Download or read book The Hospice Guide to Billing and Reimbursement written by Casey Fenton and published by . This book was released on 2016-07-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospice Guide to Billing and Reimbursement: Durable Guidance and Strategy for a Shifting Payment Landscape Casey Grimes Catherine Stapleton, MS The industrywide march toward standardized performance measurement and unified value-based payment structures requires hospice agencies to stay on top of CMS regulatory guidance. "The Hospice Guide to Billing and Reimbursement"is your comprehensive solution to implementing accurate, compliant, and competent billing practices at your organization. This book will help you provide the best training possible to your administrative staff and those who impact billing, increasing their competence and confidence about billing requirements and practices. It will equip providers with the broad frameworks and processes needed to develop billing systems and financial plans that meet CMS ever-sharper scrutiny. This book will help you understand: Regulators expectations surrounding billing and reimbursement for the Medicare hospice benefitRecent updates to payment terms, such as the introduction of the Service Intensity Add-on (SIA) and the two-tiered reimbursement structure for the provision of routine homecareWhat you need to do to prepare for the major changes still ahead (e.g., value-based purchasing models)How not to leave money on the table or be penalized unnecessarily Table of Contents: Today s Hospice Reimbursement and Billing Landscape at a GlanceOverview of the Medicare hospice benefitFoundations of hospice billing and reimbursementKey developments in recent yearsLarge-scale changes on the horizonLinking Hospice Philosophy, Care Practices and Outcomes, Operational Processes, and Received PaymentPromoting Ongoing Compliance With Long-Standing Components of Hospice Payment and BillingHonoring patient eligibility requirementsUnderstanding sequential billingDistributing Medicare coverage noticesCreating effective cost reportsResponding to additional development requests (ADR)Withstanding auditsAdapting Practices and Processes to Accommodate Recent, Industrywide Payment Rate and Process ChangesThe SIA and two-tiered RHC payment model introduced through 2016 rulemakingRecent adjustment to hospice caps calculation methodologyIntegrating the hospice PEPPER report (including recently updated coverage areas) into internal billing compliance initiativesAdhering to quality reporting expectations to avoid payment penaltiesPromoting timely filing of election notices and recertifications, as well as timely completion of face-to-face documentationCurbing high rates of recertification and revocationImplementing effective compliance strategies surrounding the launch of ICD-10 and general coding-related practices (including clinical documentation) that can influence paymentRecognizing and Readying Internal Systems for the Prospective Impact of Continuumwide Payment Reform InitiativesValue-based purchasingBundled paymentsAccountable care organizations (ACO)Implementing Enduring Billing Best Practices, Strategies, and Systems to Facilitate the Receipt of Deserved ReimbursementComplying with setting-specific guidelines, rules, and regulations, especially those governing hospitals, skilled nursing facilities, and assisted living facilitiesDeveloping effective initial and ongoing staff training"
Download or read book Hospice and Palliative Care Handbook written by T. M. Marrelli and published by SIGMA Theta Tau International. This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Download or read book Approaching Death written by Committee on Care at the End of Life and published by National Academies Press. This book was released on 1997-10-30 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
Download or read book The How to Guide to Home Health Billing written by Marylynne Maloney and published by Beacon Health, a Division of Blr. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Make sure home health billing staff is well trained Home health care billing is a complicated task. Make sure that you are receiving all the payment you've earned, with accurate, compliant, and competent billing practices. The How-to Guide for Home Health Billing is your comprehensive guide to the many complex elements involved., helping you to provide the best training possible to billing staff and those who impact billing. You'll increase competence and confidence about billing requirements and practices. This book will help you: * Provide effective training for all billing staff, whether new to billing, or new to the home care system; along with tips for other agency staff such as therapists and nurses, who impact the billing process, on collaborating to ensure billing accuracy. * Focus on red flag areas and understand the complicated relationship between billing and coding/OASIS assessments. * The guide will give you the practical "nuts and bolts" education and information you need by taking difficult concepts and explaining them in an easy to understand way. * This step-by-step guide to billing not only covers Medicare, but also Medicaid and commercial insurance billing.
Download or read book Medical Billing Coding For Dummies written by Karen Smiley and published by John Wiley & Sons. This book was released on 2019-12-05 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!
Download or read book I Love Jesus But I Want to Die written by Sarah J. Robinson and published by WaterBrook. This book was released on 2021-05-11 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: A compassionate, shame-free guide for your darkest days “A one-of-a-kind book . . . to read for yourself or give to a struggling friend or loved one without the fear that depression and suicidal thoughts will be minimized, medicalized or over-spiritualized.”—Kay Warren, cofounder of Saddleback Church What happens when loving Jesus doesn’t cure you of depression, anxiety, or suicidal thoughts? You might be crushed by shame over your mental illness, only to be told by well-meaning Christians to “choose joy” and “pray more.” So you beg God to take away the pain, but nothing eases the ache inside. As darkness lingers and color drains from your world, you’re left wondering if God has abandoned you. You just want a way out. But there’s hope. In I Love Jesus, But I Want to Die, Sarah J. Robinson offers a healthy, practical, and shame-free guide for Christians struggling with mental illness. With unflinching honesty, Sarah shares her story of battling depression and fighting to stay alive despite toxic theology that made her afraid to seek help outside the church. Pairing her own story with scriptural insights, mental health research, and simple practices, Sarah helps you reconnect with the God who is present in our deepest anguish and discover that you are worth everything it takes to get better. Beautifully written and full of hard-won wisdom, I Love Jesus, But I Want to Die offers a path toward a rich, hope-filled life in Christ, even when healing doesn’t look like what you expect.
