Download or read book The Preferred Provider s Handbook written by William L. Poynter and published by Routledge. This book was released on 2013-10-28 with total page 185 pages. Available in PDF, EPUB and Kindle. Book excerpt: First published in 1994. A revolution has been taking place in behavioral health financing, and only those practitioners who know how to successfully market themselves to managed care organizations are likely to maintain their hold in this rapidly changing system. Realistic, clear, insightful and highly practical, The Preferred Provider's Handbook will help therapists to understand the managed care marketplace and to develop the strategies necessary to meet its many challenges. You will learn how to: Get accepted on preferred provider lists of managed care organizations (M.C.O.s); Generate patient referrals once you are accepted onto a panel of preferred providers; Retain active referral status over the long term; Zero in on the higher quality networks that produce higher income and have minimal legal risk; Break into closed provider lists-one of the most difficult but important tasks. The Handbook clearly sets forth the basics of managed care with the aim of helping psycho­ therapists gain an understanding and acceptance of this new system. The volume addresses strategic marketing, whereby therapists can select and pursue those managed care organizations best suited to their needs; provides tools for designing and implementing a marketing plan; and gives a framework for understanding and making profitable use of future trends-in a profes­ sional and ethical manner. Of particular value is a chapter discussing marketing implications for behavioral health arising from the Clinton administration's new "managed competition" plans. Armed with specific information on how to fill out an M.C.O. application, how to analyze a contract, which specialties are most desirable and which should be avoided, how to network, and much, much more, you will be well on your way to professional success. This is an essential resource for all practitioners in the managed care marketplace.

Download or read book Mental Health Providers Guide To Managed Care written by Leonard Reich and published by W. W. Norton & Company. This book was released on 2006 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: For both patients and providers, the words managed care are loaded with negative connotations, synonymous with inefficiency and bureaucracy. Forced to perform a delicate balancing act of offering the best possible care for their clients while carefully adhering to various managed care policies and procedures, providers in particular often wince at the prospect of having to deal with managed care companies, or MCOs. Fearing burdensome paperwork, low reimbursement rates, and denials of care, it's not surprising that a number of mental health professionals choose to limit their involvement with managed care companies-or eliminate it altogether. "My clients are all on different health plans; how can I keep the policies straight?" "Getting services approved is so time-consuming that I'm better off accepting only self-paying clients, aren't I?" "Do the benefits of working with MCOs really outweigh the drawbacks?" The answer, according to two industry insiders, is yes. If you know how to work with the system, the system can work for you. Mental Health Provider's Guide to Managed Care is the first handbook of its kind to offer clinicians a window into the inner-workings of MCOs. Authors Reich and Kolbasovsky candidly draw on their combined 37 years experience in the field to walk readers through all the major elements of how to successfully work within the system: marketing yourself and your practice to an MCO, getting onto a MCO's network, maintaining a good relationship and communicating with MCOs for quick service approval, reducing your liability, understanding your rights and responsibilities, getting paid, and more. Every issue—big and small—is covered, from capitation versus fee-for-service payment arrangements to evaluating which MCOs are a good fit to join, and everything in between. After explaining how to work with the system, the authors reveal how to put the system to work for you. Tips for building your practice through referrals, generating business through doctor collaboration, and understanding future practice opportunities are all covered.By demystifying the complexities of managed care and offering a unique, inside view of the process, this book mitigates the negative connotations associated with MCOs and exposes the hidden benefits of a seemingly burdensome process. Exceedingly reader-friendly and packed with insightful tips and vignettes, Mental Health Provider's Guide to Managed Care is one clinician's guide you won't want to be without.

Download or read book The Medicare Handbook written by and published by . This book was released on 1988 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Member Health Care Guide written by and published by . This book was released on 2001 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Handbook of Healthcare System Scheduling written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2011-11-25 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

Download or read book The Complete Idiot s Guide to Buying Insurance and Annuities written by Brian Breuel and published by Penguin. This book was released on 1996 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduces the principles of purchasing insurance against anticipated risks, and discusses life, diasability, and health insurance, annuities, and property and casualty insurance

Download or read book A Guide to Supply Chain Management written by Alexandre Oliveira and published by FT Press. This book was released on 2014-07-23 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managing supply networks for innovation and competitive advantage: Concepts, models, roadmaps, and more Capture, organize, and fully utilize your #1 supply chain resource: knowledge Systematically improve strategic, tactical, and operational decision-making Improve your capabilities for managing and competing on supply networks Best-practice supply chain management transcends yesterday's functional silos. Today, it requires a comprehensive approach that recognizes supply networksas the core driver of business value. To maximize and sustain value creation in fast-changing supply networks, practitioners must properly address an even deeper issue: knowledge. In A Guide to Supply Chain Management, two pioneers in global supply chain operations explain why knowledge management is so critical to supply chain success. This comprehensive introductory guide offers powerful blueprints and models for managing both knowledge and risk in your own rapidly evolving environment. Using the new approaches described here, supply chain decision-makers can systematically achieve far higher levels of effective innovation. This innovation will help you create a ground-breaking cost-benefit environment: one that encompasses partners and alliances to establish sustainable competitive leadership. The book discusses models such as the Forrester ́s Effect, the Efficient Supply Chain, Vendor managed inventory (VMI), Lean supply chain, Sales and operations planning (S&OP), Continuous replenishment program (CRP), the Agile supply chain, Efficient consumer response (ECR), Collaborative planning, forecasting and replenishment (CPFR), Responsive supply chain, Bullwhip effect, Leagile supply chain, Supply chain risk management, Integrated Business Planning (IBP), Resilient supply chain, Customer driven supply chain, Demand driven supply chain, Business Case, Adaptive supply chain, and the wise supply chain.

