Mastering the Reimbursement Process

Mastering the Reimbursement Process PDF Author: L. Lamar Blount
Publisher: American Medical Association Press
ISBN:
Category : Hospitals
Languages : en
Pages : 228

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Book Description
Rev. ed. of: Mastering the reimbursement process / Curtis J. Udell, Susan E. Garrison, Deane R. Ferguson. 1996.

Mastering the Reimbursement Process

Mastering the Reimbursement Process PDF Author: L. Lamar Blount
Publisher: American Medical Association Press
ISBN:
Category : Hospitals
Languages : en
Pages : 228

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Book Description
Rev. ed. of: Mastering the reimbursement process / Curtis J. Udell, Susan E. Garrison, Deane R. Ferguson. 1996.

Mastering the Reimbursement Process

Mastering the Reimbursement Process PDF Author: Curtis J. Udell
Publisher: Amer Medical Assn
ISBN: 9780899707624
Category : Business & Economics
Languages : en
Pages : 180

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Book Description


Hospital Reimbursement

Hospital Reimbursement PDF Author: Kyle Herbert
Publisher: CRC Press
ISBN: 1439898952
Category : Business & Economics
Languages : en
Pages : 272

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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

Principles of Healthcare Reimbursement

Principles of Healthcare Reimbursement PDF Author: Anne B. Casto
Publisher: Amer Health Information Management
ISBN: 9781584261926
Category : Health & Fitness
Languages : en
Pages : 356

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Book Description


Health Care Finance and the Mechanics of Insurance and Reimbursement

Health Care Finance and the Mechanics of Insurance and Reimbursement PDF Author: Michael K. Harrington
Publisher: Jones & Bartlett Learning
ISBN: 1284169030
Category : Medical
Languages : en
Pages : 344

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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.

Guide to Advanced Medical Billing

Guide to Advanced Medical Billing PDF Author: Sharon Brown
Publisher: Prentice Hall
ISBN: 9780135043059
Category : Medical fees
Languages : en
Pages : 0

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Book Description
For courses in Medical Insurance, Medical Billing and Coding and Health Claims Reimbursement. Advanced Medical Billing and Coding: A Reimbursement Approach offers an innovative look at the complete billing, coding and medical claims reimbursement process. Its unique dual perspective considers the roles of the medical billing and coding professional and the health claims examiner. An extensive revision, this edition includes the new ICD-10 code set, the most current billing forms, and coverage of the most recent healthcare legislations. Four new chapters focus on processing medical claims for Non-Medicare, Medicare and Workers' Compensation. With its balanced perspective, students learn the perspectives of both the medical office and insurance company which prepares them for the complete billing, coding, and reimbursement cycle.

Reimbursement Management

Reimbursement Management PDF Author: Coker Group
Publisher: American Medical Association Press
ISBN: 9781603597586
Category : MEDICAL
Languages : en
Pages : 349

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Book Description
"This book provides current resources for supporting the medical practice through reimbursement management. Resources include a comprehensive Glossary, Online Resources, Medicare Intermediaries by State, Prompt Pay Statutes and Regulations, Refund Recoupment Statutes, and multiple sample letters for dealiing with reimbursement challenges and issues"--Provided by publisher.

Denials Management & Appeals Reference Guide - First Edition

Denials Management & Appeals Reference Guide - First Edition PDF Author: AAPC
Publisher: AAPC
ISBN: 1626889821
Category : Medical
Languages : en
Pages : 16

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Book Description
Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually. Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide. This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing. Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem. Collect the revenue your practice deserves with effective denials and appeals solutions: Know how to analyze your denials Defeat documentation and compliance issues for successful claims success Utilize payer policy for coverage clues Lock in revenue with face-to-face reimbursement guidance Refine efforts to avoid E/M claim denials Ace ICD-10 coding for optimum reimbursement Put an end to modifier confusion Stave off denials with CCI edits advice Navigate the appeals process like a pro And much more!

The Master Guide to Controllers' Best Practices

The Master Guide to Controllers' Best Practices PDF Author: Elaine Stattler
Publisher: John Wiley & Sons
ISBN: 1119723302
Category : Business & Economics
Languages : en
Pages : 560

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Book Description
The essential guide for today's savvy controllers Today's controllers are in leadership roles that put them in the unique position to see across all aspects of the operations they support. The Master Guide to Controllers' Best Practices, Second Edition has been revised and updated to provide controllers with the information they need to successfully monitor their organizations' internal control environments and offer direction and consultation on internal control issues. In addition, the authors include guidance to help controllers carryout their responsibilities to ensure that all financial accounts are reviewed for reasonableness and are reconciled to supporting transactions, as well as performing asset verification. Comprehensive in scope the book contains the best practices for controllers and: Reveals how to set the right tone within an organization and foster an ethical climate Includes information on risk management, internal controls, and fraud prevention Highlights the IT security controls with the key components of successful governance Examines the crucial role of the controller in corporate compliance and much more The Master Guide to Controllers' Best Practices should be on the bookshelf of every controller who wants to ensure the well-being of their organization.

Mastering Medical Coding - E-Book

Mastering Medical Coding - E-Book PDF Author: Marsha Diamond
Publisher: Elsevier Health Sciences
ISBN: 0323277632
Category : Medical
Languages : en
Pages : 841

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Book Description
Expansion of ICD-9-CM information. Sample patient charts include explanatory notes. A simulated medical practice (identified as Godfrey Regional) lets you study in a real-world scenario. Key Terms lists highlight the most important vocabulary and content. More exercises!