Understanding Health

Understanding Health

Ultimately the body is the subject of all research and work relating to medicine and health ( Lupton 1995 ) . Interest in understanding , shaping and ...

Author: Anne-Marie Barry

Publisher: SAGE

ISBN: 0761973079

Category: Medical

Page: 152

View: 577

This book clearly explains what sociology is and how it contributes to our understanding of health. Beginning with an overview of the discipline, the authors set out the different theoretical perspectives offered by sociology. They describe how, for centuries, our understanding of health and illness has been dominated by the medical model and a focus on disease processes. In contrast, they show how sociology provides a broader understanding of health and inequalities in the health of populations by taking account of factors such as age, social class, gender and environment.
Categories: Medical

Understanding Health Insurance A Guide to Billing and Reimbursement

Understanding Health Insurance  A Guide to Billing and Reimbursement

Some resources located at the Student Companion site to accompany Understanding Health Insurance are free, whereas others will require passcode entry.

Author: Michelle A. Green

Publisher: Cengage Learning

ISBN: 9781305887565

Category: Business & Economics

Page: 832

View: 400

Discover the essential learning tool to prepare for a career in medical insurance billing -- Green’s UNDERSTANDING HEALTH INSURANCE, 13E. This comprehensive, easy-to-understand book is fully updated with the latest code sets and guidelines. Readers cover today’s most important topics, such as managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. Updates throughout this edition present new legislation that impacts health care, including the Affordable Care Act (Obamacare); ICD-10-CM coding; electronic health records; Medicaid Integrity Contractors; and concepts related to case mix management, hospital-acquired conditions, present on admission, and value-based purchasing. Practice exercises in each chapter provide plenty of review to reinforce understanding. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Categories: Business & Economics

EBOOK Understanding Health Inequalities

EBOOK  Understanding Health Inequalities

“Thoroughly updated and revised, this new edition of Understanding Health Inequalities, edited by Hilary Graham, remains a welcome and timely contribution.

Author: Hilary Graham

Publisher: McGraw-Hill Education (UK)

ISBN: 9780335239580

Category: Political Science

Page: 248

View: 868

Understanding Health Inequalities second edition provides an accessible and engaging exploration of why the opportunity to live a long and healthy life remains profoundly unequal.
Categories: Political Science

Understanding Health Care Management

Understanding Health Care Management

Understanding Health Care Management: A Case Study Approach is an independent publication and has not been authorized, sponsored, or otherwise approved by ...

Author: Seth B. Goldsmith

Publisher: Jones & Bartlett Publishers

ISBN: 9781449632106

Category: Law

Page: 333

View: 794

This collection of case studies is designed for use in both undergraduate and graduate courses in health care administration. With contributions from a range of experts including present and former CEOs, consultants, public health officials, systems executives, departmental managers, architects, planners and entrepreneurs, this robust classroom resource brings together practical, real world examples of issues and topics that are critical to understanding the complex field of health care management.
Categories: Law

Understanding Health Care Reform

Understanding Health Care Reform

Our legislative leaders must first face the reality that we will see no short-term cost reductions in health care as a result of any prevention or wellness ...

Author: Arthur M. Feldman, MD, PhD

Publisher: CRC Press

ISBN: 9781439879481

Category: Business & Economics

Page: 222

View: 843

After nearly a year of debate, in March 2010, Congress passed and the president signed the Patient Protection and Affordable Care Act to reform the U.S. health care system. The most significant social legislation since the civil rights legislation and the creation of Medicare and Medicaid, the bill’s passage has been met with great controversy. Political pundits, politicians, health care economists, and policy analysts have filled the airwaves and the lay press with their opinions, but little has been heard from those who have the most invested in health care delivery reform—patients and their doctors. Understanding Health Care Reform: Bridging the Gap Between Myth and Reality provides readers with the information to make informed decisions and to help counter the bias of political pundits and the influence of the for-profit health care industry. The author introduces readers to a group of dedicated doctors, administrators, and patients whose experiences illustrate the strengths and weaknesses of the health care reform legislation. He also shares his own experiences as both a physician and a patient. The book puts the health care reform legislation in perspective by exploring ten critical areas: The private insurance industry Medicare and Medicaid The elimination of waste caused by overutilization, high administrative fees, and fraud Disease prevention and wellness programs Care for the underserved—the health care "safety net" Quality of care The impending workforce shortage Comparative-effectiveness research to compare treatments Changes in the way medicine is practiced Tort reform Describing the reform act as the foundation and framing of a house, it outlines what doctors, patients, and families must focus on as states, the federal government, and the courts craft this legislation over time. The author cuts through the political rhetoric to address the core question: how do we preserve our ability to provide the best possible care for patients and fulfill our societal mission of providing care for our citizens independent of their financial means? Focusing on strengths and weaknesses, rather than what is right or wrong, he encourages readers to think creatively about their role in establishing a better system of health care in America.
Categories: Business & Economics

Understanding Health and Social Care

Understanding Health and Social Care

While the majority of health and social care is carried out on an unpaid basis ... At the same time , there are many developments aimed at understanding how ...

