Download or read book Mastering the Reimbursement Process written by L. Lamar Blount and published by American Medical Association Press. This book was released on 1998 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rev. ed. of: Mastering the reimbursement process / Curtis J. Udell, Susan E. Garrison, Deane R. Ferguson. 1996.
Download or read book Mastering the Reimbursement Process written by Curtis J. Udell and published by Amer Medical Assn. This book was released on 1996 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Guidelines for Medicare and Third Party Payers written by National Coding Institute and published by . This book was released on 1998 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hospital Reimbursement written by Kyle Herbert and published by CRC Press. This book was released on 2012-06-05 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 revenue cycle within a hospital setting. The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also: Covers the full range of services and procedures for which a hospital can receive reimbursement Explains the difference between a for-profit and not-for-profit hospital Contains chapters devoted to Statements of Operations (Income Statement) and Statements of Financial Position (Balance Sheet) Examines governmental cost reporting—including Worksheets A, A-6, A-8, A-8-2, B-1, B Part 1, C Part 1, D-3, D-5, and E Part A Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.
Download or read book Mastering Medicare written by American Orthotic and Prosthetic Association and published by . This book was released on 2008 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Guide to Advanced Medical Billing written by Sharon Brown and published by Prentice Hall. This book was released on 2013-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Health Care Finance and the Mechanics of Insurance and Reimbursement written by Michael K. Harrington and published by Jones & Bartlett Learning. This book was released on 2019-10-01 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Health Care Finance and the Mechanics of Insurance and Reimbursement written by Michael K. Harrington and published by Jones & Bartlett Learning. This book was released on 2023-10-27 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Care Finance and the Mechanics of Insurance and Reimbursement 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, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Updated throughout the Third Edition offers expanded material on financial statements; new and expanded Skilled Nursing Facility examples; and enhanced sections on PDPM, Practice Management for Primary Care and other Specialties, Clearinghouse Processes, Predictive Modeling (data mining), and more.
Download or read book Reimbursement Management written by Coker Group and published by American Medical Association Press. This book was released on 2014-05-14 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: "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.
Download or read book Mastering Patient Flow written by Elizabeth W. Woodcock and published by Medical Group Management Assn. This book was released on 2003 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tackle the issues of space capacity, utilization, patient flow and technology in this best-selling book for medical practice management.
Download or read book Comprehensive Health Insurance MyHealthProfessionsLab Access Code written by Deborah Vines Allen and published by Prentice Hall. This book was released on 2012-07 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ALERT: Before you purchase, check with your instructor or review your course syllabus to ensure that you select the correct ISBN. Several versions of Pearson's MyLab & Mastering products exist for each title, including customized versions for individual schools, and registrations are not transferable. In addition, you may need a CourseID, provided by your instructor, to register for and use Pearson's MyLab & Mastering products. Packages Access codes for Pearson's MyLab & Mastering products may not be included when purchasing or renting from companies other than Pearson; check with the seller before completing your purchase. Used or rental books If you rent or purchase a used book with an access code, the access code may have been redeemed previously and you may have to purchase a new access code. Access codes Access codes that are purchased from sellers other than Pearson carry a higher risk of being either the wrong ISBN or a previously redeemed code. Check with the seller prior to purchase. --
Download or read book Comprehensive Health Insurance written by Deborah Vines and published by Prentice Hall. This book was released on 2008-01-01 with total page 922 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book was written to provide trainees with the knowledge and skills necessary to work in a variety of medical billing and coding positions in the medical field. Easy to read and comprehend, it is designed for professionals who have not previously worked in the medical field as well as professionals who have worked in the field but have only been exposed to certain aspects of the billing process. In order to adapt to the growing number of facilities that are becoming more automated, this book not only reviews non-automated procedures but it also gives in-depth content on automated procedures. A few exciting features to this book are: Case Studies with Critical Thinking Questions; a key terms list appears at the beginning of each chapter; Professional Tips appear throughout the text and provide additional information related to billing and coding processes; and any material within the text that is related to HIPAA is flagged with an icon so that students can identify the "need to know" law.
Download or read book Medical Coding and Billing The Comprehensive Guide written by VIRUTI SHIVAN and published by Viruti Satyan Shivan. This book was released on with total page 803 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dive into the world of medical coding and billing with "Medical Coding and Billing - The Comprehensive Guide." This essential resource provides a thorough understanding of the crucial role these fields play in healthcare administration. Whether you're a student, a healthcare professional, or simply interested in the administrative side of healthcare, this guide offers comprehensive coverage of the latest coding systems, billing procedures, and regulatory requirements. Written by experts in the field, the book navigates through complex coding systems, including ICD-10, CPT, and HCPCS, ensuring you're up-to-date with current practices. Beyond the codes, it delves into the practical aspects of billing, claims processing, and the nuances of insurance. Essential topics like compliance, ethics, and the impact of coding on revenue cycle management are covered in depth. This guide also addresses the ever-evolving landscape of healthcare legislation, providing insights into how these changes affect medical coding and billing. Furthermore, to ensure a clear focus on content, this book does not include images or illustrations for copyright purposes. Whether you're aiming for certification or looking to enhance your professional skills, "Medical Coding and Billing - The Comprehensive Guide" is your indispensable resource in mastering the intricacies of this vital healthcare industry role.
Download or read book Reimbursement Strategies written by and published by . This book was released on 1992-07-01 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Denials Management Appeals Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-03-17 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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!
Download or read book Reimbursement Strategies written by and published by Elsevier Health Sciences. This book was released on 1994 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medical Reimbursement written by Julie Ledbetter and published by . This book was released on 2021-05-30 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Helps students navigate through the ins and outs of medical billing. An understanding of medical insurance and related terms is essential to the medical billing process. Healthcare is very expensive for a variety of reasons and, to remain profitable, medical providers must manage their 'business' with the help of qualified employees.
