Description
Book Synopsis: Health Care Finance and the Mechanics of Insurance and Reimbursement 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, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation.
Updated throughout the Third Edition offers expanded material on financial statements; new and expanded Skilled Nursing Facility examples; and enhanced sections on PDPM, Practice Management for Primary Care and other Specialties, Clearinghouse Processes, Predictive Modeling (data mining), and more.
Key Features:
- Thoroughly covers the methods and process for reimbursement including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing
- Prepares health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility.
- Addresses all the new characteristics of the accounting authorities that the health care administrator will have to deal with after the COVID-19 Pandemic.
- Includes a full chapter on the ACA that addresses recent and anticipated future changes that could impact not only the patient but the various health care organizations that provide care in the inpatient and outpatient settings.
Details
Are you looking to navigate the complex world of health care finance and insurance reimbursement? Look no further! Our Health Care Finance and the Mechanics of Insurance and Reimbursement book is your ultimate guide to understanding these intricate processes. Packed with valuable information, this book combines financial principles specific to the health care industry with essential reimbursement strategies, compliance guidelines, and financial reporting techniques.
One of the key highlights of our book is its comprehensive coverage of the revenue cycle, which is explained in conjunction with regular management functions. From the initial point of care to claim submission and reconciliation, we leave no stone unturned. This Third Edition has been updated extensively, with new material on financial statements, expanded Skilled Nursing Facility examples, and enhanced sections on PDPM, Practice Management for Primary Care and other Specialties, Clearinghouse Processes, Predictive Modeling, and more.
Whether you're a health administration student or a health information management professional, our book equips you with the necessary tools to succeed in real-world scenarios. We bridge the gap between the classroom and the health care facility, ensuring a smooth transition into your professional career. Additionally, our book addresses the unique challenges faced by health care administrators in a post-COVID-19 world, providing valuable insights into the changes brought about by the pandemic.
Furthermore, we delve into the Affordable Care Act (ACA), dedicating an entire chapter to discuss recent and anticipated future changes. This chapter explores how these changes can impact both patients and the various health care organizations that deliver care across inpatient and outpatient settings. Stay informed and up-to-date with the latest developments in health care legislation, ensuring you have a competitive edge in the industry.
Don't miss out on this invaluable resource! Take control of your health care finance and insurance reimbursement knowledge with our Health Care Finance and the Mechanics of Insurance and Reimbursement book. Start your journey today by clicking here.
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