D. in Management from Rensselaer Polytechnic Institute. From 1982-1989, Stahl was Head of the Management Department at Clemson University He was Associate Dean in the College of Business at the University of Tennessee from 1989-1997. Dr. Stahl has published over 50 journal articles in a variety of areas including Strategic Management, TQ, and healthcare, as well as twelve books including Strategic Management, Perspectives in TQ, and The Physician′s Essential MBA. He teaches strategy and business planning in the Physician EMBA, Taiwan EMBA, and MBA Programs. Recommended Libraries Academic, Public, Special, Private/Corporate

Quality Health Care

Quality Health Care PDF Author: Robert C. Lloyd
Publisher: Jones & Bartlett Learning
ISBN: 9780763748050
Category : Medical audit
Languages : en
Pages : 378

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Book Description
Written by an internationally-recognized expert in the field of quality management, this book will serve as your guide for planning and implementing a successful quality measurement program in your healthcare facility. It begins by presenting an overview of the context for quality measurement, the forces influencing the demand for quality reform, how to listen to the voice of the customer, and the characteristics of quality that customers value most. You'll also learn how to select and define indicators to collect data and how to organize data into a dashboard that can provide feedback on your progress toward quality measurement. Finally, this book shows you how to analyze your data by detailing how variation lives in your data, and whether this variation is acceptable. Case studies are provided to demonstrate how quality measurement can be applied to clinical as well as operational aspects of healthcare delivery.