Download or read book The HIM Director s Guide to Recovery Audit Contractors written by Jean S. Clark and published by . This book was released on 2009 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The HIM Director s Handbook written by Jean S. Clark and published by Hcpro, a Division of Simplify Compliance. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The HIM Director's Handbook, Second Edition Jean S. Clark, RHIA, CSHA Manage your department with the leading HIM director at your side. This second edition is an updated version of the earlier best seller and details everything you need to know to direct your health information management department. HIM guru Jean Clark covers the gamut from documentation improvement, transcription, and electronic health records to new chapters on RAC and ICD-10. She also provides guidance on the new HIPAA and HITECH Act requirements to make this a complete resource for both new and seasoned HIM supervisors/managers. The HIM Director's Handbook, Second Edition helps you: Run an effective and efficient HIM department Establish productivity standards for staff Develop and implement effective policies and procedures Understand the HITECH and RAC requirements and how they impact your department Improve documentation quality and transcription accuracy Prepare your organization for ICD-10 Comply with CMS and Joint Commission documentation requirements Use the medical record as an audit tool What's new in the second edition? A new chapter on RAC An updated HIPAA chapter with HITECH information A new chapter on making the transition to ICD-10 New downloadable tools, plus updates to several tools from the previous edition An updated Joint Commission--CMS crosswalk Table of Contents Chapter 1: Organizing and Managing the Department and Productivity Standards Chapter 2: Understanding The Joint Commission, Centers for Medicare & Medicaid Services, and Other Regulatory Organizations Chapter 3: Improving the Revenue Cycle Chapter 4: Managing Process Improvement and Quality Assurance Chapter 5: Using the Medical Record as an Audit Tool Chapter 6: Providing Training and Support for Coding Staff Chapter 7: Managing Transcription Staff and Processes Chapter 8: Training Staff on HIPAA Privacy Requirements Chapter 9: Implementing Electronic Health Records Chapter 10: RACs and Other External Audit Challenges Chapter 11: ICD-10-CM/PCS and HIPAA 5010 Appendix: Sample Policies, Forms, and Tools Words of praise for the first edition of The HIM Director's Handbook: "I have found that handbook to be extremely helpful. I especially like the chart showing CMS CoP rules next to the Joint Commission rules. I've got my handbook tagged to find certain things quickly. I've been able to share information with the Quality Department and with my boss quickly and easily with this book." --Margaret Kimball, RHIT, CTR, Assistant Director, Health Information Management Grays Harbor Community Hospital Aberdeen, Washington "I am enjoying the book. As a CEO, I am trying to learn as much as possible about the revenue cycle and this serves as a good reference." --Leah Osbahr, CEO Washington County Memorial Salem, IN "This book is great. I have used the information on the centralized coding model in our department. It is working well so far. It also helps my coders keep their skills up in all areas. It also has given me somewhat of a guideline to monitor coding production." --Barbara Cronce-Roloson, RHIT Medical Records Manager Hills and Dales General Hospital Cass City, MI

Download or read book The Chapter Leader s Guide to Patient Rights written by Jean S. Clark and published by HC Pro, Inc.. This book was released on 2011-03-18 with total page 93 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Chapter Leader's Guide to Patient Rights: Practical Insight on Joint Commission Standards Jean S. Clark, RHIA, CSHA Quick, concise standard explanations for patient rights chapter leaders The Chapter Leader's Guide to Patient Rights breaks down the Joint Commission's patient rights requirements into easy to understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Also, receive bonus tools which include: Rights and Responsibilities of the Individual and Key Player Outline Rights and Responsibilities of the Individual Tracer Tool Patient Rights Direct Impact Standards List Chapter Captain Checklist Benefits ofThe Chapter Leader's Guide to Patient Rights: Keys to creating a culture of providing patient care, treatment, and services in a way that is collaborative with the individual patient Tips and suggestions for developing and implementing policies for selected elements of performance Guidance on communication techniques to inform patients of their individual rights and responsibilities Tools for proper delegation of roles and responsibilities to appropriate staff A responsibility checklist for chapter leaders to ensure compliance with patient rights standards What's inside: Interpretation of the newly revised Joint Commission patient-centered communication standard Simplified explanation of the requirements under the patient rights chapter Strategies to help patients participate in their own care decisions Description of informed consent, who participates and how to gain it from patients in a compliant way Easy-to-implement services your organization can provide for patients to inform them of their rights Table of Contents Part I: Patient Rights in the Organization The Rights and Responsibilities of the Individual How Does this Chapter Affect the Organization as a Whole? What is Its Impact on Leadership and Administration? Who Owns the Requirements of this Chapter? Part II: Communication and Impact of Patient Rights Getting Organized Duties of the Chapter Captain Communication to Physicians and Staff Communication to Patients The Impact of this Chapter Part III: Implementing Patient Rights Designing and Implementing Policies The Patient Handbook The Medical Staff Other Caregivers, Nurses, and Staff The Board and Senior Leadership Tracers and Chart Reviews Impact on Patient Care Who will benefit? CPHQ, CSHA, accreditation coordinators, accreditation specialists, survey coordinators, Joint Commission survey coordinators Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.

