Download or read book Guide to State Medicaid Managed Care Laws written by Jane M. Anderson and published by Jones & Bartlett Learning. This book was released on 1996-12 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Guide to State Medicaid Managed Care Laws and Rules written by Jane M. Anderson and published by Jones & Bartlett Learning. This book was released on 1999 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition reveals the current legislative and regulatory climate regarding Medicaid in every state, including federal waivers applied for and granted. It's the most complete and current information available on how you can maintain or increase your number of covered lives. In one easy-to-use guide you get specific details of each state's Medicaid laws and rules, including: * choice of physician, * provider reimbursement, * benefits packages, * quality assurance, * utilization management, and * names of contacts at state agencies, Best of all, you'll get the details on contracting with each state, as specified by the state Medicaid office itself. You'll also get hard-to-find answers to critical questions such as: * Which states allow Medicaid patients to choose their own physicians? * How do Medicaid provider reimbursement to choose their own physicians? * What are the rules on provider network development in states where you want to do business? Get the answer to these questions and many more in Guide to State Medicaid Managed Care Laws and Rules: 1999 Edition.
Download or read book Managed Care Contracting written by William A. Garofalo and published by Jossey-Bass. This book was released on 1999-01-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today's heath care marketplace is highly competitive, requiring managed care providers to contract with dozens of insurers to survive. Each of these contracts comes with their its unique terms and conditions-making the contracting process overwhelmingly complex and giving many health care executives major headaches. Written by three of the country's leading health care consultants and attorneys, Managed Care Contracting is the first book to offer executives with no legal background practical, step-by-step advice on how to create winning contracts between health care organizations, payers, and employers. In straightforward language, free of legalese and jargon, this much-needed resource demystifies managed care contracting and prescribes some critical advice for hospital and physician group practice executives. The authors present helpful guidelines for evaluating the various types of managed care contracts and explain the most significant terms and concepts executives are likely to encounter. A treasure trove of information for health care executives no matter what their experience level, Managed Care Contracting Examines how to develop a contracting strategy Reviews the fundamentals of negotiating the contract Frames the key steps in the contracting process Provides a managed care contract negotiations checklist Dissects sample hospital and physician contracts Analyzes the contract risk factors by the type of payment explores the implications of changing financial incentives Outlines the most up-to-date information in the regulatory environment Includes illustrative examples and helpful tables and chartsFor health care executives who are just beginning the complex contracting process and for the more experienced who require the most current information on the topic, Managed Care Contracting provides the knowledge and tools they need to succeed. "Managed Care Contracting is a very timely
Download or read book Nurse Practitioner s Business Practice and Legal Guide written by Carolyn Buppert and published by Jones & Bartlett Publishers. This book was released on 2008-03-03 with total page 541 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse Practitioner’s Business Practice and Legal Guide, Third Edition lays a solid foundation of knowledge upon which students can build their practice confidently and effectively, whether it be in developing an employment relationship, undertaking a business venture, giving testimony before the state legislature, composing a letter to an insurance company about an unpaid bill, teaching at a school of nursing, or serving as president of a state or national organization. The Third Edition of this best-seller is newly revised and updated to include topics such as: • How to write an effective business plan using the most up-to-date informationand planning strategies • How to avoid malpractice and other lawsuits • How to effectively negotiate managed care contracts • What must take place for NPs to become primary care providers • What decisions need to be made before starting a practice • State-by-state laws completely updated! • New section on the NP Portfolio - What is it? - What goes in it? - Why is it necessary?
Download or read book Physicians Guide to Managed Care written by James R. Lyle and published by Healthcare Consultants Incorporated. This book was released on 1996 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses various types of managed care organizations including physician organizations (PO), physician-hospital organizations (PHO), preferred provider organizations (PPO), management services organizations (MSO), and health maintenance organizations (HMO).
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:
Download or read book State by State Guide to Managed Care Law 2008 Edition written by John F. Buckley, IV and published by Aspen Publishers. This book was released on 2007-12-04 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: State by State Guide to Managed Care Law simplifies and expedites your research by giving you immediate access to key court decisions, state managed care policies and practices, and extensive citations to codes and regulations - for all 50 states. Identify your issue in the index and turn to the page indicated. You'll find current, authoritative information that can help you to: Evaluate baseline quality standards Determine when managed care enrollees have access to providers Establish guidelines for collection and disclosure of financial information Arm yourself to tackle the complicated issue of prescription drugs Ensure that the managed care organization recognizes patients' and providers' due process rights
Download or read book A Case Manager s Study Guide written by Denise Fattorusso and published by Jones & Bartlett Learning. This book was released on 2003 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Case Manager's Study Guide: Preparing for Certification is the most comprehensive, print & electronic combination study guide for case management certification available on the market. It is designed specifically for study for the largest & most well-respected exam - the Certified Case Manager Exam (CCM). This study guide is organized to help you focus on the areas recommended for study by the certification board. The pre-test in the study guide helps you assess what areas of the text you should focus on most. More than 600 questions throughout the study guide are written in the formats favored by the CCM. Interactive CD-ROM software makes it easier, faster & more fun to study & learn. The software automatically scores your practice tests overall & by subject areas so you can assess your strengths & weaknesses; allows you to simulate the real test by taking timed tests; instantly provides the answers & explanatory text to the questions you missed; allows you to take as many practice exams as you want, with questions selected randomly by the software.