Download or read book A Practical Guide to Palliative Care written by Jerry L. Old and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed for easy use at the bedside, this manual contains the practical information health care professionals need to provide optimal end-of-life care. The book presents a multidimensional, holistic approach to assessment and management of the physical, psychological, social, and spiritual needs of the patient and family. Topics covered include cultural diversity in end-of-life care; communicating with patients and families; predicting life expectancy; terminal care; non-pain symptom management; pain control; palliative interventions; pediatric palliative care; record keeping; and ethics. The succinct, user-friendly presentation features bullet points and numerous quick-reference tables. Each chapter includes an "In a Nutshell" summary of key points.
Download or read book The Long term Care Director of Nursing Field Guide written by Hcpro and published by . This book was released on 2008-01-01 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Packed with essential and easy-to-use materials, this bookcovers issues such as quality assurance, finance and budgeting, reimbursement, and staffing concerns in simple, easy-to understand terms.
Download or read book Continuous Ambulatory Peritoneal Dialysis written by G.R. Catto and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: For more than a generation haemodialysis has been the principal method of treating patients with both acute and chronic renal failure. Initially, developments and improvements in the system were highly technical and relevant to only a relatively small number of specialists in nephrology. More recently, as advances in therapy have dem onstrated the value of haemofiltration in the intensive therapy unit and haemoperfusion for certain types of poisoning, the basic principles of haemodialysis have been perceived as important in many areas of clinical practice. In this volume, the potential advantages of bicarbonate haemo dialysis are objectively assessed, the technical and clinical aspects of both haemofiltration and haemoperfusion discussed and the con tinuing problems associated with such extra corporeal circuits analysed. All the chapters have been written by recognized experts in their field. The increasing availability of highly technical facilities for appropriately selected patients should ensure that the information contained in the book is relevant not only to nephrologists but to all practising clinicians. ABOUT THE EDITOR Dr Graeme R. D. Catto is Professor in Medicine and Therapeutics at the University of Aberdeen and Honorary Consultant Phy sician/Nephrologist to the Grampian Health Board. His current inter est in transplant immunology was stimulated as a Harkness Fellow at Harvard Medical School and the Peter Bent Brighton Hospital, Boston, USA. He is a member of many medical societies including the Association of Physicians of Great Britain and Ireland, the Renal Association and the Transplantation Society.
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 Music Therapy Reimbursement written by Judy Simpson and published by . This book was released on 2004 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: The profession of music therapy is receiving more and more recognition as an effective intervention in a variety of healthcare settings. Given this increased attention, the question of how to fund music therapy services also is being asked more frequently by many key decision makers. Discovering potential ways to "reimburse" or "cover" music therapy services through public and private third party payment systems has become a critical component to the business of music therapy. In order for music therapists to be successful in their practices, they must demonstrate competency regarding the current healthcare market, the insurance industry, and where music therapy fits within this environment. This book is designed to provide music therapists and related professionals with a basic understanding of the reimbursement process. Students, clinicians, and educators will find this resource helpful as they explore opportunities in healthcare funding. In addition to providing valuable resources and outlining specific guidelines, this book also includes the results of surveys and interviews with member music therapists reporting the successes with third party payment. Clinicians also will find marketing tools, sample forms, and coding information as practical supports to implementing the reimbursement process in their own practices.
Download or read book Home Health Pocket Guide to Oasis C Revised Edition written by Melinda A. Gaboury and published by Beacon Health, a Division of Blr. This book was released on 2009-12-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Home Health Pocket Guide to OASIS-C: A Reference for Field Staff, Revised Edition Melinda A. Gaboury This handy resource puts all the critical, need-to-know information about OASIS-C completion and documentation at your fingertips. Conveniently sized, yet detailed, it offers concise advice to comply with the revisions that go into effect in January. This pocket guide delivers step-by-step instruction and details on this major overhaul to the data set. Save time with an item-by-item breakdown of OASIS-C Learn how it affects payment and outcomes Gain confidence from detailed instruction Ease the burden of OASIS, strengthen your supporting documentation, and get proper payment
Download or read book DC 0 5 written by and published by . This book was released on 2016-11-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book When Children Die written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-09 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: The death of a child is a special sorrow. No matter the circumstances, a child's death is a life-altering experience. Except for the child who dies suddenly and without forewarning, physicians, nurses, and other medical personnel usually play a central role in the lives of children who die and their families. At best, these professionals will exemplify "medicine with a heart." At worst, families' encounters with the health care system will leave them with enduring painful memories, anger, and regrets. When Children Die examines what we know about the needs of these children and their families, the extent to which such needs areâ€"and are notâ€"being met, and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving child patients in treatment decisions, communicating with parents, strengthening the organization and delivery of services, developing support programs for bereaved families, improving public and private insurance, training health professionals, and more. It argues that taking these steps will improve the care of children who survive as well as those who do notâ€"and will likewise help all families who suffer with their seriously ill or injured child. Featuring illustrative case histories, the book discusses patterns of childhood death and explores the basic elements of physical, emotional, spiritual, and practical care for children and families experiencing a child's life-threatening illness or injury.
Download or read book Medicaid Eligibility Quality Control written by United States. Social and Rehabilitation Service and published by . This book was released on 1975 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book CPT Professional 2022 written by American Medical Association and published by . This book was released on 2021-09-17 with total page 1200 pages. Available in PDF, EPUB and Kindle. Book excerpt: CPT(R) 2022 Professional Edition is the definitive AMA-authored resource to help healthcare professionals correctly report and bill medical procedures and services.
