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 Clinical Documentation Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-03-12 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: It's not the quantity of clinical documentation that matters—it's the quality. Is your clinical documentation improvement (CDI) program identifying your outliers? Does your documentation capture the level of ICD-10 coding specificity required to achieve optimal reimbursement? Are you clear on how to fix your coding and documentation shortfalls? Providing the most complete and accurate coding of diagnoses and site-specific procedures will vastly improve your practice’s bottom line. Get the help you need with the Clinical Documentation Reference Guide. This start-to-finish CDI primer covers medical necessity, joint/shared visits, incident-to billing, preventative care visits, the global surgical package, complications and comorbidities, and CDI for EMRs. Learn the all-important steps to ensure your records capture what your physicians perform during each encounter. Benefit from methods to effectively communicate CDI concerns and protocols to your providers. Leverage the practical and effective guidance in AAPC’s Clinical Documentation Reference Guide to triumph over your toughest documentation challenges. Prevent documentation deficiencies and keep your claims on track for optimal reimbursement: Understand the legal aspects of documentation Anticipate and avoid documentation trouble spots Keep compliance issues at bay Learn proactive measures to eliminate documentation problems Work the coding mantra—specificity, specificity, specificity Avoid common documentation errors identified by CERT and RACs Know the facts about EMR templates—and the pitfalls of auto-populate features Master documentation in the EMR with guidelines and tips Conquer CDI time-based coding for E/M The Clinical Documentation Reference Guide is approved for use during the CDEO® certification exam.

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 Reference Guide For Foreign Pharmacy Licensing Exam Pharmacy Management Pharmacoeconomics FPGEE written by Manan Shroff and published by Krishna Publications Inc. This book was released on 2005 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Practice Management written by Christian Rainer and published by . This book was released on 2019-05-14 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book describes the steps to opening day of a medical office practice. First, the basics, such as financing, rent, coding, hiring, contracting, records, malpractice insurance. Then, business strategies and more complex issues, such as money management and the influence of outside factors. A chapter deals with typical business encounters for the private practitioner. Finally buying a practice, health care reform and more.

Download or read book Essentials of Physician Practice Management written by Blair A. Keagy and published by John Wiley & Sons. This book was released on 2012-06-14 with total page 518 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essentials of Physician Practice Management offers a practical reference for administrators and medical directors and provides a comprehensive text for those preparing for a career in medical administration, practice management, and health plan administration. Essentials of Physician Practice Management is filled with valuable insights into every aspect of medical practice management including operations, financial management, strategic planning, regulation and risk management, human resources, and community relations.

Download or read book Evaluation and Management Coding Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-06-30 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Defeat the challenges that threaten your E/M claims and compliance success. Evaluation and management (E/M) services are the lifeblood of your revenue stream, and yet they’re the most problematic to report. Claim denials remain high. E/M coding errors, in fact, rose from 11.9% in 2018 to account for 12.8% of CMS’s overall 2019 improper payment rate. How much E/M revenue are you losing? Safeguard your organization from claim denials and audit scrutiny with the Evaluation & Management Coding Reference Guide. Our experts break down E/M coding rules and requirements into simple, manageable steps written in everyday language to boost your E/M reporting skills. Learn how to capture the key components of medical history, physical exam, and medical decision-making—and capitalize on real-world clinical scenarios to prevent over- or under-coding. The Evaluation & Management Coding Reference Guide will help you prep for 2021 E/M guideline changes overhauling new and established office and outpatient services, and walk you through online digital E/M services, remote physiologic monitoring, and more. Master the ins and outs of E/M coding—CPT® guidelines, level of service, modifiers, regulations, and documentation guidelines. Put an end to avoidable denials and optimize your E/M claims for full and prompt reimbursement. Benefit from expert tutorials covering the spectrum of E/M reporting concepts and challenges: Prep for 2021 guideline changes and their impact on your organization Master the ins and outs of E/M guidelines in CPT® Capture the seven components of E/M services Sort out medical decision-making coding Avoid the pitfalls of time-based coding Nail down specifics for critical care E/M services Clear up modifier confusion Understand NPPs rules for same-day E/M services Take the guesswork out of complexity determinations Get the details on coding surgery and E/M together Learn the principles of E/M documentation

