Health Care Finance and the Mechanics of Insurance and Reimbursement Second Edition Michael K. Harrington

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  • ISBN-10 ‏ : ‎ 1284169030
  • ISBN-13 ‏ : ‎ 978-1284169034

Health Care Finance and the Mechanics of Insurance and Reimbursement stands aside from different texts on well being care finance or medical health insurance, in that it combines monetary rules distinctive to the well being care setting with the strategies and course of for reimbursement (together with coding, reimbursement methods, compliance, monetary reporting, case combine index, and exterior auditing). It explains the income cycle intimately, correlating it with common administration features; and covers reimbursement from the preliminary level of care by way of declare submission and reconciliation. Completely up to date for its second version, this textual content displays adjustments to the Inexpensive Care Act, Managed Care Organizations, new coding initiatives, new parts of the income cycle (from reimbursement to compliance), updates to laws surrounding well being care fraud and abuse, adjustments to the Restoration Audit Contractors (RAC) program, and extra. Designed to arrange well being administration and well being data administration college students with the obligatory instruments to efficiently transition from the classroom to the well being care facility, this textual content consists of: – Fundamentals of Health Care Finance & Monetary Administration – Affected person Safety and the Inexpensive Care Act – Managed Care Organizations – Medicare Potential Cost System (Inpatient) – Hospital Outpatient Potential Cost Programs (OPPS) – Coding for the Non-HIM Skilled – Income Cycle Administration – Healthcare Fraud and Abuse – Digital Health Information and Significant Use – Authorities Incentive Applications – Restoration Audit Contractors (RAC) Two new chapters cowl the mechanics of hierarchical situation classes from a CMS perspective (15), and the utility of HCC coding in a physican observe (16).

About the Writer

Michael Ok. Harrington, MATS, MSHA, RHIA, CHP, has greater than 30 years of expertise in well being care in areas resembling Health Info Administration, managing homecare firms on a neighborhood and regional degree, and consulting in the post-acute sector. He’s a number one authority on healthcare reimbursement and Income Cycle Administration (RCM) and has in depth expertise in implementing the RCM mannequin in physicians’ workplaces and different healthcare organizations exterior of the acute-care setting. After beginning out in the healthcare area in a house care firm as a coordinator, Harrington rapidly superior into managing house care firms that dealt with sturdy medical gear, specialty house infusion, high-tech respiratory providers, and specialty biologicals, and repositioned these firms through the use of reimbursement and high quality scientific care as the cornerstones to his success. Along with managing house care firms, Harrington began to show and was half of the adjunct school at Gwynedd Mercy Faculty, Temple College, and St. Joseph’s College in the Philadelphia space. His focus has at all times been in healthcare reimbursement when instructing, however he has instructed in different areas, resembling Healthcare Coverage, Healthcare Ethics, Healthcare Supply, Computerized Medical Information, and Healthcare Regulation. Lately, Harrington has been named Program Director over the Health Administration Division for St. Joseph’s Faculty of Maine. His tasks embody the Undergraduate Health Administration, Health Info Administration, Lengthy-Time period Care, Radiologic Science Administration Applications, and a Graduate Degree Health Administration Program. Harrington earned his bachelor’s diploma from LaSalle Faculty and his grasp’s diploma from Independence College (previously California Faculty for Health Sciences). Harrington additionally earned his Registered Health Info Administration (RHIA) credentials at Alabama State College. He’s an lively affected person advocate and is a a lot soughtafter speaker, on a world foundation, in the areas of healthcare reimbursement, healthcare finance, and healthcare operations.

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Health Care Finance and the Mechanics of Insurance and Reimbursement Second Edition Michael K. Harrington
Health Care Finance and the Mechanics of Insurance and Reimbursement Second Edition Michael K. Harrington

$34.97

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