Medicare Primer PDF Download
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Author: Patricia A. Davis
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
Author: Patricia A. Davis
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309257980
Category : Medical
Languages : en
Pages : 262
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Book Description
Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live.
Author: National Academies of Sciences Engineering and Medicine
Publisher:
ISBN: 9780309685061
Category :
Languages : en
Pages :
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Book Description
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Author: American Medical Association
Publisher:
ISBN: 9781640160873
Category :
Languages : en
Pages : 1200
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Book Description
CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
Author: American Medical Association
Publisher:
ISBN: 9781640160491
Category :
Languages : en
Pages : 1000
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Book Description
CPT® 2021 Professional Edition is the definitive AMA-authored resource to help health care professionals correctly report and bill medical procedures and services. Providers want accurate reimbursement. Payers want efficient claims processing. Since the CPT® code set is a dynamic, everchanging standard, an outdated codebook does not suffice. Correct reporting and billing of medical procedures and services begins with CPT® 2021 Professional Edition. Only the AMA, with the help of physicians and other experts in the health care community, creates and maintains the CPT code set. No other publisher can claim that. No other codebook can provide the official guidelines to code medical services and procedures properly. FEATURES AND BENEFITS The CPT® 2021 Professional Edition codebook covers hundreds of code, guideline and text changes and features: CPT® Changes, CPT® Assistant, and Clinical Examples in Radiology citations -- provides cross-referenced information in popular AMA resources that can enhance your understanding of the CPT code set E/M 2021 code changes - gives guidelines on the updated codes for office or other outpatient and prolonged services section incorporated A comprehensive index -- aids you in locating codes related to a specific procedure, service, anatomic site, condition, synonym, eponym or abbreviation to allow for a clearer, quicker search Anatomical and procedural illustrations -- help improve coding accuracy and understanding of the anatomy and procedures being discussed Coding tips throughout each section -- improve your understanding of the nuances of the code set Enhanced codebook table of contents -- allows users to perform a quick search of the codebook's entire content without being in a specific section Section-specific table of contents -- provides users with a tool to navigate more effectively through each section's codes Summary of additions, deletions and revisions -- provides a quick reference to 2020 changes without having to refer to previous editions Multiple appendices -- offer quick reference to additional information and resources that cover such topics as modifiers, clinical examples, add-on codes, vascular families, multianalyte assays and telemedicine services Comprehensive E/M code selection tables -- aid physicians and coders in assigning the most appropriate evaluation and management codes Adhesive section tabs -- allow you to flag those sections and pages most relevant to your work More full color procedural illustrations Notes pages at the end of every code set section and subsection
Author: American Medical Association
Publisher:
ISBN: 9781622029334
Category :
Languages : en
Pages : 598
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Book Description
The Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2020 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice.
Author: American Medical Association
Publisher: American Medical Association Press
ISBN: 9781622028986
Category : Health insurance claims
Languages : en
Pages : 0
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Book Description
This AMA-authored resource helps health care professionals correctly report and bill medical procedures and services.
Author: American Medical Association
Publisher:
ISBN: 9781622029327
Category :
Languages : en
Pages : 625
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Book Description
The 29th edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2020 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice. This book is a must-have tool for physician practices because it offers invaluable insight and information needed to understand Medicare's resource-based relative value scale (RBRVS) payment system, and to help physician practices establish physician charges and to calculate Medicare payments. FEATURES AND BENEFITS * The complete RVU table in an electronic file. Purchase the book and receive access to the complete RVU table in an Excel file format. Use the file to sort, filter, calculate, and present the data to meet your needs. Quarterly updates are also available. Initial file and quarterly updates will be delivered by an emailed link. * Critical insight into the RBRVS system -- detailed background information on the RBRVS system, an in-depth explanation on the key components and operation of the payment system, use of the RBRVS by Medicare and the private sector, geographic adjustments, conversion factors, limits on physician charges and CMS adoption of the Physician Practice Information Survey Data and other Practice Expense Methodology changes * Updated information on the Medicare Physician Fee Schedule, payment rules, and the conversion factor -- covers new payment rules that take effect in 2019 * Updated RVUs for 2020 CPT® codes including every RVU element -- Physician Work, Practice Expense (Facility and Nonfacility) and Professional Liability Insurance * List of RVUs for CPT and HCPCS-coded procedures and services -- calculate and establish physician charges using RBRVS relative values * List of RVUs for anesthesiology services * List of geographic practice cost indices (GPCIs) for each for each Medicare payment locality -- Physician Work, Practice Expense and Malpractice Insurance
Author: Sherry L. Smith
Publisher:
ISBN: 9781579479718
Category :
Languages : en
Pages : 0
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Book Description
Author: Institute of Medicine (U.S.). Committee on the Governance and Financing of Graduate Medical Education
Publisher:
ISBN: 9780309303552
Category : Medical
Languages : en
Pages : 0
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Book Description
Intro -- FrontMatter -- Reviewers -- Foreword -- Acknowledgments -- Contents -- Boxes, Figures, and Tables -- Summary -- 1 Introduction -- 2 Background on the Pipeline to the Physician Workforce -- 3 GME Financing -- 4 Governance -- 5 Recommendations for the Reform of GME Financing and Governance -- Appendix A: Abbreviations and Acronyms -- Appendix B: U.S. Senate Letters -- Appendix C: Public Workshop Agendas -- Appendix D: Committee Member Biographies -- Appendix E: Data and Methods to Analyze Medicare GME Payments -- Appendix F: Illustrations of the Phase-In of the Committee's Recommendations.