Download or read book HIPAA Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-03-13 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is your HIPAA compliance program and breach reporting up to date? Over 94% of providers have experienced some form of data breach, and over 50% have had 5 or more data breaches. From phishing campaigns and PHI-containing emails sent to the wrong recipients to unencrypted devices and servers left publicly accessible, the total number of breaches in 2019 outnumbered the previous year by more than 33%, according to research from Risk Based Security. Get comprehensive guidance to implement HIPAA protocols and prevent the fallout of a data breach with AAPC’s HIPAA Reference Guide. Our nationally recognized HIPAA compliance experts lay out best practices and build on case studies to guide you through the dos and don’ts of compliance. We show you how to recognize and lock down your risk areas, including how to: Build and maintain a culture of security Evaluate your vulnerabilities and guard against cyber threats Assess, analyze, and manage your EHR Immunize your workstations Implement HIPAA-compliant use of mobile devices Ensure your BAAs are HIPAA compliant Prepare for community-wide disasters Plot out your practice’s security incident response plan

Download or read book The Essential Guide to Coding in Otolaryngology written by Seth M. Brown and published by Plural Publishing. This book was released on 2021-09-07 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference

Download or read book Medical Practice Management in the 21st Century written by Marjorie Satinsky and published by CRC Press. This book was released on 2017-09-18 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title includes a Foreword by John W Bachman, Professor of Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota. Mastering the art of medical practice management requires knowledge that most physicians don't learn in medical school, residency, and fellowship training. Successful practice management in the 21st century requires physicians to understand how to organize and manage a practice, manage their finances, recruit, work with, and manage people within and outside of the practice, improve healthcare delivery and clinical outcomes, and ensure compliance with federal, state, and local laws and regulations. "Medical Practice Management in the 21st Century: The Handbook" addresses multiple aspects of medical practice management. It offers both background information and practical tools. The workbook format, supported by web-based tools, allows busy physicians to gain a basic understanding of many topics, determine strategies for their practices, and seek additional information when they want it. This guide will be ideal for both physicians who need business guidance as they begin their careers and physicians who are already in practice and want to enhance their business skills. Many physicians can't afford or choose not to hire a professional practice administrator or manager; this book will help them assume managerial responsibilities with the same level of confidence that they bring to clinical care. Physicians in academic medical centers who manage departments, programs, or research studies will also benefit. "This book is essential for any clinician planning to open a new practice or attempting to improve the quality and efficiency of an existing practice. Read and learn." - John Bachman MD, in the Foreword. "Written for the busy practitioner - clear, concise, and practical without any wasted space. I wish I had had this resource when I was starting practice. It's the bible for practice management, just as the "Washington Manual" was in earlier years." - Robert S Galvin, MD, Director of Global Healthcare for General Electric. "Important. Crosses many boundaries, covering a wide variety of topics. Guides physicians in developing the infrastructure that they need to succeed." - John Fallon, MD, Chief Physician Executive, Blue Cross Blue Shield of Massachusetts. "There is no better book or resource to use to develop the necessary proficiency to run a first-class, stellar practice than this. All who read this book will be able to ensure that every patient has a positive experience with your practice and will not only enjoy the experience but will tell other physicians, their family and their friends about you and your practice and thus make your practice thrive and prosper." - Dr Neil Baum, Clinical Associate Professor of Urology, Tulane Medical School, New Orleans, Louisiana. "I love the chapter on financial management. It is very complete and gives a non-business major a good grasp of complicated information." - Allen R. Wenner, MD, family medicine practitioner, West Columbia Family Medicine, South Carolina. "I like the format of the exhibits. In the chapter on financial management, the side-by-side problem/solution approach is easily understandable and lends itself to a solution oriented approach. I can spot my own practice's issues and immediately understand what to do without searching through a lot of text." - Tom Sena, MD, President of Raleigh Children and Adolescents Medicine, Raleigh, North Carolina. "Full of good material which I am actively planning to use. Extremely helpful!" - Dr Damian McHugh, President, Raleigh Emergency Medicine Associates, Raleigh, NC.

