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).
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