Author: Jill Brown
Publisher: Elsevier Health Sciences
ISBN: 0323277012
Category : Medical
Languages : en
Pages : 554
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Book Description
- 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: Nenna L. Bayes, BA, MEd
Publisher: McGraw-Hill Education
ISBN: 9781259608551
Category : Medical
Languages : en
Pages : 0
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Book Description
The Eighth edition of Medical Insurance: A Revenue Cycle Process Approach emphasizes the revenue cycle—ten steps that clearly identify all the components needed to successfully manage the medical insurance claims process . The cycle shows how administrative medical professionals “follow the money .” Medical insurance specialists must be familiar with the rules and guidelines of each health plan in order to submit proper documentation, which then ensures that offices receive maximum, appropriate reimbursement for services provided . Learn the skills you need for your health professions career using multiple digital resources . Read and study the content more effectively—spending more time on topics you don’t know and less time on the topics you do by using SmartBook®, McGraw-Hill Education’s revolutionary adaptive learning technology
Author: Linda Smith
Publisher: Saunders
ISBN: 9780323708524
Category :
Languages : en
Pages :
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Book Description
Author: Peter D. Lucash
Publisher: CRC Press
ISBN: 1439855315
Category : Business & Economics
Languages : en
Pages : 128
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Book Description
How does a medical practice thrive in a business environment where the margin of management error has all but disappeared? Profit margins are being squeezed by declining reimbursement rates, capitation plans, gamesmanship on the part of the payors, and increasing operating costs. Addressing the specific needs of today’s medical practice, Medical Practice Business Plan Workbook, Third Edition supplies a detailed and ordered work plan to tackle some of the most pressing issues facing the field. Peter D. Lucash delves into decades of experience helping physician groups develop business plans to guide you along the process of building the profitable practice you want and deserve. This updated edition of a bestseller begins with a review of the fundamentals, including the questions your plan should answer, how to get started, how to organize and develop your plan, and the staff support and resources you will need. Complete with a wealth of helpful sample plans and worksheets, this workbook: Reflects recent changes in the healthcare industry, including federal healthcare reform Offers a one-of-a-kind design and approach tailored to the medical practice Covers conceptualization, organization, and implementation of your business plan This updated edition reflects current and forecasted challenges for practices, including the Affordable Care Act, data security, and quality and outcome measures. It supplies detailed coverage of the different types of organizations, governance and management, personnel needs, key business relationships and contacts, demographics and economic factors, patients as customers, competitor analysis, marketing, information technology, disaster and business continuity planning, and financial strategies. The final section outlines a process for implementing your plan. Sticking to this process will help ensure your plan covers what is needed to succeed in today’s complex medical environment. Visit www.Lucash.com for videos and other resources to help you develop and implement your practice business plan.
Author: Joanne Valerius
Publisher:
ISBN: 9781283392778
Category :
Languages : en
Pages :
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Book Description
Author: Michelle Green
Publisher: Cengage Learning
ISBN: 9780357378649
Category : Business & Economics
Languages : en
Pages : 688
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Book Description
Prepare for a successful career in medical billing and insurance processing or revenue management with the help of Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting book presents the latest medical code sets and coding guidelines as you learn to complete health plan claims and master revenue management concepts. This edition focuses on today’s most important topics, including managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care. You also examine the impact on ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Author: Jo Ann C. Rowell
Publisher: Cengage Learning
ISBN: 9781401837914
Category : Business & Economics
Languages : en
Pages : 724
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Book Description
Understanding Health Insurance: A Guide to Professional Billing, 7th edition,utilizes a step-by-step approach to provide instruction about the completion of health insurance claims. the objectives of this edition are to 1) introduce information about major third party payer programs and federal health care regulations, 2) clarify coding guidelines and provide application exercises for each national diagnosis and procedure coding system, and 3) simplify the process of completing claims. Case studies and review exercises provide users with numerous opportunities to apply knowledge and to build s
Author: Janet I. Beik
Publisher: Elsevier Health Sciences
ISBN: 0323654290
Category : Medical
Languages : en
Pages : 417
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Book Description
Corresponding to the chapters in Health Insurance Today, 7th Edition, this workbook gives you practice with the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and engaging learning activities and exercises challenge you to apply your knowledge to real-world situations. This edition expands its focus on case studies and the use of practice management software, adding more opportunities for application in the medical office. - Performance-based activities include hands-on, application-based learning exercises that provide practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. - Critical thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations, with Stop and Think exercises allowing you to apply critical thinking skills to solve a problem or answer a question. - Chapter assessments test your knowledge with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. - Problem-solving and collaborative (group) activities emphasize the importance of teamwork in the healthcare field. - Case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. - Application exercises ask you to apply your knowledge and skills to real-world situations. - In-class projects and discussion topics enhance your understanding of specific content from the text. - Internet Exploration exercises in each chapter help you learn how to perform research online. - Defining Chapter Terms activities help you review and understand the key terms in each chapter. - NEW! Up-to-date information is included on all topics, including key topics like Medicare. - NEW and expanded case studies and Internet Exploration activities are added. - NEW! Additional performance objectives are included, using practice management software. - NEW! Updated charts and forms are included.
Author: Linda M. Smith
Publisher: Elsevier Health Sciences
ISBN: 0323594255
Category : Medical
Languages : en
Pages : 399
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Book Description
- NEW! Expanded coverage of inpatient insurance billing, including ICD-10 coding and CMS provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. - NEW! Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. - NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding reflects changes to the main text.
Author: Julie Pepper
Publisher: Elsevier Health Sciences
ISBN: 0323934684
Category : Medical
Languages : en
Pages : 417
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Book Description
Corresponding to the chapters in Beik's Health Insurance Today, 8th Edition, this workbook lets you practice the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and engaging learning activities and case studies challenge you to apply your knowledge to real-world situations. This edition adds up-to-date coverage of cybersecurity, COVID-19, crowdfunding for medical bills, and more. Performance-based activities include hands-on, application-based learning exercises that provide practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. Critical thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Chapter assessments test your knowledge with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Problem-solving and collaborative (group) activities emphasize the importance of teamwork in the healthcare field. Case studies ask you to solve real-world problems related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Application exercises ask you to apply your knowledge and skills to real-world situations. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform and evaluate research online. Defining Chapter Terms activities help you review and understand the key terms in each chapter. - NEW! Additional content on cybersecurity emphasizes the importance of keeping digital information private and secure. - NEW! Information on crowdfunding for medical bills discusses how this practice affects billing. - NEW! Interactive VST eBook provides a seamless digital experience. - NEW! Coverage of COVID-19 explores its impact on billing, reimbursement, and employment.