Download or read book Fundamentals of Medical Practice Management written by Stephen Wagner and published by Gateway to Healthcare Management. This book was released on 2018-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Consolidations and mergers have dramatically changed the face of the physician practice. From governance issues to information technology, today's practice managers face a host of new complexities and competing priorities that demand more robust skills and knowledge. Fundamentals of Medical Practice Management is one of the few, if not only, texts that addresses the educational needs of the modern practice manager. Author Stephen L. Wagner, who studied under quality guru W. Edwards Deming, combines a focus on quality and excellence with an important thesis: working together and putting people first is the best way to be successful in healthcare. This book appeals to a wide range of learners, including in organizational programs, MHA and undergraduate health administration programs, and practice management certificate programs. It is also an effective supplement for healthcare management classes. Not only will the book's insights prepare those new to the field, but it will help current practice managers to retool and refocus. Fundamentals of Medical Practice Management covers these areas and more: Information Technology and Management Regulatory Issues, the Law, and Practice Management Third-Party Payers, the Revenue Cycle, and the Medical Practice Leading, Managing, Governance, and Organizational Dynamics Quality Management in the Physician Practice. Although this text delves into many practical topics, its main focus is people. The author argues that win-lose games and quick-fix solutions have begun to deliver diminished returns in healthcare not only economically, but emotionally and societally. He aims to shape the reader's mindset for a new era of people-focused practice management.

Download or read book Managing and Sharing Research Data written by Louise Corti and published by SAGE. This book was released on 2014-02-04 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research funders in the UK, USA and across Europe are implementing data management and sharing policies to maximize openness of data, transparency and accountability of the research they support. Written by experts from the UK Data Archive with over 20 years experience, this book gives post-graduate students, researchers and research support staff the data management skills required in today’s changing research environment. The book features guidance on: how to plan your research using a data management checklist how to format and organize data how to store and transfer data research ethics and privacy in data sharing and intellectual property rights data strategies for collaborative research how to publish and cite data how to make use of other people’s research data, illustrated with six real-life case studies of data use.

Download or read book Fundamentals of Physician Practice Management written by Frederick J. Wenzel and published by . This book was released on 2005 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is designed to meet the needs of programs that offer a group practice or ambulatory care course as well as those that incorporate physician practice management issues into the regular curriculum. Unlike other books on physician practice management, this straightforward text provides enough detail for students to understand the fundamental concepts without getting mired in the complexity of daily operational issues. This book: * Explains how physician practice management differs from management in other settings * Discusses strategic planning, financial management, information systems, and hospital relationships as applied in group practice settings * Provides sufficient background without overwhelming students with detail * Uses a straightforward approach that is appropriate for both graduate and undergraduate courses * Includes a mini case, learning objectives, and discussion questions in each chapter

Download or read book A Contemporary Guide to Practice Management for Physicians Managers and Administrators written by Multiple authors Would not use this on the cover and published by . This book was released on 2018-04-13 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Contemporary Guide to Practice Management for Physicians, Managers and Administrators, provides a comprehensive overview of the breadth of knowledge required to effectively manage a modern medical practice. Written in a simple and concise manner, the expert authors present straightforward tactics that profitable practices are using to succeed despite tough economics, tight reimbursement pressures and practice management issues such as changes in workforce demographics and the always evolving landscape of health care reform. The editors, Drs. Iriye, Sciscione and O'Keeffe, organized this text which was published in association with the Society for Maternal-Fetal Medicine and written for as those involved in both university or community settings. These distinguished editors and multiple expert authors cover a range of topics while taking into special consideration the need for a broader and more detailed knowledge base among physicians, practice managers and healthcare administrators. Topics covered in this must-have resource include: contract negotiation, staff recruitment and retention, billing and compliance, approaches to benchmarking, increasing practice efficiency, office space planning and contemporary medical practice strategy to generate more revenue for your practice.

