Author: Gerald B. MeierPublisher:
ISBN:
Category : Government publications
Languages : en
Pages : 196
Book Description
Physician Reimbursement and Hospital Use in HMOs
Author: Gerald B. MeierPublisher:
ISBN:
Category : Government publications
Languages : en
Pages : 196
Book Description
Managed Care Pharmacy Practice
Author: Robert NavarroPublisher: Jones & Bartlett Learning
ISBN: 9780834212053
Category : Medical
Languages : en
Pages : 686
Book Description
Written from a practical perspective, Managed Care Pharmacy Practice takes the reader through the issues critical to development and operation of a managed care pharmacy program. The reader will gain new insights into how managed care has altered the delivery of pharmacy services, as well as into the evolving role of pharmacists.Managed Care Pharmacy Practice explains the fundamentals of developing and operating a successful managed care pharmacy benefit, and also supplies insightful guidance on professional careers in the field. This text takes a sequential approach to history, background, program components, program development, operations, and performance measurement, with 25 chapters arranged in three main sections.
Cost Containment and Health Planning
Author: United States. Bureau of Health PlanningPublisher:
ISBN:
Category : Cost control
Languages : en
Pages : 384
Book Description
Physician Reimbursement Under Medicare
Author: Publisher:
ISBN:
Category : Medical care, Cost of
Languages : en
Pages : 170
Book Description
Hospital Reimbursement
Author: Kyle HerbertPublisher: CRC Press
ISBN: 1439898944
Category : Business & Economics
Languages : en
Pages : 275
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.
Medical and Dental Expenses
Author: Publisher:
ISBN:
Category : Income tax deductions for medical expenses
Languages : en
Pages : 20
Book Description
Managed Care Strategies
Author: George B. MoseleyPublisher: Jones & Bartlett Learning
ISBN: 9780834207356
Category : Medical
Languages : en
Pages : 644
Book Description
This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.
Health Planning Bibliography Series
Author: Publisher:
ISBN:
Category : Community health services
Languages : en
Pages : 388
Book Description
Payment for Physician Services
Author: Publisher: DIANE Publishing
ISBN: 1428923101
Category : Government publications
Languages : en
Pages : 282
Book Description
Physicians and Management in Health Care
Author: Montague BrownPublisher: Jones & Bartlett Learning
ISBN: 9780834203006
Category : Medical
Languages : en
Pages : 252
Book Description
Critical to an organization's success is its relationships with physic ians. This collection of articles presents a wide range of approaches to strengthening physician relationships. With information on performa nce, physician data, physician organizations, practice valuation, phys icians as managers and entrepreneurs, and more, this volume explores t he core issues of physicians working in, with, and for health care org anizations.