Description
Book Synopsis: 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.
Designed to prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility, this text includes:
- Basics of Health Care Finance & Financial Management
- Patient Protection and the Affordable Care Act
- Managed Care Organizations
- Medicare Prospective Payment System (Inpatient)
- Hospital Outpatient Prospective Payment Systems (OPPS)
- 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 (RAC)
Two new chapters cover the mechanics of hierarchical condition categories from a CMS perspective (15), and the application of HCC coding in a physican practice (16).
Details
Looking to gain a competitive edge in the healthcare industry? Introducing Health Care Finance and the Mechanics of Insurance and Reimbursement, the comprehensive guide that combines essential financial principles with the intricacies of reimbursement methods. Unlike any other text on the market, this book provides a unique understanding of the revenue cycle, from coding to financial reporting, ensuring you stay on top of your game. With the second edition, we've included updates on the Affordable Care Act, Managed Care Organizations, new coding initiatives, and regulations surrounding healthcare fraud and abuse. Don't miss out on the tools you need to navigate the changing landscape of healthcare finance.
Are you ready to take charge of your healthcare facility? Health Care Finance and the Mechanics of Insurance and Reimbursement equips you with the knowledge to successfully transition from classroom to real-world application. Learn the basics of financial management and explore the impact of the Patient Protection and Affordable Care Act. Dive into the intricacies of Managed Care Organizations and navigate the complexities of Medicare Prospective Payment Systems. Don't let coding intimidate you; we've got you covered with a dedicated chapter for Non-HIM professionals. Unlock the secrets to efficient revenue cycle management and protect your facility from healthcare fraud and abuse. With our insights into electronic health records and meaningful use, you'll stay ahead of government incentive programs. And don't forget, we've added new chapters on hierarchical condition categories and the application of HCC coding in physician practices.
Ready to revolutionize your healthcare finance strategies? Click here to order your copy of Health Care Finance and the Mechanics of Insurance and Reimbursement. With its comprehensive coverage and up-to-date information, this book is your key to success in the ever-evolving healthcare industry. Don't miss your opportunity to excel.
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