Download or read book Practice Management for the Dental Team E Book written by Betty Ladley Finkbeiner and published by Elsevier Health Sciences. This book was released on 2019-08-21 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn the skills you need to manage a modern dental business. Practice Management for the Dental Team 9th Edition is a comprehensive, one-stop resource that presents practical information on everything from managing patients to running the business. This unique text includes a wide range of dental office skills which are mapped to the Dental Assisting National Board (DANB) test blueprint including technology, communications, appointment setting, dental charting, business office procedures, financial arrangements, and more! New to the ninth edition is even more in-depth information on alternative workforce models, production, insurance, and inventory along with an added emphasis on roles of the entire dentistry team. Plus, this is the only product on the market that includes Eaglesoft screen shots and practice management software, which will be downloadable through the Evolve site, for a fully realistic office experience. Comprehensive coverage on the business of managing a dental office provides vital information to ensure the success of any dental practice. UNIQUE! Emphasis on roles of the entire dental team featured throughout text. UNIQUE! Patterson Dental EagleSoft screen shots and exercises equip you with valuable realistic practice experience. Practice quizzes for each chapter on the Evolve website help your test comprehension and prepare you for classroom and board exams. Expert author Betty Ladley Finkbeiner imparts knowledge and advice from years of teaching and practical experience and wide reach in dental assisting education. Key terminology defined in the chapter’s glossary and called out in boldface color within chapter discussions helps you to understand dental practice and clinical dentistry terminology essential to the success of any office manager. Learning Activities and Practice Notes encourage you to apply the content to realistic office situations and convey important tips and advice. Learning outcomes at the beginning of each chapter frame the content and serve as checkpoints for comprehension and study. Summary tables and boxes provide easy-to-read summaries of text discussions that support visual learners and serve as useful review and study tools. Bibliographical citations direct you to targeted sources of information where additional dental-related information can be located. Appendixes provide supplemental information for quick and handy office reference. NEW! Content includes the latest information on alternative workforce models, dental insurance and reimbursement, production, and inventory planning UPDATED! Art program with modern illustrations and photographs helps you to understand today’s office environment, tools, and equipment. EXPANDED and IMPROVED! Test Bank with cognitive leveling and mapping to the Dental Assisting National Board (DANB) test blueprint.

Download or read book Model Rules of Professional Conduct written by American Bar Association. House of Delegates and published by American Bar Association. This book was released on 2007 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.

Download or read book Nonphysician Practitioner Reference Guide First Edition written by AAPC and published by AAPC. This book was released on 2020-06-30 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ensure full pay for services provided by your nurse practitioners, physician assistants, clinical nurse specialists, and other mid-level clinicians. Staffing nonphysician practitioners (NPPs) enables your practice to see more patients, but the revenue benefits depend on your team’s ability to navigate the complex set of NPP coding and billing rules. Do you know the guidelines that Medicare and other payers apply toward reimbursement of NPP services? Are you clear on the rules for direct supervision? How about reciprocity? If you’re like most, you have more questions than answers. Getting incident-to billing right means 15% more in reimbursement. Getting it wrong could be considered fraudulent. With stakes this high, you need the Nonphysician Practitioner Reference Guide. This comprehensive resource provides expert guidance covering the scope of NPP coding and billing regulations. Understand the distinctions between shared visit and incident-to services and meet the troublesome requirements of audit-ready incident-to billing. Packed with authoritative tips, readers’ Q&A, and handy clip-and-save tools—including an incident-to audit checklist—you’ll master the reporting nuances of E/M services, prolonged services, virtual visits, and more. Shore up revenue for your mid-level practitioners with: Tips for accurate dual-provider coding Max out incident-to pay the right way and earn 100% of allowable revenue versus 85% Rely on split/shared visit coding in non-office settings Know how to avoid substitute physician billing challenges Boost your signature know-how and avoid claim denials Watch incident-to claims when physician is out of office Get the facts on performing consults Learn the secret NPP guidelines for coding virtual visits Do you know the reciprocity rules when your physician leaves town? And much more! Clear up your NPP compliance confusion—and know exactly when you can bill service incidents to the physician—with the Nonphysician Practitioner Reference Guide.