Author : Cynthia Newby
Publisher : McGraw-Hill Science, Engineering & Mathematics
Page : 304 pages
File Size : 30,85 MB
Release : 2001-10-17
Category : Business & Economics
ISBN : 9780078252532
This concise, practical text-workbook provides extensive real-world practice with the universal medical insurance claim form, the HCFA 1500. Includes flow charts, claims processing forms, and medical reports. Coding and billing content is based on industry practice and addresses electronic claims and a variety of compliance issues. The text provides a brief introduction to MediSoft Advanced Patient Billing Software.
Author : Institute of Medicine
Publisher : National Academies Press
Page : 359 pages
File Size : 12,40 MB
Release : 2001-07-19
Category : Medical
ISBN : 0309132967
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author : Institute of Medicine
Publisher : National Academies Press
Page : 213 pages
File Size : 26,45 MB
Release : 2002-06-20
Category : Medical
ISBN : 0309083435
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author : Institute of Medicine
Publisher : National Academies Press
Page : 204 pages
File Size : 38,46 MB
Release : 2001-10-27
Category : Medical
ISBN : 0309076099
Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Author : Sean Parnell
Publisher :
Page : 128 pages
File Size : 27,6 MB
Release : 2013-12
Category : Health insurance
ISBN : 9780991209408
The Self-Pay Patient reveals secrets to taking control of both your healthcare and your health costs, explaining how to find affordable care outside of conventional insurance, how to escape bureaucratic medicine, and how to opt-out of Obamacare. This book explains; How to exempt yourself from Obamacare without having to pay a tax for being uninsured; How to find alternative types of coverage that are far less expensive than conventional insurance; How to find doctors, hospitals, pharmacies, and other medical providers that provide big discounts for cash payment; How to avoid the sky-high healthcare prices that unsuspecting self-pay patients are often charged The Self-Pay Patient is a resource for anybody who wants or needs to pay directly for their own health care, including people without insurance, with a high-deductible health plan, or who want to see a doctor out of the insurance company's network or get treatment not covered by their insurance. It's been called "the unofficial guide to opting out of Obamacare" and can save families and individuals thousands and even tens of thousands of dollars a year!
Author :
Publisher :
Page : 20 pages
File Size : 39,59 MB
Release : 1990
Category : Income tax deductions for medical expenses
ISBN :
Author : Cynthia Newby, CPC
Publisher : McGraw-Hill Education
Page : 0 pages
File Size : 24,94 MB
Release : 2013-01-09
Category : Medical
ISBN : 9780073374598
The seventh edition of Insurance in the Medical Office: From Patient to Payment emphasizes the medical billing cycle—ten steps that clearly identify all the components needed to successfully manage the medical insurance claims process. Studying this cycle shows how administrative medical assistants must first collect accurate patient information and then be familiar with the rules and guidelines of each health plan in order to submit proper documentation and follow up on payments. This ensures that offices receive maximum, appropriate reimbursement for services provided. Without an effective administrative staff, a medical office would have no cash flow! Insurance in the Medical Office is specifically targeted to Medical Assisting students and addresses the role they play in contributing to the financial success of the medical office.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
Page : 161 pages
File Size : 35,3 MB
Release : 2018-04-02
Category : Medical
ISBN : 030946921X
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Author : Gary L. Wickert
Publisher : Juris Publishing, Inc.
Page : 1300 pages
File Size : 15,47 MB
Release : 2013-01-01
Category : Law
ISBN : 1578233291
ERISA and Health Insurance Subrogation In All 50 States is the most complete and thorough treatise covering the complex subject of ERISA and health insurance subrogation ever published. NEW TO THE FIFTH EDITION! • Updated To Include All The Newest Case Law! • Updated To Include Medicaid Subrogation and Preemption of FEHBA ! • New Plan Language Recommendations! • Complete Health Insurance Subrogation Laws In All 50 States • Covers The Application of ERISA In Every Federal Circuit The Fifth Edition of ERISA and Health Insurance Subrogation In All 50 States has been completely revised, edited, and reorganized. This was partly to reflect the new direction recent case decisions have taken regarding health insurance subrogation as well as the crystallization of formerly uncertain and nebulous areas of the law which have now received some clarity. An entirely new chapter entitled, “What Constitutes Other Appropriate Equitable Relief?” has been added and replaces the old Chapter 9, which merely dealt with Knudson and Sereboff. The new edition introduces new state court decisions addressing the issue of causation and whether and when a subrogated Plan seeking reimbursement must prove that the medical benefits it seeks to recover were causally related to the original negligence of the tortfeasor. An entirely new section was added concerning the subrogation and reimbursement rights of Medicare Advantage Plans, a statutorily-authorized Plan which provides the same benefits an individual is entitled to recover under Medicare. This includes recent case law which detrimentally affects the rights of such Plans to subrogate. Also added to the new edition is additional law and explanation regarding Medicaid subrogation, including the differentiation between “cost avoidance” and “pay and chase” when it comes to procedures for paying Medicaid claims. Significant improvements have been made to suggested Plan language which maximizes a Plan’s subrogation and reimbursement rights. The suggested language stems from recent decisions and developments in ERISA and health insurance subrogation from around the country since the last edition. The new edition has been completely reworked both in substance and organization. Recent case law has necessitated consolidation of several portions of the book and elimination or editing of others. A new section entitled “Liability of Plaintiff’s Counsel” has been added, which provides a clearer exposition on the laws applicable and remedies available when plaintiff’s attorneys and Plan beneficiaries settle their third-party cases and fail to reimburse the Plan. Also new to the book are recently-passed anti-subrogation measures such as Louisiana’s Senate Bill 169, § 1881, which states that no health insurer shall seek reimbursement from automobile Med Pay coverage without first obtaining the written consent of the insured. The new edition also goes into much greater detail on the procedures for and law underlying the practice of removal of cases from state court to federal court, and the possibility of remand back to state court. This includes the Federal Courts Jurisdiction and Venue Clarification Act of 2011, effective Jan. 6, 2012, which amended federal removal, venue, and citizenship determination statutes in very significant ways. The new edition also delves into, for the first time, the role which the federal Anti-Injunction Act plays when beneficiaries sue in state court to enforce the terms of an ERISA Plan, while the Plan files suit in federal court seeking an injunction against the state court action. New case law and discussion on preemption of FEHBA subrogation and reimbursement claims have been added to Chapter 10 in the wake of new decisions regarding same.
Author : Jill Brown
Publisher : Elsevier Health Sciences
Page : 554 pages
File Size : 49,49 MB
Release : 2013-08-02
Category : Medical
ISBN : 0323277012
- Features completely updated information that reflects the many changes in the insurance industry. - Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. - Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