Download or read book Enrollment Information Guide and Plan Comparison Chart for Individuals Eligible for Temporary Continuation of Coverage and Former Spouses who are Eligible to Enroll Under the Spouse Equity Law Or Similar Statutes written by and published by . This book was released on 1992 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Physical Therapist s Guide to Health Care written by Kathleen A. Curtis and published by SLACK Incorporated. This book was released on 1999 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Physical Therapist's Guide to Health Care is the simple, clear approach to understanding health care in today's changing environment. This book provides a strategy based approach to help physical therapists successfully manage change and meet the challenges of clinical practice in common practice settings. This essential text includes an introduction to health care that covers the basics of health care financing, health care reimbursement systems, cost containment strategies and referral services. Important issues covered in this book include trends in acute, subacute, home health care practice, outcomes management and prevention. Chapters include information on health care reimbursement systems and cost containment strategies, time and caseload management, documentation requirements, quality management in physical therapy, and the role of the physical therapist in prevention and wellness. Check out our new website dedicated to The Physical Therapist's Guide to Health Care. This innovative new website presents valuable up-to-date information as it becomes available. You can visit the site at ptguide.slackinc.com Dr. Kathleen A. Curtis is the winner of the “President’s Award of Excellence” for 2005 at California State University, Fresno

Download or read book FEHB Guide for CSRS FERS Annuitants written by and published by . This book was released on 1994 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Guide to Federal Employees Health Benefits Plans for Certain Temporary Employees written by and published by . This book was released on 2003 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Guide to Federal Employees Health Benefits Plans for Federal Civilian Employees written by and published by . This book was released on 2005 with total page 84 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Mandated Benefits Compliance Guide written by The Wagner Law Group and published by Wolters Kluwer Law & Business. This book was released on 2021-12-10 with total page 1534 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mandated Benefits 2022 Compliance Guide is a comprehensive and practical reference manual that covers key federal regulatory issues which must be addressed by human resources managers, benefits specialists, and company executives in all industries. This comprehensive and practical guide clearly and concisely describes the essential requirements and administrative processes necessary to comply with employment and benefits-related regulations.

Download or read book Mandated Benefits Compliance Guide 2015 written by Balser Group and published by Wolters Kluwer. This book was released on 2014-12-01 with total page 1342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mandated Benefits 2015 Compliance Guide is a comprehensive and practical reference manual covering key federal regulatory issues that must be addressed by human resources managers, benefits specialists, and company executives in all industries. Mandated Benefits 2015 Compliance Guide includes in-depth coverage of these and other major federal regulations: Patient Protection and Affordable Care Act (PPACA) Health Information Technology for Economic and Clinical Health (HITECH) Act Mental Health Parity and Addiction Equity Act (MHPAEA) Genetic Information Nondiscrimination Act (GINA) Americans with Disabilities Act (ADA) Employee Retirement Income Security Act (ERISA) Health Insurance Portability and Accountability Act (HIPAA) Heroes Earnings Assistance and Relief Tax Act (HEART Act) Consolidated Omnibus Budget Reconciliation Act (COBRA) Mandated Benefits 2015 Compliance Guide helps take the guesswork out of managing employee benefits and human resources by clearly and concisely describing the essential requirements and administrative processes necessary to comply with each regulation. It offers suggestions for protecting employers against the most common litigation threats and recommendations for handling various types of employee problems. Throughout the Guide are numerous exhibits, useful checklists and forms, and do's and don'ts. A list of HR audit questions at the beginning of each chapter serves as an aid in evaluating your company's level of regulatory compliance. Mandated Benefits 2015 Compliance Guide has been updated to include: The Dodd Frank Act, creating an ethics training program, and practices and trends Information on payroll cards and Federal Insurance Contributions Act (FICA) tip credit New regulations and guidelines for health care reform as mandated by the Patient Protection and Affordable Care Act (PPACA) Updated requirements for certificates of creditable coverage; excepted benefits under the Health Insurance Portability and Accountability Act (HIPAA); and transaction standards The revised model general and election notices as required under PPACA Qualified Longevity Annuity Contracts and definition of spouse per the Supreme Court ruling in United States v. Windsor and updates to the Pension Benefit Guaranty Corporation's required premiums The payment of long-term disability insurance by qualified retirement plans PPACA's effect on health reimbursement arrangements; new information on the proposed $500 carryover of unused funds in health flexible spending arrangements (FSAs) and PPACA's effect on health FSAs; new material on the effect of amendments to HIPAA's excepted benefit rules on Employee Assistance Programs; and revised information on providing employee benefits to legally married same-sex couples based on the Supreme Court's decision in United States v. Windsor and the decision's effect on cafeteria plan mid-year election changes New sections on "no-fault" attendance policies and pregnancy and the Americans with Disabilities Act Information on the definition of spouse based on the Supreme Court ruling in United States v. Windsor New material on the proposed Equal Pay Report

