Download or read book Medicare RBRVS 2015 written by American Medical Association and published by American Medical Association Press. This book was released on 2015-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise, authoritative resource helps health care professionals gain a complete understanding of all of the ins and outs of Medicares resource-based relative value scale (RBRVS) payment system and how to calculate payment schedules conveniently and accurately. It offers the valuable insights and tools you need to understand the 2015 payment rules and how they may affect your practice.
Download or read book CPT Reference Guide for Cardiovascular Coding 2015 written by Sherry L. Smith and published by . This book was released on 2014 with total page 606 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medical Fee Schedule written by and published by . This book was released on 1995 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Primer written by Patricia A. Davis and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Principles of Coding and Reimbursement for Surgeons written by Mark Savarise and published by Springer. This book was released on 2016-12-30 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book How We Do Harm written by Otis Webb Brawley, MD and published by St. Martin's Press. This book was released on 2012-01-31 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians' provide, insurance companies that don't demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm. Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs. Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.
Download or read book Fixing Medical Prices written by Miriam Laugesen and published by Harvard University Press. This book was released on 2016-11-21 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: The house of medicine and medical prices -- The enduring influence of the house of medicine over prices -- The science of work and payment reform -- How doctors get paid -- Conflicts of interest and problems of evidence -- Complexity, agency capture, and the game of codes -- Fixing medical prices
Download or read book Vital Signs written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-26 with total page 245 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thousands of measures are in use today to assess health and health care in the United States. Although many of these measures provide useful information, their usefulness in either gauging or guiding performance improvement in health and health care is seriously limited by their sheer number, as well as their lack of consistency, compatibility, reliability, focus, and organization. To achieve better health at lower cost, all stakeholders - including health professionals, payers, policy makers, and members of the public - must be alert to what matters most. What are the core measures that will yield the clearest understanding and focus on better health and well-being for Americans? Vital Signs explores the most important issues - healthier people, better quality care, affordable care, and engaged individuals and communities - and specifies a streamlined set of 15 core measures. These measures, if standardized and applied at national, state, local, and institutional levels across the country, will transform the effectiveness, efficiency, and burden of health measurement and help accelerate focus and progress on our highest health priorities. Vital Signs also describes the leadership and activities necessary to refine, apply, maintain, and revise the measures over time, as well as how they can improve the focus and utility of measures outside the core set. If health care is to become more effective and more efficient, sharper attention is required on the elements most important to health and health care. Vital Signs lays the groundwork for the adoption of core measures that, if systematically applied, will yield better health at a lower cost for all Americans.
Download or read book Valuing Professional Practices and Licenses written by Ronald L. Brown and published by Wolters Kluwer. This book was released on 2013-12-19 with total page 2482 pages. Available in PDF, EPUB and Kindle. Book excerpt: For anyone representing lawyers, doctors, and other professionals or their spouses, one of the thorniest problems in divorce cases continues to be assessing the worth of the professional practice. Valuing Professional Practices and Licenses has been used nationwide as the essential practice guide in this area of matrimonial law. Over 45 chapters newly revised by a team of savvy matrimonial practitioners offer complete and current information on the valuation of professional practices, degrees, and licenses. There is also coverage of difficult topics such as merger, double dipping, celebrity goodwill, and how to best represent clients in these complex cases. Plus, the updated Fourth Edition has been expanded and revised, with new chapters on key topics such as the difficulties of representing lawyers in divorces, the various factors included in the sale of a law practice relevant to valuation for divorce litigation, the effective use of financial experts, and the bankruptcy aspects of awards of professional assets. With Valuing Professional Practices and Licenses' legal analysis and expert commentary, valuation Examples & Explanations, sample reports, checklists and forms to use for discovery, and sample question-and-answer sequences, you'll be fully prepared to represent your professional clients efficiently and successfully.