Author: Margaret Allott

Publisher: SAGE

ISBN: 0761956867

Category: Social Science

Page: 318

View: 742

This introductory text provides a wide-ranging collection of key readings in the field of health and social care. The book features classic readings alongside articles reflecting the most recent theoretical and empirical work. Cutting across the conventional divide between health care and social care, the Reader sets out to link policy to practice in a tangible way, juxtaposing the voices of a range of carers and service users with insights from academic debate and research. The Reader is divided into five sections focusing on: the experience of caring or being cared for; the environment in which care takes place; the ways in which care has been conceptualized; issues of abuse in care settings; and the pol
Categories: Social Science

EBOOK Understanding Health Services

EBOOK  Understanding Health Services

... and the proportion of health care costs covered by the financing system ('what is covered') (Figure 6.1; Kutzin, 2013; ... 84 Understanding Health Services.

Author: Ipek Gurol-Urganci

Publisher: McGraw-Hill Education (UK)

ISBN: 9780335262151

Category: Medical

Page: 272

View: 115

No single discipline can provide a full account of why health care is the way it is. Introducing an accessible overview of health services and drawing on medicine, sociology, economics, history and epidemiology, this book provides a series of conceptual frameworks which help to clarify some of the complexity that confronts the inexperienced observer. Helping to determine what influences and shapes health services, it also examines some of the key processes involved in providing healthcare, considering three levels: individual patients, health care organizations such as hospitals, and regional or national institutions such as governments. This second edition has been updated to include recent developments and further examples and activities from low, middle and high income countries. The book examines: • how medical knowledge, staff, patients and finance shape health services • what factors influence utilization of health services • the roles played by users of health services • how to define and measure outcomes and assess performance • how practice and policy can be changed to improve the quality of health care Understanding Health Services, 2nd Edition is an essential resource for students of public health and health policy, researchers, public health practitioners and policy makers. Understanding Public Health is an innovative series published by Open University Press in collaboration with the London School of Hygiene & Tropical Medicine, where it is used as a key learning resource for postgraduate programmes. It provides self-directed learning covering the major issues in public health affecting low, middle and high income countries. "This excellent book provides an ideal background to understanding how health services work and how they can be studied. Not tied to any particular country, it includes key chapters on how health services have developed and are organised, need and demand, the role of health professionals, and measuring and improving quality of care. The book is ideal reading for students on Masters courses in public health and related subjects from high-, middle- and low-income countries and includes learning objectives and exercises in each chapter which can be completed individually or used for discussion. Strongly recommended." Martin Roland, Emeritus Professor of Health Services Research, University of Cambridge, UK "Health services are central to attaining high levels of population health and providing those services consumes a substantial share of our financial resources. This book provides a splendid introduction to many of the key building blocks including medical knowledge and other key inputs, payment and other factors that influence utilization, and in turn quality of care and outcomes. The learning objectives are a wonderful aid for self-directed learning as are the directed activities and feedback, the text is lucid and the main concepts are very easy to access. This is a great book for someone looking to develop a broad understanding of health services. I will be surprised if it does not become a classic. It will surely be at the top of my list of recommended readings for my own students." Arnold M Epstein, John H Foster Professor and Chair, Department of Health Policy and Management, Harvard School of Public Health, USA
Categories: Medical

Understanding Health Insurance A Guide to Billing and Reimbursement 2020

Understanding Health Insurance  A Guide to Billing and Reimbursement   2020

Understanding Health Insurance provides the required information in a clear and comprehensive manner. The text was designed and revised to support core ...

Author: Michelle Green

Publisher: Cengage Learning

ISBN: 9780357478172

Category: Business & Economics

Page: 688

View: 883

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.
Categories: Business & Economics

Understanding Health Care Plan Quality Performance Measurement

Understanding Health Care Plan Quality Performance Measurement

Understanding Health Care Plan Quality Performance Measurement A PRIMER Aurora V. Adams, MS ADAMS QUALITY SOLUTIONS, LLC | PO BOX 4 CANAL POINT FL ...

