Download or read book Risk Adjustment Management Systems Second Edition written by Gerardus Blokdyk and published by 5starcooks. This book was released on 2018-09-14 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does our organization need more Risk Adjustment Management Systems education? How does the organization define, manage, and improve its Risk Adjustment Management Systems processes? How will we insure seamless interoperability of Risk Adjustment Management Systems moving forward? What knowledge, skills and characteristics mark a good Risk Adjustment Management Systems project manager? How did the Risk Adjustment Management Systems manager receive input to the development of a Risk Adjustment Management Systems improvement plan and the estimated completion dates/times of each activity? This premium Risk Adjustment Management Systems self-assessment will make you the assured Risk Adjustment Management Systems domain master by revealing just what you need to know to be fluent and ready for any Risk Adjustment Management Systems challenge. How do I reduce the effort in the Risk Adjustment Management Systems work to be done to get problems solved? How can I ensure that plans of action include every Risk Adjustment Management Systems task and that every Risk Adjustment Management Systems outcome is in place? How will I save time investigating strategic and tactical options and ensuring Risk Adjustment Management Systems costs are low? How can I deliver tailored Risk Adjustment Management Systems advice instantly with structured going-forward plans? There's no better guide through these mind-expanding questions than acclaimed best-selling author Gerard Blokdyk. Blokdyk ensures all Risk Adjustment Management Systems essentials are covered, from every angle: the Risk Adjustment Management Systems self-assessment shows succinctly and clearly that what needs to be clarified to organize the required activities and processes so that Risk Adjustment Management Systems outcomes are achieved. Contains extensive criteria grounded in past and current successful projects and activities by experienced Risk Adjustment Management Systems practitioners. Their mastery, combined with the easy elegance of the self-assessment, provides its superior value to you in knowing how to ensure the outcome of any efforts in Risk Adjustment Management Systems are maximized with professional results. Your purchase includes access details to the Risk Adjustment Management Systems self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows you exactly what to do next. Your exclusive instant access details can be found in your book. You will receive the following contents with New and Updated specific criteria: - The latest quick edition of the book in PDF - The latest complete edition of the book in PDF, which criteria correspond to the criteria in... - The Self-Assessment Excel Dashboard, and... - Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation ...plus an extra, special, resource that helps you with project managing. INCLUDES LIFETIME SELF ASSESSMENT UPDATES Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.
Download or read book Risk Adjustment Management A Complete Guide 2020 Edition written by Gerardus Blokdyk and published by . This book was released on with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Risk Adjustment Management A Complete Guide 2020 Edition written by Gerardus Blokdyk and published by 5starcooks. This book was released on 2019-09-10 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is a feasible sequencing of reform initiatives over time? What measurements are being captured? How can you become the company that would put you out of business? Would you rather sell to knowledgeable and informed customers or to uninformed customers? How do you create buy-in? This easy Risk Adjustment Management self-assessment will make you the accepted Risk Adjustment Management domain adviser by revealing just what you need to know to be fluent and ready for any Risk Adjustment Management challenge. How do I reduce the effort in the Risk Adjustment Management work to be done to get problems solved? How can I ensure that plans of action include every Risk Adjustment Management task and that every Risk Adjustment Management outcome is in place? How will I save time investigating strategic and tactical options and ensuring Risk Adjustment Management costs are low? How can I deliver tailored Risk Adjustment Management advice instantly with structured going-forward plans? There's no better guide through these mind-expanding questions than acclaimed best-selling author Gerard Blokdyk. Blokdyk ensures all Risk Adjustment Management essentials are covered, from every angle: the Risk Adjustment Management self-assessment shows succinctly and clearly that what needs to be clarified to organize the required activities and processes so that Risk Adjustment Management outcomes are achieved. Contains extensive criteria grounded in past and current successful projects and activities by experienced Risk Adjustment Management practitioners. Their mastery, combined with the easy elegance of the self-assessment, provides its superior value to you in knowing how to ensure the outcome of any efforts in Risk Adjustment Management are maximized with professional results. Your purchase includes access details to the Risk Adjustment Management self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows you exactly what to do next. Your exclusive instant access details can be found in your book. You will receive the following contents with New and Updated specific criteria: - The latest quick edition of the book in PDF - The latest complete edition of the book in PDF, which criteria correspond to the criteria in... - The Self-Assessment Excel Dashboard - Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation - In-depth and specific Risk Adjustment Management Checklists - Project management checklists and templates to assist with implementation INCLUDES LIFETIME SELF ASSESSMENT UPDATES Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.