Download or read book The Caregiver s Guide to Stroke Recovery written by Lucille Jorgensen RN and published by Sourcebooks, Inc.. This book was released on 2021-08-24 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how to care for a loved one after a stroke, and care for yourself, too A stroke changes the life of more than just the survivor. Becoming a caregiver for a stroke patient means increased responsibilities, hard decisions, and new emotional stresses—especially when the patient is a loved one. This stroke recovery book will help you through these challenging times with knowledge, compassionate guidance, and reaffirming stroke rehabilitation anecdotes. Topics such as medications and treatments, financial and legal decisions, and work-life balance are also covered, as well as: Understanding stroke—Discover the signs and symptoms of a stroke, explained in layperson's terms, as well as the steps to prevent a stroke from occurring. Care and recovery—Find helpful advice to restore the best health and function possible and be an advocate for a stroke patient with doctors and their support team. Caring for yourself—Uncover practical tips, guidance, and resources for supporting a caregiver's mental and physical health, which are just as important to patient recovery. Ease the challenges on your shared path to healing through The Caregiver's Guide to Stroke Recovery.

Download or read book Handbook of Quality Assurance in Mental Health written by Alex R. Rodriguez and published by Springer Science & Business Media. This book was released on 2013-11-09 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: professional-standards-review organizations (PSRO) in defining quality of care for the Medicare program; it is a "shared responsibility of health professionals and government to provide a reasonable basis for confidence that action will be taken, both to assess whether services meet professionally recognized standards and to correct any deficiencies that may be found" (p. 14). Similar pronouncements have been made for the quality assurance activities of the Department of Defense's CHAMPUS program and of the 1980s successor to the PSROs, the federally designated peer-review organizations (PROs), established to ensure quality and utilization-efficient care for Medicare. Links between the federal and state gov ernments and between professional associations and private review entities have been developed to make this "shared responsibility" manifest in the delivery and reimbursement of health services. This responsibility is seen in light of both pro fessional and legal accountability, a view noted by Gibson and Singhas (1978) and Alger (1980). Accountability, then, becomes a concentric concept that elaborates on the pure view of quality and reflects the federal government's consumer protection activities during the 1970s. The Joint Commission on Accreditation of Hospitals (JCAH), which has pro vided another primary historical leadership role in defining quality assurance, has promoted the evolution of the concept of resource limitations as a part of the defini tion of quality assurance.

Download or read book Mandated Benefits 2017 Compliance Guide written by The Balser Group and published by Wolters Kluwer. This book was released on 2016-12-21 with total page 1398 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mandated Benefits 2017 Compliance Guide is a comprehensive and practical reference manual covering key federal regulatory issues that must be addressed by human resources managers, benefits specialists, and company executives in all industries. This comprehensive and practical guide clearly and concisely describes the essential requirements and administrative processes necessary to comply with all benefits-related regulations. It covers key federal regulatory issues that must be addressed by human resources managers, benefits specialists, and company executives across all industries. Mandated Benefits 2017 Compliance Guide includes in-depth coverage of these and other major federal regulations: PPACA: Patient Protection and Affordable Care Act HIPAA: Health Insurance Portability and Accountability Act Wellness Programs: ADA and GINA regulations FLSA: final rule on white collar exemptions Mental Health Parity Act Executive Order 13706: Paid Sick Leave for Federal Contractors AAPs: proposed and final rules Pay Transparency Act Mandated Benefits 2017 Compliance Guide helps take the guesswork out of managing employee benefits and human resources by clearly and concisely describing the essential requirements and administrative processes necessary to comply with each regulation. It offers suggestions for protecting employers against the most common litigation threats and recommendations for handling various types of employee problems. Throughout the Guide are numerous exhibits, useful checklists and forms, and do's and don'ts. A list of HR audit questions at the beginning of each chapter serves as an aid in evaluating your company's level of regulatory compliance. In addition, Mandated Benefits 2017 Compliance Guide provides the latest information on: Retirement Savings Plans and Pensions Pay Practices and Administration Life and Disability Insurance Family and Medical Leave Workplace Health and Safety Substance Abuse in the Workplace Recordkeeping Work/Life Balance Managing the Welfare Benefits Package And much more!