Author: Aurora V. Adams

Publisher: Adams Quality Solutions, LLC

ISBN:

Category: Business & Economics

Page: 30

View: 468

Understanding Health Care Plan Quality Performance Measurement has been critical for success in the United States Managed Health Care industry for over 3 decades. This primer introduces the reader to concepts, terminology, and schedules for collecting, analyzing, reporting and submitting standardized evidence-based Health Care Plan quality metrics to organizations including NCQA and CMS.
Categories: Business & Economics

Understanding Health Care Budgeting

Understanding Health Care Budgeting

INDIVIDUAL PARTICIPATION The administration of the average healthcare institution has become so complex that no one individual can effectively manage the ...

Author: Allen G. Herkimer

Publisher: Jones & Bartlett Learning

ISBN: 0871897725

Category: Medical

Page: 212

View: 166

A plain-English guide to health care budgeting simplifies even the mos t complex money mattersfor finance pros or beginners. Brimming with re al-world examples, spreadsheets, charts, and tables, this refreshing r esource provides quick and clear guidance on all hospital spending iss uesfrom the most basic to the very sophisticated. It is an enormously helpful reference to help control spending, increase mastery of key bu dget concepts, strengthen the foundations of operational planning, and speed up problem solving.
Categories: Medical

Understanding Health Insurance A Guide to Billing and Reimbursement

Understanding Health Insurance  A Guide to Billing and Reimbursement

See also HIPAA (Health Insurance Portability and Accountability Act of 1996) breach of confidentiality, 136 CMS-1500 claims, 446 internships, ...

Author: Michelle A. Green

Publisher: Cengage Learning

ISBN: 9781285226132

Category: Business & Economics

Page: 800

View: 958

Understanding Health Insurance, Eleventh Edition, is the essential learning tool you need when preparing for a career in medical insurance billing. This comprehensive and easy-to-understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The eleventh edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the accompanying workbook—sold separately—provides even more application-based assignments and additional case studies for reinforcement. Includes free online StudyWARETM software that allows you to test your knowledge, free online SimClaimTM CMS-1500 claims completion software, and free-trial access to Ingenix's EncoderPro.com—Expert encoder software. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
Categories: Business & Economics

Understanding Health Inequalities

Understanding Health Inequalities

UNDERSTANDING HEALTH INEGUALITIES Understanding Health Inequalities turns the spotlight on a question at the heart of health and welfare policy.

Author: Hilary Graham

Publisher: Taylor & Francis Group

ISBN: STANFORD:36105110224784

Category: Medical

Page: 227

View: 278

Examining why there is a social class gradient in health, this study draws on UK research to focus on issues which hold the key to explaining and reducing health inequalities.
Categories: Medical

Understanding Health Insurance

Understanding Health Insurance

Transparency Master 12 Completed Mary Sue Patient Primary Claim UNDERSTANDING HEALTH INSURANCE CLAIM FORM Transparency Master 13 Completed Blocks 25 Through ...

Author: Michelle a Green

Publisher: Delmar Thomson Learning

ISBN: 1401893503

Category:

Page: 656

View: 756

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 payers, 2) provide up-to-date information about federal health care regulations, 3) clarify coding guidelines and provide application exercises for each coding system, 4) introduce reimbursement issues, 5) emphasize the importance of coding for medical necessity, and 6) help users develop the skill to complete claims accurately.. Case studies and review exercises provide users with numerous opportunities to apply knowledge and develop skills in completing CMS-1500 claims accurately. The textbook CD-ROM and accompanying workbook provide additional exercises and practice in completing CMS-1500 claims electronically. Current information is provided on CPT-5 and ICD-10-CM coding systems. The appendices include information about processing the UB-92 (CMS-1450) and dental claims.
Categories:

Understanding Health Insurance

Understanding Health Insurance

Ruth M. Burke, Michelle A. Green, Lynette M. Williamson, Jo Ann C. Rowell. I Workbook to Accompany Understanding Health lnsurance A Guide to Billing.

Author: Ruth M. Burke

Publisher: Delmar Pub

ISBN: 1418067075

Category: Medical

Page: 224

View: 363

Categories: Medical

Understanding Health Policy

Understanding Health Policy

A Clinical Approach Thomas Bodenheimer, Thomas S. Bodenheimer, Kevin Grumbach. _ Health Care in Three Nations 14 The financing and organization.

