Download or read book Understanding HMOs Made Easy written by A. B. Anup and published by A. B. Anup. This book was released on 2003 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first ever book written in plain English explaining various functions of HMOs. What they are and how to work? This book is a treat for anyone who deals with an HMO. It tells about so many functions of an HMO organization. The book covers topics ranging from Prior Authorization, Concurrent Review, Case Management, Quality Management, Appeals Process, Physician Credentialing, Pharmacy Benefits and many more. The best part of the book is that at each step the book explains your role in helping your HMO patients get the best quality care with minimal utilization of your resources - your time, nursing and clerical staff of your practice. It also tells how, as a physician, you can benefit financially. In short this great book tells all about HMOs that a new physician in practice must know. This book is even more important for those who will go into practice for the first time in the near future. Reading this book is almost as important as any other medical text to take the best care of your HMO patient. It will not only improve the quality of care you can get for your HMO patients but also will minimize headaches that may arise when dealing with an HMO. About the author: Dr. Anup is a prolific writer who has to his credit medical bestsellers like Arterial Blood Gas Analysis Made Easy, Medical Spanish Made Easy, ABG Card and non-medical books like Uncle Anup's bedtime Stories With A Moral, Corporate Warfare, Understanding Money in Business Made Easy and many more. Any book from Dr. Anup is a great pleasure to read, anytime.

Download or read book Medical Insurance Made Easy E Book written by Jill Brown and published by Elsevier Health Sciences. This book was released on 2013-08-07 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.

Download or read book The Castle Connolly Guide to the ABCs of HMOs written by John J. Connolly and published by Castle Connolly Medical. This book was released on 1997-01-01 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care HMOs, PPOs, POSs, & the whole alphabet of organizations that are changing the face of health care & affecting the care of millions of Americans are explained in a clear, easy-to-understand fashion from a consumer/patient perspective. This book is designed to guide the reader through the rapidly changing health delivery system known as managed care. It helps the reader choose the best plan for their needs & those of their family or, if enrolled in a plan selected by an employer, helps them use the plan well to obtain the best care. It explains the values, the incentives, the strengths & weaknesses of managed care. It explains coverages, costs & the ins & outs of "managing" managed care. Available through Independent Publishers Group.

Download or read book The Ultimate HMO Handbook written by Rhys W. Jones and published by M&T Books. This book was released on 1994-07 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Managed Care Beware written by Harvey M. Shapiro and published by . This book was released on 1997 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care is re-shaping medicine as we know it. Today, 60 million Americans receive their health care from HMOs. However, consumers learn to understand how to work with this system of health care coverage--knowing about its drawbacks as well as its advantages. Managed Care Beware offers five steps that will help HMO recipients get the most out of managed care.

Download or read book Insurance Made Easy written by Tony Steuer and published by Greenleaf Book Group. This book was released on 2017-08-17 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Insurance can be confusing and expensive, but it’s also necessary protection from risk. To alleviate that confusion, Tony Steuer has created a comprehensive guide to insurance—from how to calculate your ideal level of coverage to avoiding fraud—using the familiar metaphor of professional football. Your agents act as your coaching team, and each type of insurance is a player on your team, covering a different position. Let’s see who’s on the roster: ​• Auto insurance • Disability insurance • Health insurance, including Medicare • Homeowner’s/renter’s insurance • Life Insurance • Long-term-care insurance • Annuities Insurance coverage is a personalized product, based on a specific need to cover a risk. Don’t overpay for the wrong coverage. Draft the right players now with Insurance Made Easy.

Download or read book Home Based Business For Dummies written by Paul Edwards and published by John Wiley & Sons. This book was released on 2011-03-16 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thanks to the Internet, home-based businesses are booming. With a home computer and a good idea, you can market and sell almost anything in the world just from home. Whether you’re selling homemade jams or working as a business consultant, today’s entrepreneur doesn’t even have to leave home. Home-Based Business For Dummies, 2nd Edition will help you make your endeavor profitable and successful! Ideal for future entrepreneurs who have the urge and want the know-how, this updated guide includes new information on home business scams and how to avoid them, shows how to create an efficient, comfortable (but not too comfortable) work environment, explains how to put new technologies to work for you, and much more. There’s even a 10-question quiz to help you determine if you’re ready. You’ll learn all the basics, including: Selecting the right kind of business for you Setting up a home office Managing money, credit, and financing Marketing almost anything in the world Avoiding distractions at home Home-Based Business For Dummies, 2nd Edition was written by Paul and Sarah Edwards, award-winning authors who write a monthly column for Entrepreneur magazine, and Peter Economy, an author or coauthor For Dummies books on managing, consulting, and personal finance. In straightforward English, they show you how to: Stay connected to the business community, even when working from home Keep your work separate from your personal life Handle benefits, health insurance, and your retirement planning Make sure your bookkeeping is accurate and legal Use the Internet to bid for work, list your services in directories, network, and more Choose the technology and other resources you need Develop your own marketing and advertising strategies Navigate IRS rules for home-based businesses Home-Based Business For Dummies is packed with ideas and information that will help you get started right and help established, successful home-based business owners stay ahead of the pack. Use it well and this handy guide will be the most important reference in your home office.

