Author: Publisher:
ISBN:
Category : Medicare
Languages : en
Pages :
Book Description
Medicare Provider Reimbursement Manual
Author: Provider Cost Report Reimbursement Questionnaire
Author: Medicare, Provider Reimbursement Manual
Author: United States. Health Care Financing AdministrationPublisher:
ISBN:
Category : Medical care, Cost of
Languages : en
Pages : 1430
Book Description
Model Rules of Professional Conduct
Author: American Bar Association. House of DelegatesPublisher: American Bar Association
ISBN: 9781590318737
Category : Law
Languages : en
Pages : 216
Book Description
The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
Medical Fee Schedule
Author: Publisher:
ISBN:
Category : Employers' liability
Languages : en
Pages : 262
Book Description
Transition to Diagnosis-Related Group (DRG) Payments for Health
Author: Caryn BredenkampPublisher: World Bank Publications
ISBN: 1464815216
Category : Medical
Languages : en
Pages : 69
Book Description
This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.
Kidney Failure and the Federal Government
Author: Institute of MedicinePublisher: National Academies Press
ISBN: 9780309044325
Category : Medical
Languages : en
Pages : 444
Book Description
Since 1972, many victims of endstage renal disease (ESRD) have received treatment under a unique Medicare entitlement. This book presents a comprehensive analysis of the federal ESRD program: who uses it, how well it functions, and what improvements are needed. The book includes recommendations on patient eligibility, reimbursement, quality assessment, medical ethics, and research needs. Kidney Failure and the Federal Government offers a wealth of information on these and other topics: The ESRD patient population. Dialysis and transplantation providers. Issues of patient access and availability of treatment. Ethical issues related to treatment initiation and termination. Payment policies and their relationship to quality of care. This book will have a major impact on the future of the ESRD program and will be of interest to health policymakers, nephrologists and other individual providers, treatment site administrators, and researchers.
Medical Staff Management
Author: Christine S. MobleyPublisher: Aspen Pub
ISBN: 9780834205390
Category : Medical
Languages : en
Pages : 2086
Book Description
Medical Staff Management: Forms, Policies, and Procedures for Health Care Providers is the only comprehensive collection of forms, policies, procedures, correspondence, and more, covering: Credentialing Privileging Accreditation and regulations Allied health professionals Quality assessment and improvement And much more! Medical Staff Management gives you the tools you need to efficiently and properly manage medical staff matters - such as credentialing, privileges, quality improvement, and many others. With hundreds of proven and innovative forms, policies, procedures, worksheets, flowcharts, and other management tools at your fingertips, you'll find important guidance on virtually all topics, including: Credentialing activities specific to hospitals, allied health professionals (AHPs) and managed and ambulatory care Legal issues and documents, including drug testing for applicants Medical staff development tools Sample job descriptions as well as descriptions for allied health professionals "CORE" privileging and related criteria Policies and procedures used by Credentialing Verification Organizations (CVOs) Effective meeting management Legal issues such as fair hearing policies, confidentiality policies and other policies relating to corrective action Leadership and new physician orientation programs Preparation of surveys by accrediting agencies and standardized application forms And many more! Plus, you will find multiple forms, policies and guidelines that may be used directly as they are, or combined - either with material in the manual or with material currently used by your organization. Medical Staff Management has been updated to include: Intent to Practice Form: Initial Application Intent to Practice: Sample Bylaws Language Verification forms for degree, internship, and residency/fellowship Letters with Competency Evaluation for peer reference, hospital affiliation, and work history Claims History - Insurance Liability Carrier PSV, Data Gathering Grid (CVO) Credentialing Verification Office policies Intent to Practice Form - Reappointment New Product and Technology Request Form Sample Policy for Request for New Procedure/Treatment Surgery Service: General Surgery Core Privileges General Surgery and Oncology Surgery: Privilege Request Form Urology Core Privilege Request Form CRNA Affiliate Medical Staff Credentialing Checklist Affiliation and Competence Assessment for Continued CRNA Privileges Physician Assistant/Nurse Practitioner: Privilege Request Form And much more!
Designing and Implementing Health Care Provider Payment Systems
Author: Jack LangenbrunnerPublisher: World Bank Publications
ISBN: 0821378244
Category : Medical
Languages : en
Pages : 348
Book Description
Strategic purchasing of health services involves a continuous search for the best ways to maximize health system performance by deciding which interventions should be purchased, from whom these should be purchased, and how to pay for them. In such an arrangement, the passive cashier is replaced by an intelligent purchaser that can focus scarce resources on existing and emerging priorities rather than continuing entrenched historical spending patterns.Having experimented with different ways of paying providers of health care services, countries increasingly want to know not only what to do when paying providers, but also how to do it, particularly how to design, manage, and implement the transition from current to reformed systems. 'Designing and Implementing Health Care Provider Payment Systems: How-To Manuals' addresses this need.The book has chapters on three of the most effective provider payment systems: primary care per capita (capitation) payment, case-based hospital payment, and hospital global budgets. It also includes a primer on a second policy lever used by purchasers, namely, contracting. This primer can be especially useful with one provider payment method: hospital global budgets. The volume's final chapter provides an outline for designing, launching, and running a health management information system, as well as the necessary infrastructure for strategic purchasing.
Section 1557 of the Affordable Care Act
Author: American Dental AssociationPublisher: American Dental Association
ISBN: 1941807712
Category : Medical
Languages : en
Pages : 60
Book Description
Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.