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Health Care Finance and the Mechanics of Insurance and Reimbursement

Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. Harrington
Publisher: Jones & Bartlett Learning
Total Pages: 344
Release: 2019-10-01
Genre: Medical
ISBN: 1284169030

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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.


Health Care Finance and the Mechanics of Insurance and Reimbursement

Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. Harrington
Publisher: Jones & Bartlett Learning
Total Pages: 344
Release: 2019-10-01
Genre: Medical
ISBN: 1284203298

Download Health Care Finance and the Mechanics of Insurance and Reimbursement Book in PDF, ePub and Kindle

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.


Health Care Finance and the Mechanics of Insurance and Reimbursement

Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. Harrington
Publisher: Jones & Bartlett Publishers
Total Pages: 370
Release: 2015-02-27
Genre: Business & Economics
ISBN: 1284026159

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This book addresses the methods and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing. With up-to-date coverage of the Affordable Care Act, this text will prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. Some of the topics covered include: claims processing; the Affordable Care Act; Medicare Prospective Payment System (Inpatient); Medicare Outpatient Prospective Payment Systems (Non-Inpatient); coding for the non-HIM professional; revenue cycle management; healthcare fraud and abuse; electronic health records and meaningful use; government incentive programs; recovery audit contractors student & instructor resources. --


Essentials of Health Care Finance

Essentials of Health Care Finance
Author: William O. Cleverley
Publisher: Jones & Bartlett Learning
Total Pages: 586
Release: 2023-12-11
Genre: Medical
ISBN: 1284260844

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Blending the topics of both accounting and finance, Essentials of Health Care Finance is a relevant, readable, and easily applied resource for health care management students and executives that explores finance theory and its practical application in health care across a full range of facilities, from hospitals, home health agencies, and skilled nursing facilities to surgical centers, physician practices, and integrated health systems. Carefully revised, the Ninth Edition of Essentials of Health Care Finance has been updated with additional reflection, examples, and application so that individuals with no healthcare experience can benefit from additional elaboration on key concepts such as physician practice management, flex budgeting, and strategic financial planning. The Ninth Edition also explores trends in national health expenditures and physician organizations and alignment; changes in health services financing and utilization since the enactment of the Affordable Care Act (ACA)


Navigate 2 Advantage Access for Health Care Finance and the Mechanics of Insurance and Reimbursement

Navigate 2 Advantage Access for Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. Harrington
Publisher:
Total Pages: 347
Release: 2015-06-01
Genre: Medical
ISBN: 9781284034929

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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 Of Instructor Resources, And Learning Analytics Reporting System. Navigate 2 Is Nearly Here. In The Meantime, We Invite You To Redeem Your Access Code And Join Our Lounge. Once Your Navigate 2 Advantage Access Is Live, We Will Notify You Via Email. This Navigate 2 Digital-Only Package For Health Care Finance And The Mechanics Of Insurance And Reimbursement Offers The Following: •Learn: A Complete Ebook With Interactive Tools •Practice: A Virtual Study Center With Robust Practice Activities And Flashcards •Assess: A Homework And Testing Assessment Center With Prepopulated Quizzes And Examinations •Analyze: Dashboards With Learner And Educator Views That Reports Actionable Data Learn More About Navigate 2 At Http: //Www.Jblnavigate.Com/2


Consumer-Driven Health Care

Consumer-Driven Health Care
Author: Regina E. Herzlinger
Publisher: John Wiley & Sons
Total Pages: 930
Release: 2004-03-22
Genre: Medical
ISBN: 9780787972165

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Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. With additionalcontributions by health care's leading strategists,innovators, regulators and scholars, Consumer-Driven HealthCare presents a compelling vision of a health care system builtto satisfy the people it serves. This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare (CDHC) in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized drugs and devices; and government roles.


Health Insurance and Managed Care

Health Insurance and Managed Care
Author: Peter R. Kongstvedt
Publisher: Jones & Bartlett Learning
Total Pages: 355
Release: 2019-02-14
Genre: Medical
ISBN: 128415209X

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Health Insurance and Managed Care: What They Are and How They Work is a concise introduction to the workings of health insurance and managed care within the American health care system. 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 Fifth Edition is a thorough update that addresses the current status of The Patient Protection and Affordable Care Act (ACA), including political pressures that have been partially successful in implementing changes. This new edition also explores the changes in provider payment models and medical management methodologies that can affect managed care plans and health insurer.


Essentials of Health Care Finance

Essentials of Health Care Finance
Author: William Cleverley
Publisher: Jones & Bartlett Learning
Total Pages: 590
Release: 2011
Genre: Education
ISBN: 0763789291

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Essentials of Health Care Finance stands firmly in its place as the leading textbook on healthcare finance. No other text so completely blends the best of current finance theory with the tools needed in day-to-day practice. Useful for all course levels as well as a professional reference, this text offers a comprehensive introduction to the field. The Seventh Edition has been thoroughly revised to reflect the current economic environment in the healthcare industry, with thoughtful descriptions and ‘real-world’ examples. As the not-for-profit health care sector has increasingly come under attack by legislators seeking new sources of tax revenue, this edition also features a new chapter on assessing community benefits including an examination of the new Schedule H of the IRS 990 form. Ancillary instructor materials for the Seventh Edition have been significantly expanded and updated. PowerPoint lecture slides now include selected examples from the chapters. Electronic versions of many of the charts and tables in the chapters are provided to enable the instructor to re-create and modify existing examples. An expanded set of test questions with detailed answers will be provided for each chapter. New excel spreadsheets for selected chapters will be created to help both the students and the instructors perform a variety of financial analysis tasks with spreadsheet templates. The instructor’s manual has been revised to include key learning points, chapter overviews, and guidelines for class discussion.


Hospital Reimbursement

Hospital Reimbursement
Author: Kyle Herbert
Publisher: CRC Press
Total Pages: 272
Release: 2012-06-05
Genre: Business & Economics
ISBN: 1439898952

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Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the re