Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.
Navigate 2 Advantage Access For Health Care Finance And The Mechanics Of Insurance And Reimbursement Is A Digital-Only Access Code That Unlocks A Comprehensive And Interactive Ebook, Student Practice Activities And Assessments, A Full Suite ...
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Mastering Patient Flow. ... Mastering the Reimbursement Process, 3rd ed. ... Pine, CO: KSR Publishing, Inc. Woodcock, E. Payment Posting The Check is in Your BankAccount— or Is It? In Shands HealthCare. 2002.
This undergraduate nursing text distills these challenging topics into an engaging, easy-to-read format that facilitates ready application into any practice setting.
(Austin and Hungerford 2009) We can see that the healthcare market has numerous characteristics that deviate from an open competitive market. For example, the healthcare market is distorted by a lack of information on the part of ...
The Student Edition is applicable to all health care settings including acute care hospital to hospice, and long term care.
Written in clear and accessible language, this text offers an historical overview of managed care before walking the reader through the organizational structures, concepts, and practices of the health insurance and managed care industry.
The sixth edition of Principles of Healthcare Reimbursement gives educators, students, and healthcare professionals comprehensive, up-to-date information on healthcare reimbursement systems, and the impact each system has on the entire US ...
With a focus on basic accounting in health care management, this essential book contains the vocabulary of and an introduction to the tools and concepts employed by finance officers.
If improving ROE is our goal, it is important to understand the underlying performance relationships that impact that growth. ROE is simply defined as follows: Net Income ROE Equity (or Net Assets) = However, ROE can be factored into a ...