Revenue Cycle Management
Author : HCPro (Firm)
Publisher : HC Pro, Inc.
Page : 155 pages
File Size : 14,23 MB
Release : 2006
Category : Health facilities
ISBN : 1578397634
Revenue Cycle Management Best Practices
Author : Nadinia A. Davis
Publisher : Ahima Press
Page : 187 pages
File Size : 30,67 MB
Release : 2016
Category : Health facilities
ISBN : 9781584265269
Book Description
Revenue Cycle Management
Author : Kem Tolliver
Publisher : Medical Group Management Association/Center for Research in Ambulatory Health Care Administration
Page : 482 pages
File Size : 11,43 MB
Release : 2020-04-16
Category : Medical
ISBN : 9781568296777
Book Description
It is easy to get lost in all the phases of revenue management, so how does a practice keep it all straight? Proven solutions to optimize revenue cycle are the key, and this primer is a business-critical resource to deliver just that.
The Revenue Integrity Manager's Guidebook
Author : Rose T Dunn
Publisher :
Page : 140 pages
File Size : 49,53 MB
Release : 2018-04
Category :
ISBN : 9781683081494
Book Description
Medical Revenue Cycle Management - The Comprehensive Guide
Author : VIRUTI SATYAN SHIVAN
Publisher : Viruti Satyan Shivan
Page : 236 pages
File Size : 43,34 MB
Release :
Category : Medical
ISBN :
Book Description
This essential guide dives deep into the intricacies of Medical Revenue Cycle Management (MRCM), offering healthcare professionals, administrators, and students a clear roadmap to mastering the financial backbone of healthcare services. In a landscape where financial health is as critical as patient health, this book stands out by providing a meticulously researched, expertly written exploration of every phase of the revenue cycle—from patient registration to the final payment of balances. Without relying on images or illustrations, we navigate through complex regulations, coding challenges, and billing practices with clarity and precision, making this complex subject accessible and actionable. Our unique approach combines theoretical frameworks with practical, real-world applications, setting this book apart as a must-buy. We delve into innovative strategies for optimizing revenue, reducing denials, and enhancing patient satisfaction, all while maintaining compliance with evolving healthcare laws and regulations. By focusing on efficiency and effectiveness, we equip readers with the tools and insights needed to transform their revenue cycle processes. Whether you're looking to refine your current practices or build a foundation of knowledge from the ground up, this guide offers invaluable insights into achieving financial stability and success in the ever-changing world of healthcare.
Hospital Reimbursement
Author : Kyle Herbert
Publisher : CRC Press
Page : 275 pages
File Size : 33,18 MB
Release : 2012-06-05
Category : Business & Economics
ISBN : 1439898944
Book Description
Due to the countless variables that affect revenue and cost, the hospital reimbursement process is by far the most complex of any industry. Requiring only a basic financial background and a working knowledge of accounting, Hospital Reimbursement: Concepts and Principles supplies a clear understanding of the concepts and principles that drive the revenue cycle within a hospital setting. The book explains the technical aspects of reimbursement in language that is easy to comprehend. It illustrates the complexities of the hospital revenue cycle and explains the Medicare and Medicaid financial models in detail. The text also addresses the Medicaid reimbursement methodology, the formulation of the Medicare blend rate, the computation of both DSH and IME, as well as other third-party payers. It also: Covers the full range of services and procedures for which a hospital can receive reimbursement Explains the difference between a for-profit and not-for-profit hospital Contains chapters devoted to Statements of Operations (Income Statement) and Statements of Financial Position (Balance Sheet) Examines governmental cost reporting—including Worksheets A, A-6, A-8, A-8-2, B-1, B Part 1, C Part 1, D-3, D-5, and E Part A Supplying readers with a foundation in coding principles, the text also includes a model for calculating the financial impact of variations in patient length of stay. It discusses the DRG and APC reimbursement models and details the computation of an outlier payment. In addition, it walks the reader step-by-step through the creation of a mock Medicare cost report for a sample hospital.