Download or read book Practice Management Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-03-16 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules
Download or read book Medicare Physician Payments Concerns about Spending Target System Prompt Interest in Considering Reforms written by and published by . This book was released on 2004 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Policy and Advanced Practice Nursing written by Kelly A. Goudreau, PhD, RN, ACNS-BC, FCNS, FAAN and published by Springer Publishing Company. This book was released on 2013-12-11 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: "There are many policy books, but none are written by APRNs or focus just on APRN practice. This topic is critical in today's healthcare reform movement. APRNs are at the core, or can be, if they use their practice knowledge and education to shape policy...[The] editors eloquently make the case that policy formation is a critical nursing skill."--Doody's Medical Reviews ìGaining a better understanding of the political landscape and its impact on nursing and the APRN practice environment, by learning through textbooks such as this, and then through active involvement at any level in the political process itself, can only strengthen nursing and its influence on health policy .î -Loretta C. Ford, RN, EdD, PNP, FAAN, FAANP From the Foreword This view of health policy from the perspective of APRN practice is a call to action for advanced practice nurses to learn about the impact and implications of current initiatives in health policy. This knowledge will assist them in determining how they define and create positive change for their patients and have an impact on community, national, and world health. This is the only text that satisfies the need for policy discussions for all APNs , it is designed to meet the requirements of both the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum. The text encompasses evolving health care policy and reform in the U.S., Canada, and internationally, addressing its impact on advanced practice nursing, APRN roles, care for special populations, health care quality, and patient safety . The book brings together a wealth of information written by luminaries in the field. Dr. Goudreau is a Past President, and Board Member of the National Association of Clinical Nurse Specialists (NACNS), and Dr. Smolenski was Director of Certification Services at the ANCC for 11 years, directing certification for 150,000 nurses in over 30 specialties. The text discusses issues surrounding the regulation of APRNs, how the local regulatory environment shapes their practice and how they can shape their local regulatory environment. Additionally, the text brings in international perspectives on how APRNs can and are impacting patient care globally. In order to provide content relevant to a universal APRN readership, each section of the text endeavors to present information from all four APRN perspectives: NPs, CNSs, CRNAs , and CNMs. For all of these roles, the book covers the implications of current and future health policy changes for APRN practice. Key Features: Addresses the role-specific policy informational needs of all APRN roles including NPs, CNSs, CRNAs , and CNMs Brings together in one volume all of the requisite information about health care policy and reform and its impact on advanced practice nursing Meets the requirements of the IOM report on The Future of Nursing and the DNP criteria V for inclusion of health policy and advocacy in the curriculum Offers guidance on how APRNs can influence policy development Covers impact and implications of health care policy and reform in the U.S., Canada, and internationally
Download or read book Orthopedic Practice Management written by Eric C. Makhni and published by Springer. This book was released on 2018-12-12 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique resource provides a solid introduction to practice management for orthopedic practitioners—whether employed in a hospital setting, in private practice, or on faculty at a university setting—and it will be especially valuable to all surgeons still in their residency, providing valuable insight into how to best prepare to effectively care for patients. Orthopedists both domestic and international will benefit immensely from its contents, skills that are often overlooked in medical training. Part one presents the essentials of starting and building a practice, including strategic, personal and legal considerations, partnerships and ancillaries, keys for growth and success, incorporating mid-level providers, and the use of social media. Leadership and management are covered in part two, discussing the management of a private practice and a privademic medical center, recruitment and expansion, outcome collections, the pursuit of a dual degree, and all-important healthcare policy. Additional relevant topics are presented in part three, including surgical training and education, independent medical exams and legal depositions, board certification and maintenance, principles of clinical research, and surgical innovation. In today’s ever-changing healthcare climate, practitioners must know how to deliver the medicine they spent so many years learning and perfecting. Orthopedic Practice Management is the first text dedicated to teaching surgeons the essential non-clinical fundamentals for succeeding in healthcare. No matter what stage of practice you are in—from student to master surgeon—you will find that this book contains invaluable information for achieving success in orthopedics.
Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.
Download or read book Geriatric Anesthesiology written by Jeffrey Silverstein and published by Springer Science & Business Media. This book was released on 2008-04-16 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Geriatric anesthesia is a rapidly growing and evolving field and this is the major revision of a classic anesthesia reference. The last few years have seen significant advancements and important new modalities for addressing the needs of an aging population. The editors of this second edition are uniquely situated to put together a text highlighting both essential knowledge and recent breakthroughs of importance to all who work with the elderly. This edition easily maintains the high standard for quality scholarship and useful material set by the first.
Download or read book Medicare RBRVS written by Sherry L. Smith and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book CPT 2015 written by American Medical Association and published by Cengage Learning. This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This codebook helps professionals remain compliant with annual CPT code set changes and is the AMAs official coding resource for procedural coding rules and guidelines. Designed to help improve CPT code competency and help professionals comply with current CPT code changes, it can help enable them to submit accurate procedural claims.
