Principles of Healthcare Reimbursement

Principles of Healthcare Reimbursement

The sixth edition of Principles of Healthcare Reimbursement gives educators, students, and healthcare professionals comprehensive, up-to-date information on healthcare reimbursement systems, and the impact each system has on the entire US ...

Author: Anne B. Casto

Publisher: Ahima

ISBN: 1584266465

Category: Medical

Page: 364

View: 558

The sixth edition of Principles of Healthcare Reimbursement gives educators, students, and healthcare professionals comprehensive, up-to-date information on healthcare reimbursement systems, and the impact each system has on the entire US healthcare delivery system and economy, in one trusted source. In addition to describing healthcare reimbursement methodologies and systems, this text discusses the impact of health insurance, coding and billing compliance and value-based purchasing initiatives. New and future healthcare professionals desiring to work in healthcare finance, revenue cycle, compliance and coding will gain the knowledge and training they need to succeed. Key Features include: New 4-color interior design! -- Covers accessing and using fee schedules, payment classification groups, exclusion lists, market baskets, and wage indexes required for accurate reimbursement -- Explains the various methods, plans, and programs that typify government-sponsored payment systems, commercial insurance, and managed-care -- Describes various types of healthcare cost-sharing and their effects on providers and consumers -- Illustrates specialized data collection instruments and electronic submission software used in postacute care -- Provided by publisher.
Categories: Medical

Principles of Healthcare Reimbursement

Principles of Healthcare Reimbursement

Principles of Healthcare Reimbursement integrates information about all US healthcare payment systems into one authoritative resource.

Author: Anne B. Casto

Publisher: Amer Health Information Management

ISBN: 158426070X

Category: Business & Economics

Page: 296

View: 248

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.
Categories: Business & Economics

Health Care Finance and the Mechanics of Insurance and Reimbursement

Health Care Finance and the Mechanics of Insurance and Reimbursement

Principles of healthcare reimbursement (6th ed.). Chicago, IL: AHIMA. Casto,
A. B., & Layman, E. (2013). Principles of healthcare reimbursement (4th ed.).
Chicago, IL: AHIMA. Centers for Medicare and Medicaid Services (CMS). (2013).

Author: Michael K. Harrington

Publisher: Jones & Bartlett Learning

ISBN: 9781284169034

Category: Medical

Page: 300

View: 134

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.
Categories: Medical

Hospital Reimbursement

Hospital Reimbursement

Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry.

Author: Kyle Herbert

Publisher: CRC Press

ISBN: 9781466568020

Category: Business & Economics

Page: 272

View: 268

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
Categories: Business & Economics

Journal of AHIMA

Journal of AHIMA

Healthcare students , educators , and practitioners can stay on top of it all with the
second edition of Principles of Healthcare Reimbursement . The resource
contains new information on : • The latest changes to CMS 1500 , UB04 , DRGs ,
and ...

Author:

Publisher:

ISBN: IND:30000117319842

Category: Medical records

Page:

View: 837

Categories: Medical records

Principles of Health Care Management

Principles of Health Care Management

Using relevant case studies to illustrate key points, this text explains the critical changes and challenges that administrators must deal with as they go about practicing their profession and what students must learn as they begin their ...

Author: Seth B. Goldsmith

Publisher: Jones & Bartlett Learning

ISBN: 0763768650

Category: Law

Page: 438

View: 798

Faced with strict government regulations and increasing service demands by consumers, healthcare providers find themselves accountable on both ends. Written to reflect the realities of the 21st century, Principles of Health Care Management considers the many outside forces influencing health care institutions, and in doing so provides a progressive and modern reference on how to effectively manage a health organization. Using relevant case studies to illustrate key points, this text explains the critical changes and challenges that administrators must deal with as they go about practicing their profession and what students must learn as they begin their study of this vital field.
Categories: Law

Calculating and Reporting Healthcare Statistics

Calculating and Reporting Healthcare Statistics

... and Technology Principles of Healthcare Reimbursement Documentation for
Ambulatory Care • Documentation and Reimbursement for Behavioral
Healthcare Services Quality and Performance Improvement in Healthcare •
Documentation ...