Reinventing Revenue Cycle Management
Author : April Wilson
Publisher :
Page : 72 pages
File Size : 17,13 MB
Release : 2018-06-08
Category :
ISBN : 9781982995706
Book Description
While the industry continues to undergo growing pains, transitioning to value-based care from fee-for-service, hospitals and providers are also fielding new challenges that have emerged on the regulatory, technology, and patient-consumer fronts. Hospitals and providers are in a race against one another to find new ways to attract and retain patients. Now that patients are assuming greater financial responsibility for their healthcare costs, whether voluntarily or involuntarily, their expectations are high about having a positive clinical and financial experience. Therefore, the engagement of patients should begin before the actual clinical encounter. The RCM departments of forward-thinking organizations recognize that an active patient engagement strategy is an effective way of influencing positive patient payment behaviors.Revenue cycle plays an intrinsic role in the overall patient experience, and there are multiple touchpoints by which to engage patients before billing them. Some examples include being transparent with patients at the outset about their financial obligations, removing barriers to payment by providing flexible options and payment tools, such as an online payment portal, and enhancing the design of billing statements. Patient engagement that prioritizes consumer satisfaction can lead to good financial outcomes for healthcare organizations.This book will help RCM professionals navigate the changing environment successfully.
Best Practices: Position and Guidance Documents of ASHP
Author : American Society of Health-System Pharmacists
Publisher : ASHP
Page : 2239 pages
File Size : 48,54 MB
Release : 2024-01-23
Category : Medical
ISBN : 1585287059
Book Description
The Most Comprehensive Set of Quality Guidelines Available to the Pharmacy Profession ASHP positions and more than 80 ASHP guidance documents of varying scope provide ongoing advice to practitioners and health systems to help improve the medication-use process, patient care and safety, and patient outcomes and quality of life. ASHP Statements ASHP Guidelines Technical Assistance Bulletins Therapeutic Position Statements Therapeutic Guidelines ASHP-Endorsed Documents
The Hospital Guide to Contemporary Utilization Review
Author : Stefani Daniels
Publisher :
Page : 0 pages
File Size : 39,19 MB
Release : 2015-04-16
Category : Hospital utilization
ISBN : 9781556452147
Book Description
The Hospital Guide to Contemporary Utilization Review is a comprehensive resource designed to identify utilization review (UR) best practices and provide guidance on developing and enhancing a contemporary UR committee. This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations. The book covers a range of topics, including compliance with the UR Condition of Participation, legal obligations of a hospital, contract language, and compliant UR plan language to provide an understanding of the expectations of a UR program. Tips for intradepartmental collaboration are included to guide professionals through the process of selecting a physician advisor and partnering with nurses, case managers, and revenue cycle team members. This book will help you do the following: Identify the components of a best practice hospital utilization review (UR) program Describe the legal obligations of the hospital to comply with chapter 42 CFR 482.30 of the Conditions of Participation (CoP) Use the publication as a tool to assess his or her own hospital's UR processes Summarize the benefits of a dedicated UR team to promote compliance with the CoP Facilitate the development of a contemporary UR committee Assess an organization's opportunities to improve processes to benefit patient care and hospital success Recommend compliant language for the organization's UR plan Construct commercial contract language, in collaboration with the organization's contract manager, that promotes a partnership to ensure appropriate use of acute care resources Seek out operational resources to perform high-quality reviews that fully comply with the CoP Explain the connection between a good utilization review plan and the hospital revenue cycle initiatives
Corporate Performance Management Best Practices
Author : Bob Paladino
Publisher : John Wiley & Sons
Page : 258 pages
File Size : 45,70 MB
Release : 2013-01-04
Category : Business & Economics
ISBN : 1118507452
Book Description
Business improvement best practices and a proven methodology for improving corporate performance management, illustrated through a high performing program including numerous team case studies Corporate performance management consists of a set of processes that help organizations optimize their business performance. It provides a framework for organizing, automating and analyzing business methodologies, metrics, processes and systems that drive business performance. Corporate Performance Management Best Practices will help your organization benchmark itself against the best. Written by the winner of three globally accepted performance management awards Focuses on a single case study chronicling a health care system's corporate performance management journey Explores how the use of corporate performance management methods has created significant and broad based improvements in patient satisfaction scores, medical outcomes, people development, and corporate shared services and clinical processes Revealing practical techniques that can be adopted at all levels of an organization, from facilities manager to HR manager to CFO to CEO, Corporate Performance Management Best Practices provides a proven implementation model that accelerates breakthrough results.