Download or read book The HIM Director s Guide to ICD 10 written by Gloryanne Bryant and published by Hcpro, a Division of Simplify Compliance. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The HIM Director's Guide to ICD-10 Gloryanne Bryant, BS, RHIA, RHIT, CCS, CCDS; Jean S. Clark, RHIA, CSHA; Caroline Piselli, MBA, RN, FACHE ICD-10 is the biggest change for the HIM industry since the implementation of DRGs in the 1980s. HIM directors must take a lead role in their organization's ICD-10 implementation, including advocating for and securing an appropriate budget, developing a robust staff retraining program, and ensuring timely IT system changes. This book outlines the differences between ICD-9-CM and ICD-10, provides a thorough timeline of events leading up to implementation, and helps HIM directors develop a project plan to manage the process seamlessly from start to finish. The HIM Director's Guide to ICD-10 will help you: 1. Assess your organization's level of readiness for ICD-10 2. Develop a thorough project management plan and implementation timeline 3. Identify the strategic components to ICD-10 success 4. Apply expert-developed tools to your organization's unique needs Topics covered include: ICD-10 Introduction ICD-10-PCS Key Attributes Project Management HIM Assessment Process HIM Training and Educational Plan HIM-Specific Tasks and Timeline Countdown to ICD-10 "Go Live" - Next steps GEMS/ Translations/ Mappings: Case Studies Appendix resources

Download or read book The Clinical Documentation Improvement Specialist s Guide to ICD 10 written by Glenn Krauss and published by HC Pro, Inc.. This book was released on 2011-03 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Take charge of ICD-10 documentation requirements The implementation of ICD-10 brings with it new documentation requirements that will have a significant impact on the work of your CDI team. The higher degree of specificity of information needed to code accurately will have a direct correlation to reimbursement and compliance. CDI specialists need a firm understanding of the new code set, and the rules that govern it, to obtain the appropriate level of documentation from physicians. The Clinical Documentation Improvement Specialist's Guide to ICD-10 is the only book that addresses ICD-10 from the CDI point of view. Written by CDI experts, it explains the new documentation requirements and clinical indicators of commonly reported diagnoses and the codes associated with those conditions. You'll find the specific documentation requirements to appropriately code conditions such as heart failure, sepsis, and COPD. Learn from your peers The Clinical Documentation Improvement Specialist's Guide to ICD-10 includes case studies from two hospitals that have already begun ICD-10 training so you can use their timelines as a blue print to begin your organization's training and implementation. ICD-10 implementation happens in 2013. It's not too soon to start developing the expertise and comfort level you'll need to manage this important industry change and help your organization make a smooth transition. Benefits: * Tailored exclusively for CDI specialists * Side-by-side comparison of what documentation is necessary now v. what will be required starting October 1, 2013 * Timelines to train physicians in new documentation requirements to ensure readiness by implementation date * Strategies and best practices to ensure physician buy-in

Download or read book Recovery Audit Contractor A Complete Guide 2020 Edition written by Gerardus Blokdyk and published by 5starcooks. This book was released on 2020-05-11 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is there any additional Recovery Audit Contractor definition of success? Are Recovery Audit Contractor changes recognized early enough to be approved through the regular process? Are audit criteria, scope, frequency and methods defined? Do you cover the five essential competencies: Communication, Collaboration, Innovation, Adaptability, and Leadership that improve an organizations ability to leverage the new Recovery Audit Contractor in a volatile global economy? How significant is the improvement in the eyes of the end user? 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 Recovery Audit Contractor investments work better. This Recovery Audit Contractor All-Inclusive Self-Assessment enables You to be that person. All the tools you need to an in-depth Recovery Audit Contractor Self-Assessment. Featuring 960 new and updated case-based questions, organized into seven core areas of process design, this Self-Assessment will help you identify areas in which Recovery Audit Contractor improvements can be made. In using the questions you will be better able to: - diagnose Recovery Audit Contractor 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 Recovery Audit Contractor and process design strategies into practice according to best practice guidelines Using a Self-Assessment tool known as the Recovery Audit Contractor Scorecard, you will develop a clear picture of which Recovery Audit Contractor areas need attention. Your purchase includes access details to the Recovery Audit Contractor 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 Recovery Audit Contractor 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 The Medicare Recovery Audit Contractor Program written by Duane C. Abbey and published by CRC Press. This book was released on 2017-11-15 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare fraud is big business, but while only a few profit from intentional malfeasance, the Centers for Medicare and Medicaid Services is now taking a closer look at everyone. The Medicare Recovery Audit Contractor Program, already infamously known as the RAC, swings into full operation in 2010 and every healthcare provider that receives payment

Download or read book The Complete RHIT RHIA Prep A Guide for Your Certification Exam and Your Career written by Payel Bhattacharya Madero and published by Jones & Bartlett Learning. This book was released on 2019-11-01 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Aligned to the latest AHIMA Core Competencies, The Complete RHIT and RHIA Prep: A Guide for Your Certification Exam and Your Career provides a comprehensive review of the RHIT and RHIA Exam Competency Standards through RHIT Review Online Interactive Modules, online test prep, and an accompanying text that will help students prepare for the RHIT exam. The RHIT Review Online Interactive Modules are a set of online presentations that use voiceover to review essential topicd and provide practicum exercises and interactive decision making simulations to ensure student understanding. Additionally, each of these interactive modules offers a 10 question multiple choice domain topic test. Once students have completed all the interactive modules, they can test their knowledge by taking a final mock exam and/or access hundreds of multiple choice questions for practice and review. The accompanying text offers additional multiple-choice questions, reviews details about the exam and more.