Author: Loretta A. Horton

Publisher:

ISBN: UCLA:L0099807562

Category: CD-ROMs

Page: 249

View: 211

Categories: CD-ROMs

Coding and Reimbursement for Hospital Inpatient Services

Coding and Reimbursement for Hospital Inpatient Services

Author: Karen S. Scott

Publisher: Ahima

ISBN: 1584260645

Category: Health insurance claims

Page: 226

View: 880

The most comprehensive resource for hospital inpatient coding and reimbursement! Provides educators, students, and healthcare practitioners with the most authoritative guidance available for managing inpatient coding and reimbursement issues. This must-have resource was developed to give you easier access to the most up-to-date information you need for inpatient coding and reimbursement. You'll save time and make more effective decisions with this one-of-a-kind resource.Covers reimbursement methodologies for hospital inpatient services, the structure and organization of hte Medicare Inpatient Acute Care Prospective Payment System, the relationship between coding and DRG assignment, and data quality and coding compliance processes related to coding and reimbursement for inpatient services.
Categories: Health insurance claims

MGMA Connexion

MGMA Connexion

... demand Webcast Item # 6720 The Smarter Physician : Conquering Your
Practice ' s Billing and Reimbursement , Vol . ... Item 6798 Principles of
Healthcare Reimbursement How to Conduct a Successful Chart Audit to Improve
Performance ...

Author:

Publisher:

ISBN: CORNELL:31924094672478

Category: Group medical practice

Page:

View: 556

Categories: Group medical practice

How to Fix Medicare

How to Fix Medicare

Principles of healthcare reimbursement . Chicago : American Health Information
Management Association . Centers for Medicare and Medicaid Services . 2006.
Medicare and Medicaid statistical supplement , 2004. Health Care Financing ...

Author: Roger D. Feldman

Publisher: A E I Press

ISBN: STANFORD:36105064259216

Category: Business & Economics

Page: 107

View: 327

Implemented wisely, Feldman argues, medical indemnities would expand consumer choice, improve program efficiency, and simplify the Medicare program.
Categories: Business & Economics

Fundamentals of US Health Care Principles and Perspectives

Fundamentals of US Health Care  Principles and Perspectives

Focusing on some of the fundamental issues facing the health care system today, this text delivers simple, objective coverage of key topics including cost, access, quality, financing, manpower, and public health.

Author: Charles E. Yesalis

Publisher: Cengage Learning

ISBN: 9781285414683

Category: Education

Page: 336

View: 184

Fundamentals of US Health Care: Principles and Perspectives takes the broad, complex topic of health care in the United States and presents it in a digestible, easy-to-read format. Focusing on some of the fundamental issues facing the heath care system today, this text delivers simple, objective coverage of key topics including cost, access, quality, financing, manpower, and public health. By blending current, factual data, basic principles, and multiple perspectives on controversial issues, the authors provide a balanced approach to the core issues facing the health care industry. Case studies and vignettes throughout the text allow readers to explore how current health care problems impact real-life situations and to hone their critical thinking skills for their future professional careers. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Categories: Education

Management Principles for Health Professionals

Management Principles for Health Professionals

is the routine review for preventable readmission within 30 days under which
some amount of reimbursement may be denied if a particular readmission within
that ... The overall healthcare reimbursement structure is both large and complex.

Author: Joan Gratto Liebler

Publisher: Jones & Bartlett Learning

ISBN: 9781284183504

Category: Law

Page: 500

View: 717

Management Principles for Health Professionals is a practical guide for new or future practicing healthcare managers. The customary activities of the manager--planning, organizing, decision making, staffing, motivating, and budgeting--are succinctly defined, explained, and presented with detailed examples drawn from a variety of health care settings. Students will learn proven management concepts, techniques, models, and tools for managing individuals or teams with skill and ease. The Eighth Edition continues to present foundational principles of management in the context of contemporary health care. With timely coverage of such topics as medical cost sharing; use of robots; ER by appointment; increased use of observation units; renewed use of flextime staffing and scheduling; use of social media on the job, and more, this thoroughly updated text addresses the latest trends and issues that today's health care manager is likely to encounter.
Categories: Law

American Journal of Hospital Pharmacy

American Journal of Hospital Pharmacy

Principles of Home Health - Care Reimbursement Pharmacists can gain a better
understanding of the complicated HHC reimbursement picture by familiarizing
themselves with three key concepts : ( 1 ) the distinction between short- and long
 ...

Author:

Publisher:

ISBN: UCLA:31158011285615

Category:

Page:

View: 721

Categories:

Health Information

Health Information

Casto AB , Layman E : Principles of healthcare reimbursement , Chicago , 2006 ,
American Health Information Management Association . 8 . Conditions of
Coverage and Conditions of Participation , Center for Medicare and Medicaid
Services .