Download or read book Healthcare Risk Adjustment and Predictive Modeling written by Ian G. Duncan and published by ACTEX Publications. This book was released on 2011 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.
Download or read book Risk Adjustment Documentation and Coding written by Sheri Poe Bernard and published by American Medical Association Press. This book was released on 2020-03-02 with total page 500 pages. Available in PDF, EPUB and Kindle. Book excerpt: Risk-adjustment practices consider chronic diseases as predictors of future health care needs and expenses. Correct and detailed documentation and compliant diagnosis coding are critical for proper risk adjustment. Risk Adjustment Documentation & Coding, 2nd Edition provides: Risk-adjustment parameters to improve documentation related to severity of illness and chronic diseases. Code abstraction guidelines and recommendations to improve diagnostic coding accuracy without causing financial harm to the practice or health facility. Chronic disease ICD-10-CM coding summaries for quick reference and study. The impact of risk-adjustment coding (hierarchical condition category (HCC) coding) on a practice should not be underestimated: More than 75 million Americans are enrolled in risk-adjusted insurance plans. This population represents more than 20% of those insured in the United States. Insurance risk pools under the Affordable Care Act include risk adjustment. CMS has proposed expanding audits on risk-adjustment coding. FEATURES AND BENEFITS Five chapters delivering an overview of risk adjustment, common administrative errors, best practices, and guidance for development of internal risk-adjustment coding policies. Ten chronic disease ICD-10-CM coding summaries for quick reference and study. Two appendices offering mappings and tabular information of ICD-10-CM codes that risk-adjust to HCCs and RxHCCs. Learning and design features: Vocabulary terms highlighted within the text and defined at the bottom of the page. "Advice/Alert Notes" that highlight important coding and documentation advice from federal regulatory sources. "Sidebars" that provide derivative story and additional information, such as "Coding Tips" that guide coders with practical advice from sources like AHA's Coding Clinic and cautionary notes about conflicts and exceptions "Clinical Examples" that underscore key documentation issues for risk adjustment "Clinical Coding Examples" that provide snippets or full encounter notes and codes to illustrate risk-adjustment coding and documentation concepts "Documentation tips" that highlight recommendations to physicians regarding what should be included in the medical record or how ICD-10-CM may classify specific terms "Examples" that explain difficult concepts and promote understanding of those concepts as they relate to a section "FYI" call outs that provide quick facts "Abstract & Code It!" exercises that test diagnosis abstraction and coding skills (exclusive to Chapter 4) Extensive end-of-chapter "Evaluate Your Understanding" sections that include multiple-choice questions, true-or false questions, audit and Internet-based exercises. Two downloadable course tests and slide presentations for each chapter. Exclusive content for academic educators: A test bank containing 100 questions and a mock risk-adjustment certification exam with 150 questions.