Author: Thomas Bodenheimer

Publisher: McGraw-Hill/Appleton & Lange

ISBN: UOM:39015040339197

Category: Medical

Page: 322

View: 534

Numerous case examples illustrate fundamental topics such as cost containment, health insurance, primary care, and physician and hospital payment. In addition, this book does a superior job linking policy issues to the practice of medicine. The second edition features a brand new chapter on payment in managed care.
Categories: Medical

Understanding Health Policy

Understanding Health Policy

Author: Thomas Bodenheimer

Publisher: McGraw-Hill

ISBN: 0071423117

Category: Medical

Page: 202

View: 782

This text covers fundamental topics such as cost containment, health insurance, managed care and physician and hospital payment. Case histories bring to life important policy issues within the health care system and provide a clinical flavour.
Categories: Medical

Understanding Health Care Accounting

Understanding Health Care Accounting

Allen G. Herkimer. -------- -->> -> – --> -->" -> * UNDERSTANDING HEALTH CARE ACCOUNTING Allen.

Author: Allen G. Herkimer

Publisher: Aspen Pub

ISBN: UOM:49015001308106

Category: Business & Economics

Page: 339

View: 985

Especially written for nonaccountants, this reference explains all of the procedures and terms that are common to health care accounting. Case examples are included to further enhance the accounting concepts.
Categories: Business & Economics

Understanding Health Communication Technologies

Understanding Health Communication Technologies

Author: Pam Whitten

Publisher: Jossey-Bass

ISBN: UOM:39015059293178

Category: Medical

Page: 364

View: 177

Understanding Health Communications Technologies provides a hands-on guide for students and professionals for effective investment in deployment of management of communication technologies in health settings. Employing case studies that enhance understanding and insight this book guides readers in appropriate technology selection, and long-term strategic management. This book provides an overview of the distribution and use of communication technologies within the health field and includes information about current and emerging synchronous and asynchronous health care communications technologies. It is filled with illustrative examples of real-life projects that have succeeded and provides lessons learned from projects that failed. The thirty-eight case studies cover topics such as management and operations, implementation, communication, outcomes, education, patient care, policy, unique applications, and technology. In addition, each case study includes discussion questions and references. Written by editors Pamela Whitten and David Cook and a panel of highly experienced contributors, this book offers students and health care professionals practical approaches to evaluating and selecting communications technologies for improving health services delivery.
Categories: Medical

Understanding Healthcare Economics

Understanding Healthcare Economics

Managing Your Career in an Evolving Healthcare System, Second Edition Jeanne Wendel, PHD, Teresa D. Serratt, PHD, RN, William O'Donohue, PHD.

Author: Jeanne Wendel, PHD

Publisher: CRC Press

ISBN: 9781351757621

Category: Business & Economics

Page: 246

View: 320

Healthcare economics is a topic of increasing importance due to the substantial changes that are expected to radically alter the way Americans obtain and finance healthcare. Understanding Healthcare Economics, 2nd Edition provides an evidence-based framework to help practitioners comprehend the changes already underway in our nation’s healthcare system. It presents important economic facts and explains the economic concepts needed to understand the implications of these facts. It also summarizes the results of recent empirical studies on access, cost, and quality problems in today’s healthcare system. The material is presented in two sections. Section 1 focuses on the healthcare access, cost and quality issues that create pressures for change in health policy. The first edition was completed just as the Patient Protection and Affordable Care Act (PPACA) was debated and passed. This new edition updates the information about access, cost, and quality issues. It also discusses the pressure for change that led to the passage of the PPACA, evidence that shaped the construction of the act, evidence on the impacts of the PPACA, and evidence on the pressures for future changes. Section 2 focuses on changes that are underway including: changes in the Medicare payment system; new types of healthcare delivery organizations such as ACOs and patient-centered medical homes. It also discusses the current efforts to help patients build health such as wellness programs and disease management programs. And finally, health information technology will be discussed. The new edition will maintain the current structure; however each chapter will be updated to discuss post-PPACA evidence on each type of type. In addition to the updates previously mentioned, the authors will present a series of data explorations to several chapters. Most of the new data explorations present summarized statistical information based on de-identified data from one hospital electronic data system. These data explorations serve two purposes. First, they illustrate the impacts of the pressures for change – and some of the changes – on healthcare providers. For example, the data illustrates the financial impact of pre-PPACA uncompensated care. Second, explanation of the data will require explanations of standard coding systems that are used nationwide (DRGs, CPT, ICD) codes. Other data explorations provide detail about other sources of data useful for health policy analysis, and for healthcare providers and insurers.
Categories: Business & Economics