Download or read book Profit without Census A Nursing Home Administrator s Guide to Profitability by Department written by Becky Ziviski, CPA LNHA and published by Lulu.com. This book was released on with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Guide to Compounding Adjudication and Prosecution written by K S Ravichandran and published by Bloomsbury Publishing. This book was released on 2020-05-23 with total page 834 pages. Available in PDF, EPUB and Kindle. Book excerpt: Highlights ? A complete guide to provisions, procedure and judicial precedents on offences and contraventions under the Company Law, Securities Laws and FEMA. ? Compounding of offences and adjudication of penalties and appeals thereof. ? Directions, disgorgement and settlement of proceedings under Securities Laws and other Relief and Remedies under the Companies Act, 2013. ? Search, seizure, enquiry, inspection and investigation under the Company Law, Securities Laws and FEMA. ? Crisp account of cognizable, bailable and non-bailable offences ? Trial procedures, and quashing of criminal complaints under the Criminal Procedure Code.

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 Successful Collaboration in Healthcare written by Colleen Stukenberg and published by CRC Press. This book was released on 2010-01-27 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: This critically acclaimed work makes the case for collaboration and shows that it can be greatly enhanced with conscious understanding and systematic effort. As a healthcare specialist who has worn many hats from direct care giver to case manager to documentation specialist, Colleen Stukenberg is able toShow how to build trust and communicat

Download or read book Effective Documentation for Physical Therapy Professionals Second Edition written by Eric Shamus and published by McGraw Hill Professional. This book was released on 2011-05-09 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Comprehensive textbook for the documentation material required in all Physical Therapy programs. Physical Therapy is one of the fastest growing professions in the US; if they want to get paid by third parties, they need to have a solid understanding of documentation. This book covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. Market / Audience Primary market are the 30,000 PT students based in the US, attending 210 programs. Secondary market: 155,000 clinicians currently practicing. The primary market for this book, students, has grown by 33% since 2003, when the first edition was published. About the Book From exercise prescriptions to patient evaluations, insurance forms, billing, and much more—Effective Documentation for Physical Therapy Professionals is your best choice for learning when, what, and how to document. Included are every essential aspect of documentation and many sample documents. The easy-to-follow format gives you the professional guidelines, codes, and methodology you need to provide expert documentation. Key Selling Features Includes all aspects of documentation including reimbursement and billing, coding, legal issues, PT-PT and PT-PTA communication, and utilization review/quality assurance. Sample documentation content, forms, exercises and questions are provided as appropriate. Uses current APTA terminology and all pertinent professional association regulations. Includes SOAP guidelines and examples as well as standardized forms and assessment tools The most up-to-date, comprehensive documentation book for Physical Therapy students and practitioners on the market. Contains plenty of examples and exercises to provide practical knowledge to users of the text. Author Profiles Eric Shamus, DPT, PhD, CSCS has taught national and international continuing education courses on Orthopeadics, Sports Medicine, and Manual Therapy, with a focus on documentation and reimbursement. He is presently a professor at Florida Gulf Coast University and works at an outpatient orthopedic facility in Fort Lauderdale. Debra F. Stern, PT, MSM, DBA is an Associate Professor at Nova Southeastern University in Fort Lauderdale, FL. She serves as a clinical instructor with a focus on geriatrics, neuromuscular disorders, and also coordinates service learning experiences for the school's PT department. She received her BS in Physical Therapy from SUNY Buffalo, her MSM from Rollins College, and her DBAS at Nova Southeastern.

Download or read book 1968 Government Contracts Guide written by Commerce Clearing House and published by . This book was released on 1968 with total page 810 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Ethical Health Informatics written by Laurinda B. Harman and published by Jones & Bartlett Publishers. This book was released on 2017 with total page 801 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by: Ethical challenges in the management of health information / [edited by ] Laurinda Beebe Harman. 2nd edition. 2006.

Download or read book The Concise Guide to Auditing Standards and Guidelines written by Roy Dodge and published by . This book was released on 1990 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Proving and Pricing Construction Claims written by Robert F. Cushman and published by Wolters Kluwer. This book was released on 2000-12-01 with total page 666 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most useful, definitive resource available on every aspect of construction claims, including: how to present the claims how to calculate and prove the amount of damages sustained and how to prove liability It even covers the clauses that should be in every construction contract. You'll get comprehensive coverage of all the important issues -- delay claims, differing site conditions claims, claims for lost profit, international claims, and much more. Includes a variety of winning strategies, practice tips, and helpful checklists to minimize damages and maximize collectability.