Download or read book Risk Adjustment Risk Sharing and Premium Regulation in Health Insurance Markets written by Thomas G. McGuire and published by Academic Press. This book was released on 2018-08-06 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: Risk Adjustment, Risk Sharing and Premium Regulation in Health Insurance Markets: Theory and Practice describes the goals, design and evaluation of health plan payment systems. Part I contains 5 chapters discussing the role of health plan payment in regulated health insurance markets, key aspects of payment design (i.e. risk adjustment, risk sharing and premium regulation), and evaluation methods using administrative data on medical spending. Part II contains 14 chapters describing the health plan payment system in 14 countries and sectors around the world, including Australia, Belgium, Chile, China, Columbia, Germany, Ireland, Israel, the Netherlands, Russia, Switzerland and the United States. Authors discuss the evolution of these payment schemes, along with ongoing reforms and key lessons on the design of health plan payment. Provides a conceptual toolkit that describes the goals, design and evaluation of health plan payment systems in the context of policy paradigms, such as efficiency, affordability, fairness and avoidance of risk selection Brings together international experience from many different countries that apply regulated competition in different ways Delivers a practical toolkit for the evaluation of health plan payment modalities from the standpoint of efficiency and fairness
Download or read book Risk Modeling Assessment and Management written by Yacov Y. Haimes and published by John Wiley & Sons. This book was released on 2005-02-04 with total page 862 pages. Available in PDF, EPUB and Kindle. Book excerpt: An updated and timely new look at the theory and practice of risk management Since the first edition of Risk Modeling, Assessment, and Management was published, public interest in the field of risk analysis has grown astronomically. Its adaptation across many disciplines and its deployment by industry and government agencies in decision making has led to an unprecedented development of new theory, methodology, and practical tools. The Second Edition of this well-regarded reference describes the state of the art of risk management and its important applications in such areas as engineering, science, manufacturing, business, management, and public policy. The author strikes a balance between the quantitative and the qualitative aspects of risk management, showing clearly how to quantify risk and construct probability in conjunction with real-world decision-making problems. At the same time, he addresses a host of institutional, organizational, political, and cultural considerations. Incorporating real-world examples and case studies to illustrate the analytical methods under discussion, the book presents basic concepts as well as advanced material, avoiding higher mathematics whenever possible. Some key revisions to the Second Edition include: * A completely updated format with many new examples and problems * A new chapter on Risks of Terrorism, including case studies in transportation, water supply, infrastructure interdependencies, food safety, and a National Research Council report on terrorism * A new chapter on Risk Filtering, Ranking, and Management (RFRM), a technology co-developed by the author and supported by several case studies and examples * A new focus on minimizing the high cost associated with today's more extensive risk management Examining timely, multidisciplinary practical applications, this new edition offers an important resource for industry professionals as well as advanced graduate students in systems engineering.
Download or read book Risk Management written by Glen B. Alleman and published by Auerbach Publications. This book was released on 2024-03-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book starts with the prerequisites to be able to uncover and understand risks. It then presents six immutable principles, with their process and data needed to put these principles and processes to work for managing risk. Case studies of successful risk management let readers see how risk management works in practice.
Download or read book Risk Adjustment A Complete Guide 2020 Edition written by Gerardus Blokdyk and published by 5starcooks. This book was released on 2019-09-10 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: What types of data do your Risk Adjustment indicators require? What types of variables are appropriate for risk adjustment? What are the affordable Risk Adjustment risks? What is the purpose of Risk Adjustment in relation to the mission? Risk Adjustment risk decisions: whose call Is It? Defining, designing, creating, and implementing a process to solve a challenge or meet an objective is the most valuable role... In EVERY group, company, organization and department. Unless you are talking a one-time, single-use project, there should be a process. Whether that process is managed and implemented by humans, AI, or a combination of the two, it needs to be designed by someone with a complex enough perspective to ask the right questions. Someone capable of asking the right questions and step back and say, 'What are we really trying to accomplish here? And is there a different way to look at it?' This Self-Assessment empowers people to do just that - whether their title is entrepreneur, manager, consultant, (Vice-)President, CxO etc... - they are the people who rule the future. They are the person who asks the right questions to make Risk Adjustment investments work better. This Risk Adjustment All-Inclusive Self-Assessment enables You to be that person. All the tools you need to an in-depth Risk Adjustment Self-Assessment. Featuring 905 new and updated case-based questions, organized into seven core areas of process design, this Self-Assessment will help you identify areas in which Risk Adjustment improvements can be made. In using the questions you will be better able to: - diagnose Risk Adjustment projects, initiatives, organizations, businesses and processes using accepted diagnostic standards and practices - implement evidence-based best practice strategies aligned with overall goals - integrate recent advances in Risk Adjustment and process design strategies into practice according to best practice guidelines Using a Self-Assessment tool known as the Risk Adjustment Scorecard, you will develop a clear picture of which Risk Adjustment areas need attention. Your purchase includes access details to the Risk Adjustment self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows your organization exactly what to do next. You will receive the following contents with New and Updated specific criteria: - The latest quick edition of the book in PDF - The latest complete edition of the book in PDF, which criteria correspond to the criteria in... - The Self-Assessment Excel Dashboard - Example pre-filled Self-Assessment Excel Dashboard to get familiar with results generation - In-depth and specific Risk Adjustment Checklists - Project management checklists and templates to assist with implementation INCLUDES LIFETIME SELF ASSESSMENT UPDATES Every self assessment comes with Lifetime Updates and Lifetime Free Updated Books. Lifetime Updates is an industry-first feature which allows you to receive verified self assessment updates, ensuring you always have the most accurate information at your fingertips.
