The Practice of Health Claims Examining


Book Description

Formally known as Exercises in Health Claims Examining, The Practice of Health Claims Examining, 2e, contains a simulated work program to help you experience the real life situations that a claims examiner experiences on a daily basis. This book is created for use in conjunction with ICDC Publishing's Guide to Health Claims Examining. Some of the exercises in the simulated work portion of the book are based upon concepts learned in the Guide to Health Claims Examining (i.e., procedures for processing claims, interpretation of contracts, understanding UCR and deductibles, etc.). This book alone should not be considered a complete text for learning health claims examining. It is suggested that a trainee take a complete health claims examining course prior to using this book. The simulated work portion of this text incorporates concepts which are not taught by simple data entry, for example UCR calculations, privacy guidelines, client record keeping, correspondence, and manual completion of claims processing. This text is designed to allow the student to work through the material at their own pace.




Dietary Supplements


Book Description




Guide to Health Claims Examining


Book Description

This comprehensive text presents the principles and theories behind health claims examining. It builds a complete understanding of all the skills necessary to process, pay, and apply claims as an examiner accurately and consistently. Highlights include: Learning objectives that identify key skills and concepts, "On the Job Now"-Professional self-assessment sections, "Practice Pitfalls"-Bad habits to avoid in the workplace, Chapter review questions and in-text exercises. This book should be used in conjunction with the workbook, The Practice of Health Claims Examining, Second Edition, which simulates daily duties as if the student were working for an insurance carrier. Book jacket.







Analyzing Health Equity Using Household Survey Data


Book Description

Have gaps in health outcomes between the poor and better off grown? Are they larger in one country than another? Are health sector subsidies more equally distributed in some countries than others? Are health care payments more progressive in one health care financing system than another? What are catastrophic payments and how can they be measured? How far do health care payments impoverish households? Answering questions such as these requires quantitative analysis. This in turn depends on a clear understanding of how to measure key variables in the analysis, such as health outcomes, health expenditures, need, and living standards. It also requires set quantitative methods for measuring inequality and inequity, progressivity, catastrophic expenditures, poverty impact, and so on. This book provides an overview of the key issues that arise in the measurement of health variables and living standards, outlines and explains essential tools and methods for distributional analysis, and, using worked examples, shows how these tools and methods can be applied in the health sector. The book seeks to provide the reader with both a solid grasp of the principles underpinning distributional analysis, while at the same time offering hands-on guidance on how to move from principles to practice.




NCUA Examiner's Guide


Book Description




Front-of-Package Nutrition Rating Systems and Symbols


Book Description

During the past decade, tremendous growth has occurred in the use of nutrition symbols and rating systems designed to summarize key nutritional aspects and characteristics of food products. These symbols and the systems that underlie them have become known as front-of-package (FOP) nutrition rating systems and symbols, even though the symbols themselves can be found anywhere on the front of a food package or on a retail shelf tag. Though not regulated and inconsistent in format, content, and criteria, FOP systems and symbols have the potential to provide useful guidance to consumers as well as maximize effectiveness. As a result, Congress directed the Centers for Disease Control and Prevention (CDC) to undertake a study with the Institute of Medicine (IOM) to examine and provide recommendations regarding FOP nutrition rating systems and symbols. The study was completed in two phases. Phase I focused primarily on the nutrition criteria underlying FOP systems. Phase II builds on the results of Phase I while focusing on aspects related to consumer understanding and behavior related to the development of a standardized FOP system. Front-of-Package Nutrition Rating Systems and Symbols focuses on Phase II of the study. The report addresses the potential benefits of a single, standardized front-label food guidance system regulated by the Food and Drug Administration, assesses which icons are most effective with consumer audiences, and considers the systems/icons that best promote health and how to maximize their use.




Clinical Examination


Book Description

Since 1988 this textbook has provided a clear and easily grasped explanation of the origins of physical signs when examining a patient, (both historically and physiologically). Much has been rewritten to reflect new thinking and new techniques.




Registries for Evaluating Patient Outcomes


Book Description

This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.