Author: Mervat Abdelhak

Publisher: Saunders

ISBN: 1416030026

Category: Medical

Page: 762

View: 872

Gives prospective health information management professionals the knowledge, confidence, and practical application experience to succeed in health informatics.
Categories: Medical

Principles of Coding and Reimbursement for Surgeons

Principles of Coding and Reimbursement for Surgeons

This text provides the in-depth understanding of the mechanisms that guide coding and reimbursement.

Author: Mark Savarise

Publisher: Springer

ISBN: 9783319435954

Category: Medical

Page: 343

View: 545

This text provides the in-depth understanding of the mechanisms that guide coding and reimbursement. The text is meant to be useful to surgeons in practice, both in general surgery and in surgical subspecialties; practice management teams of surgical practices and to resident physicians in surgery. Part 1 of the text addresses the CPT coding process, the relative valuation system (RVU), the ICD-9 and ICD-10 systems of classification, Medicare Part B payment rules for physicians, the DRG system and Medicare Part A payment for hospitals, alternative payment models, and the myriad of quality measures of importance to surgeons. Part 2 of the text addresses specific coding in areas where surgeons historically have had the most difficulty. This is not meant to substitute for the available texts, software or courses on coding, but to provide the historical background and rationale for the specific coding rules. Principles of Coding and Reimbursement for Surgeons will be of great value to general surgeons and surgical subspecialists in private practice, academic institutions, and employed positions. It will provide direction to management teams from practice and institutional levels. It is also of use to surgical trainees and to researchers in health policy issues.
Categories: Medical

Human Resource Management in Health Care Principles and Practice

Human Resource Management in Health Care  Principles and Practice

This innovative text will be useful for students and as a reference for practitioners.

Author: L. Fleming Fallon

Publisher: Jones & Bartlett Learning

ISBN: 9780763735319

Category: Business & Economics

Page: 429

View: 661

This innovative text will be useful for students and as a reference for practitioners. Each chapter will begin with a case study that focuses on the topical material of the chapter. the case study will be resolved at the conclusion of the chapter. In addition to references used in the chapter, each chapter will have a resources section for books, periodicals, websites and organizations.
Categories: Business & Economics

Clinical Athletic Training

Clinical Athletic Training

Nosse LJ , Friberg DG . Management Principles for Physical Therapists .
Baltimore ... Rheinecker P . Catholic healthcare enters a new world . Health Prog
. 1990 ; 31 - 36 . ... Principles of Reimbursement in Health Care . Rockville , Md . :
Aspen ...

Author: Jeff G. Konin

Publisher: Slack Incorporated

ISBN: UOM:39015038172998

Category: Health & Fitness

Page: 294

View: 694

Clinical Athletic Training by Jeff Konin, MEd, ATC, MPT, has been written to provide the athletic trainer with a well-rounded understanding of the non-traditional athletic training setting. The primary goal of this book is to prepare athletic trainers for clinical settings with relevant and practical information. The textbook has been carefully planned to meet the needs of today's student, while still serving as an excellent reference for those currently certified and practicing in clinical settings. Here is what David Perrin, PhD, ATC of the University of Virginia says in the foreword of Clinical Athletic Training, edited by Jeff Konin, MEd, ATC, MPT plus 19 outstanding contributors. As these powerful words describe, this book will be an asset to all athletic training students. Special Features Content delivered from a practical and realistic viewpoint. Scientifically based, yet practically delivered. Addresses in great detail the role of the clinical athletic trainer. Delivers pertinent information in the areas of management, fiscal planning, and communication. Thoroughly explains the current health care delivery system and the roles and responsibilities of other providers. Forewords by James R. Andrews, MD, and David H. Perrin, PhD, ATC.
Categories: Health & Fitness

Principles and Practice of Radiation Therapy

Principles and Practice of Radiation Therapy

HL7 interfaces allow sharing of information available used across the entire
health care facility such as admission , discharge ... 15 , 16 By providing
standards for communicating information necessary to achieve health care
reimbursement ...

Author: Charles M. Washington

Publisher: Mosby Incorporated

ISBN: UOM:39015057600655

Category: Medical

Page: 975

View: 703

The three separate volumes of the first edition, each designed to stand alone, have been combined into a single volume. Several chapters have been consolidated and additional information added, specifically in the ares of treatment planning, electronic charting, CT stimulation, dose distribution, and education. Pedagogical features, designed to enhance comprehension and critical thinking, are incorporated into each chapter. Elements include chapter outlines, key terms, and a glossary that includes significant terms from both editions. Of particular note are the Review Questions and Questions to Ponder at the end of each chapter.
Categories: Medical