Download or read book Handbook of Industrial and Systems Engineering Second Edition written by Adedeji B. Badiru and published by CRC Press. This book was released on 2013-10-11 with total page 1480 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new edition of a bestselling industrial and systems engineering reference, Handbook of Industrial and Systems Engineering, Second Edition provides students, researchers, and practitioners with easy access to a wide range of industrial engineering tools and techniques in a concise format. This edition expands the breadth and depth of coverage, emphasizing new systems engineering tools, techniques, and models. See What’s New in the Second Edition: Section covering safety, reliability, and quality Section on operations research, queuing, logistics, and scheduling Expanded appendix to include conversion factors and engineering, systems, and statistical formulae Topics such as control charts, engineering economy, health operational efficiency, healthcare systems, human systems integration, Lean systems, logistics transportation, manufacturing systems, material handling systems, process view of work, and Six Sigma techniques The premise of the handbook remains: to expand the breadth and depth of coverage beyond the traditional handbooks on industrial engineering. The book begins with a general introduction with specific reference to the origin of industrial engineering and the ties to the Industrial Revolution. It covers the fundamentals of industrial engineering and the fundamentals of systems engineering. Building on this foundation, it presents chapters on manufacturing, production systems, and ergonomics, then goes on to discuss economic and financial analysis, management, information engineering, and decision making. Two new sections examine safety, reliability, quality, operations research, queuing, logistics, and scheduling. The book provides an updated collation of the body of knowledge of industrial and systems engineering. The handbook has been substantively expanded from the 36 seminal chapters in the first edition to 56 landmark chapters in the second edition. In addition to the 20 new chapters, 11 of the chapters in the first edition have been updated with new materials. Filling the gap that exists between the traditional and modern practice of industrial and systems engineering, the handbook provides a one-stop resource for teaching, research, and practice.
Download or read book Practical Risk Adjusted Performance Measurement written by Carl R. Bacon and published by John Wiley & Sons. This book was released on 2021-10-22 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explore different measures of ex-post risk-adjusted performance measurement and learn to choose the correct one In the newly revised Second Edition of Practical Risk-Adjusted Performance Measurement, accomplished risk and investment expert Carl R. Bacon delivers an insightful, accessible, and real-world guide to ex-post risk measurement. The author bridges the gap between theory and practice, showing you how to apply the former to the latter without introducing unnecessary mathematical complexity. The book describes the fundamentals of risk in the asset management context and the descriptive statistics used to describe it. It builds on that foundation with detailed examinations of concepts like regression, drawdown, and partial moments, before moving on to topics like fixed income risk and Prospect Theory. With helpful additions that include recently developed measures of risk, supplementary explanatory sections, and six brand-new chapters, this book also offers: A practical classification of all ex-post risk measures and how they connect to one another An explanation of how risk-adjusted performance measures impact performance fees A discussion of risk measure dashboard designs Instructions on how appraisal measures should be used for manager selection Perfect for portfolio managers, asset owners, risk controllers, and investment performance analysts, Practical Risk-Adjusted Performance Measurement is an indispensable resource for anyone looking for a hands-on exploration of the buy-side, asset management perspective.