Download or read book RENT TO RENT MADE EASY written by Dr. Daniel Moses and published by BookRix. This book was released on 2023-12-12 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: Qirstly! I would like to thank God almighty for giving me life, strength, the vision, and spirit to fight through the ups F and downs that I have been through and that have made me the person I am today. Without God, I would not be where I am right now. To the Lord, who, ever since I turned to You and put my trust in You, has given me a new strength that has made my life better. You have completely re-ordered my footsteps.

Download or read book Healthcare Made Easy written by Michelle Katz and published by Simon and Schuster. This book was released on 2014-11-07 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: An easy-to-understand guide to the Affordable Care Act! Written by ABC World News' Real Money expert and healthcare advocate Michelle Katz, Healthcare Made Easy is the ultimate resource for understanding and navigating the Affordable Care Act. Using simple and easy-to-follow language, she answers important questions about the ACA, such as: Are there any exemptions to buying insurance under the Affordable Care Act? What is the new "80/20 Rule"? And what exactly is the Early Retiree Reinsurance Program? What does the ACA mean for small businesses? What benefits must you offer and what are the tax breaks? What is covered for your children under the new CHIP laws? How can you get pharmaceutical companies to lower your prescription costs? With the expert advice in Healthcare Made Easy, you will learn how to get the most out of your healthcare plan without having to sacrifice your needs or empty your pockets. "Here is a guide, a map through the maze of healthcare decisions facing us all. Michelle has helped a lot of families. She is a champion of the consumer. A truly informed advocate." --Diane Sawyer "Michelle breaks down complicated laws and insurance regulations to make them understandable to everyone. She provides you with a road map to getting the best healthcare at the most affordable prices." --Tavis Smiley, Author, Television and Radio Host

Download or read book From the Bedside to the Hmo written by Dr. Robert Whiting and published by iUniverse. This book was released on 2009-03-13 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the story of how a young high school student, through a quirk of fate, begins walking down a path that leads him to become a rural family doctor in Montana. Having served a close-knit community for fifty years Dr. Robert Whiting recounts a story of a diphtheria outbreak, some interesting cancer outcomes, and several cases requiring difficult decision making. In this personal account, youll learn what the medical textbooks cant teach you: How changes in medicine have directly affected practitioners The bond a small-town doctor forges with his community Creative ways to dealing with ailments The effects of malpractice charges on the profession And much more! Youll also follow Dr. Whitinga sportsman, musician, and a husbandoutside the profession. Somehow, he manages all those roles as he successfully carries out his practice. Take a closer look into just how he did it, and learn how changes in medicine have affected practitioners in From the Bedside to the HMO: A Doctors Journey.

Download or read book Medicare HMO Regulation and Quality written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1997 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Services Research written by Eli Ginzberg and published by Harvard University Press. This book was released on 1991 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looks at the theory and practice of privatization internationally through case studies of the US, Canada, New Zealand, Great Britain, West Germany, France, Sweden and Chile. Among the sectors of health care examined are public and private hospitals, mental health care, prepaid health plans. and the multinational pharmaceutical industry. A report from the Foundation for Health Services Research. Commissioned essays by leading scholars provide an account of what health services research aims to do, what the breadth of the effort has been, and what the research has accomplished. Volume editor Ginzberg (director, Conservation of Human Resources, Columbia U.) introduces the subject with an overview of health services research and its relation to health policy and concludes with thoughts on future research needs. Annotation copyrighted by Book News, Inc., Portland, OR

Download or read book CDA and PDA Made Simple written by Bahaa-eddin M. Mazid and published by Cambridge Scholars Publishing. This book was released on 2014-11-24 with total page 435 pages. Available in PDF, EPUB and Kindle. Book excerpt: CDA and PDA Made Simple cuts many long stories short and encapsulates a long-standing tradition in modern and contemporary linguistics. The theoretical scope of the book encompasses a lengthy review of relevant studies in the area of critical discourse analysis (CDA), and, more broadly, in the areas of power, control, ideology and politics as realized and enacted in discourse. The book also brings together a detailed theoretical background on the main tenets and assumptions, tools and recipes, trends and extensions and critiques and applications of critical and political discourse analysis (PDA). Its analytical focus is predominantly on how ideology and power are linguistically and meta-linguistically realized, specifically through transitivity, modality, metadiscourse and presupposition in some discourse genres in English.

Download or read book Financial Literacy Money Matters Made Simple written by Arnold Richter and published by Arnold Richter. This book was released on 2024-04-26 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unlock Your Financial Potential with "Financial Literacy: Money Matters Made Simple" Are you a young adult eager to take control of your financial future? Look no further – this comprehensive guide is your roadmap to financial success! Packed with practical tips and actionable strategies, "Financial Literacy: Money Matters Made Simple" empowers you to navigate the complex world of personal finance with ease. Inside, you'll learn: Master the Basics: From budgeting and saving to managing debt and planning for retirement, you'll gain a solid understanding of essential financial principles that lay the foundation for a secure financial future. Stock Market Investing Demystified: Dive into the world of stock market investing and learn how to build wealth through strategic investment strategies. Discover the secrets to selecting winning stocks, maximizing returns, and minimizing risks. Day Trading Strategies for Beginners: Ready to dip your toes into day trading? Uncover proven day trading techniques and tactics that can help you capitalize on short-term market fluctuations and generate impressive returns. Unlock the Power of Dividend Investing: Explore the lucrative world of dividend investing and harness the power of passive income. Learn how to identify high-yield dividend stocks, build a diversified portfolio, and watch your wealth grow over time. Make Money Online: Looking for ways to supplement your income or escape the 9-to-5 grind? Explore a variety of online money-making opportunities, from freelance gigs to e-commerce ventures, and discover how to turn your passions into profits. Passive Income Strategies: Say goodbye to the traditional paycheck and hello to passive income streams! Explore a range of passive income strategies, including real estate investing, digital product creation, and more, and learn how to create multiple streams of income that work for you, even while you sleep. Whether you're a recent college graduate, a young professional, or simply someone eager to take control of their financial destiny, "Financial Literacy: Money Matters Made Simple" is your ultimate guide to achieving financial success. Get ready to unlock your financial potential and embark on the path to prosperity.

Download or read book Federal Register written by and published by . This book was released on 1985-01-09 with total page 1334 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Saunders Medical Office Management E Book written by Alice Anne Andress and published by Elsevier Health Sciences. This book was released on 2013-08-07 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: With proven techniques and professional insight, this one-of-a-kind resource is your complete guide to ensuring both effective patient care and sound business practices in the medical facility. From the front office to financial management, each detailed chapter addresses the interpersonal and administrative concerns you’ll face in the management of a medical office, accompanied by realistic forms, letters, and procedural policies that help you prepare for on-the-job success. This new edition keeps you up to date on emerging developments in billing and coding, documentation, ethical and legal issues, and technological advances to help you keep your medical office at the forefront of the competitive health care field. Manager’s Alert boxes detail measures to help you avoid complications and prevent potential emergencies. From the Expert’s Notebook boxes help you build daily decision-making skills with helpful tips, suggestions, and insights drawn from real-world practice. Exercises at the end of each chapter reinforce concepts and help you assess your understanding. Detailed appendices provide fast, easy access to commonly used abbreviations and symbols, Medicare information, helpful websites, and answers to the end-o-f-chapter exercises, as well as a sample procedure and policy manual to guide you in developing your own practices. Written Communication chapter helps you ensure proper communication and documentation in the health care facility. Updated content in the Medical Record chapter familiarizes you with the latest information on the electronic medical record. The updated Billing, Coding, and Collections chapter keeps you up to date with the latest coding and insurance forms (CMS 1500). Coverage of current legal and ethical issues and emerging technology in the medical office keep you apprised of recent developments.

Download or read book Administrative Law written by Steven J. Cann and published by SAGE Publications. This book was released on 2005-08-11 with total page 617 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this new edition, author Steven J. Cann once again enlivens the topic of United States administrative law through the use of recent and "classic" legal cases to make it accessible and interesting to students. Administrative Law, Fourth Edition is an engaging casebook that presents a unique problem-solving framework that contrasts democracy with the administrative state. This novel approach places the often complex subject matter of U.S. administrative law into a more comprehensible context. The Fourth Edition has been completely updated and revised and includes many new cases to reflect changes in the law since the year 2000. Each chapter begins with an interesting case that introduces key concepts followed by a summary of the principles, doctrines, and legal tests used by the courts in that area of administrative law. New cases in the Fourth Edition include: Norton v. Southern Utah Wilderness Alliance, 2004. President Bush′s Secretary of Interior made a decision to allow off-road vehicles in wilderness areas. Pennsylvania State Police v. Suders, 2004. This is the Supreme Court′s most recent sexual harassment case. Correctional Services Corporation v. Malesko, 2001. Correctional Services Corporation is a private company that contracts with the federal government to run halfway houses. An employee′s reckless disregard caused the plaintiff to have another heart attack. Whitman v. American Trucking Association, 2001. The case involves the EPA′s enforcement of the Clean Air Act and is the Supreme Court′s most recent delegation of power case. Administrative Law is an essential tool for those seeking to understand, or obliged to work within, its general principles. It is an excellent textbook for advanced undergraduate and graduate students studying administrative law in departments of political science and public administration.