Download or read book State by State Laws and Regulations on Workers Compensation Managed Care written by Jane M. Anderson and published by Jones & Bartlett Learning. This book was released on 1999 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the implementation of workers' compensation managed care programs spreads, the volume of state rules and regulations for the industry multiplies as well. And as you know, keeping track of the various iterations is an extremely difficult task. The future holds more regulation, not less. You need a resource that allows you to quickly scan summaries of the latest laws and regulations in each state to easily identify opportunities around the country to expand you business. State-by-State Laws and Regulations on Workers' Compensation Managed Care covers all the rules on every aspect of workers' compensation, including choice of physicians ... utilization review ... provider reimbursement ... cost containment dispute resolution ... 24-hour care ... and much more. Completely updated to include numerous new laws passed since the last edition was published, the 1999 Edition helps you: identify states with favorable -- or unfavorable conditions for expanding your business -- watch out for changes in what you can, can't and must do in states where you already do business -- know in advance which products and programs can -- and can't -- succeed in states where you plan to do business. Don't miss out of profit opportunities -- or run afoul of the law -- just because you don't know the rules.
Download or read book Managing the Risks of Managed Care written by Barbara J. Youngberg and published by Jones & Bartlett Learning. This book was released on 1995 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: The dominance of managed care is spreading quickly and risk managers are suddenly faced with major new challenges. With Managing the Risks of Managed Care, the risk manager will learn about risk management challenges in an integrated delivery system. The book also presents expert analysis on issues like contracting, peer review, ethical dilemmas, antitrust and more.
Download or read book The Physician Assistant s Business Practice and Legal Guide written by Michele Roth-Kauffman and published by Jones & Bartlett Learning. This book was released on 2006 with total page 574 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is offered as a medical legal resource of the physician assistant profession. It is intended for use through all phases of the professional development of the physician assistant, from the high school student sorting through options in career choices, to physician assistant students, practicing physician assistants and supervisory physicians, or those who are considering practicing with a physician assistant. The history and development of the profession is reviewed, allowing an understanding of the role the physician assistant plays in the healthcare team approach to patient care. The scope of practice is defined, along with the key collaboration between the physician assistant and the supervising physician. Regulatory requirements are delineated by state, including basic requirements and maintenance of licensure and certification.
Download or read book Managed Care Technical Assistance Series written by and published by . This book was released on 1997 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Nurse Practitioner s Business Practice and Legal Guide written by Buppert and published by Jones & Bartlett Learning. This book was released on 2017-03-08 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse Practitioner’s Business Practice and Legal Guide, Sixth Edition is a must-have resource for every new or current nurse practitioner (NP) that explains and analyzes the legal issues relevant to nurse practitioners. Completely updated and revised, it includes a new chapter on answering frequently asked questions from NPs. In addition, it provides the latest state-by-state laws, including regulatory developments and prosecutions of nurse practitioners, and new case analysis and lessons learned from those cases. The Sixth Edition also provides new discussions of NP competencies, how the Doctor of Nursing Practice (DNP) degree relates to NPs, the differences in primary care and acute care NPs, definitions of medical bio-ethics terminology, additional malpractice cases and the lessons to learn from them, emerging issues in health policy, guidelines around prescribing opioids and controlled drugs, clinical performance measures, electronic health records, and new opportunities for NPs u
Download or read book Medicare Self referral Laws written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 2000 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Research Activities written by and published by . This book was released on 1996 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Reform written by United States. Congress. Senate. Committee on the Judiciary. Subcommittee on Antitrust, Monopolies, and Business Rights and published by . This book was released on 1994 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book A Pediatrician s Guide to Managed Care written by Richard P. Nelson and published by . This book was released on 2001 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: The recent, rapid growth of HMOs, PPOs, and other managed care systems makes it imperative that physicians stay abreast of current issues and policies as this health care delivery model becomes more dominant. This 2001 edition contains new and updated information to assist the pediatrician in understanding how managed care works, how it impacts the pediatrics practice, and how to develop a strategic approach to managed care that is consistent with the physician's own professional goals.