Download or read book Risk Adjustment for Measuring Health Care Outcomes written by Lisa I. Iezzoni and published by Asociation of University Programs in Health Administration/Health Administration Press. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text offers independent chapters for a multidisciplinary readership of students and professionals in areas such as biostatistics, public health, psychology, and health policy. It introduces concepts and methods for designing, using, and evaluating risk adjustment methods when comparing outcomes of care such as costs, clinical outcomes, and patient-centered outcomes in various health care settings. Because the field is broad and changing, the book does not review existing risk adjustment methods; instead, it concentrates on basic methods and principles that apply generally to risk adjustment. Individual chapters are devoted to data from administrative sources, medical records, and patient surveys. Later chapters cover practical issues in developing and evaluating risk adjustment methods and understanding their validity and reliability. There is also material on risk adjustment for specific populations. This fourth edition contains a new chapter on using risk adjustment in the management of health care organizations, plus new information on genetic, social, and environmental risk factors. This edition reflects current practice in electronic health records and health information technologies. Iezzoni teaches medicine at Harvard Medical School. Annotation ©2012 Book News, Inc., Portland, OR (booknews.com).
Download or read book Risk Management written by Carl L. Pritchard, PMP, PMI-RMP, EVP and published by CRC Press. This book was released on 2014-12-17 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of Risk Management: Concepts and Guidance supplies a look at risk in light of current information, yet remains grounded in the history of risk practice. Taking a holistic approach, it examines risk as a blend of environmental, programmatic, and situational concerns. Supplying comprehensive coverage of risk management tools, practices, and protocols, the book presents powerful techniques that can enhance organizational risk identification, assessment, and management—all within the project and program environments. Updated to reflect the Project Management Institute’s A Guide to the Project Management Body of Knowledge (PMBOK® Guide), Fifth Edition, this edition is an ideal resource for those seeking Project Management Professional and Risk Management Professional certification. Emphasizing greater clarity on risk practice, this edition maintains a focus on the ability to apply "planned clairvoyance" to peer into the future. The book begins by analyzing the various systems that can be used to apply risk management. It provides a fundamental introduction to the basics associated with particular techniques, clarifying the essential concepts of risk and how they apply in projects. The second part of the book presents the specific techniques necessary to successfully implement the systems described in Part I. The text addresses project risk management from the project manager’s perspective. It adopts PMI’s perspective that risk is both a threat and an opportunity, and it acknowledges that any effective risk management practice must look at the potential positive events that may befall a project, as well as the negatives. Providing coverage of the concepts that many project management texts ignore, such as the risk response matrix and risk models, the book includes appendices filled with additional reference materials and supporting details that simplifying some of the most complex aspects of risk management.
Download or read book 2020 Risk Adjustment written by Find-A-Code and published by . This book was released on 2019-12-16 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Risk Adjustment for Measuring Healthcare Outcomes written by Lisa I. Iezzoni and published by . This book was released on 1997 with total page 632 pages. Available in PDF, EPUB and Kindle. Book excerpt: Our book aims to introduce the issues underlying risk adjustment and to suggest important conceptual and methodological considerations in designing and evaluating a risk-adjustment strategy. This second edition builds on the conceptual discussions of the first edition, adding more empirical evidence to underscore important points. Since completing the first edition in 1993, significant studies involving risk adjustment have either concluded or published pertinent findings, including the National Veterans Affairs Surgical Risk Study, the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment, the Medical Outcomes
Download or read book Enterprise Risk Management 2nd Edition written by David L Olson and published by World Scientific Publishing Company. This book was released on 2015-01-21 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Risk is inherent in business. Without risk, there would be no motivation to conduct business. But a key principle is that organizations should accept risks that they are competent enough to deal with, and “outsource” other risks to those who are more competent to deal with them (such as insurance companies). Enterprise Risk Management (2nd Edition) approaches enterprise risk management from the perspectives of accounting, supply chains, and disaster management, in addition to the core perspective of finance. While the first edition included the perspective of information systems, the second edition views this as part of supply chain management or else focused on technological specifics. It discusses analytical tools available to assess risk, such as balanced scorecards, risk matrices, multiple criteria analysis, simulation, data envelopment analysis, and financial risk measures.
Download or read book Essentials of Managed Health Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Learning. This book was released on 2003 with total page 918 pages. Available in PDF, EPUB and Kindle. Book excerpt:
