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Author: VIRUTI SATYAN SHIVAN Publisher: Viruti Satyan Shivan ISBN: Category : Medical Languages : en Pages : 236
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.
Author: VIRUTI SATYAN SHIVAN Publisher: Viruti Satyan Shivan ISBN: Category : Medical Languages : en Pages : 236
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.
Author: April Wilson Publisher: ISBN: 9781982995706 Category : Languages : en Pages : 72
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.
Author: Kem Tolliver Publisher: Medical Group Management Association/Center for Research in Ambulatory Health Care Administration ISBN: 9781568296777 Category : Medical Languages : en Pages : 482
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.
Author: Claudia Birkenshaw Garabelli Publisher: Productivity Press ISBN: 9781439853665 Category : Business & Economics Languages : en Pages : 275
Book Description
Written to assist healthcare leaders and managers become more effective decision makers, problem solvers, and communicators within the revenue cycle and financial management areas of their organization, this book introduces the core components and concepts of the revenue cycle. It discusses the functions and responsibilities in the patient financial services (PFS) area; revenue stream techniques from a clinical perspective, contract management and finance, information systems and the revenue cycle, plus the nuts and bolts of the chargemaster and compliance. Chapters include tables, charts, figures, and example scenarios that illustrate key concepts.
Author: Viruti Satyan Shivan Publisher: Viruti Satyan Shivan ISBN: Category : Medical Languages : en Pages : 0
Book Description
Are you a student aspiring to excel in the complex world of medical revenue cycle management? Look no further! This comprehensive guide is tailor-made to equip you with the knowledge and skills necessary to navigate the intricacies of this vital healthcare discipline. Medical Revenue Cycle Management: The Comprehensive Guide is a must-have resource that covers every aspect of the revenue cycle process, from patient registration to claim reimbursement. Written with students in mind, this book offers a comprehensive overview of the subject, providing a solid foundation for your future career. Inside this guide, you will find: 1. Introduction to Medical Revenue Cycle Management: Gain a clear understanding of the revenue cycle and its significance in healthcare organizations. Explore the various roles and responsibilities involved in revenue cycle management. 2. Patient Access and Registration: Learn the fundamentals of patient registration, insurance verification, and the importance of accurate patient data collection. Understand the impact of accurate information on revenue optimization. 3. Health Insurance and Payer Systems: Explore the intricacies of health insurance, different types of payers, and their impact on revenue cycle management. Gain insights into payer contracts, claim submission, and electronic data interchange (EDI). 4. Coding and Documentation: Discover the importance of accurate medical coding and its impact on reimbursement. Master the principles of coding, documentation guidelines, and coding systems such as ICD-10-CM and CPT. 5. Claims Management and Denial Resolution: Delve into the world of claims management, including claim submission, tracking, and denial resolution. Learn effective strategies to minimize claim denials and maximize revenue recovery. 6. Billing and Reimbursement: Understand the intricacies of billing processes, including charge capture, pricing, and electronic billing systems. Explore reimbursement methodologies, such as fee-for-service and value-based reimbursement. 7. Compliance and Regulatory Considerations: Stay up to date with the ever-evolving healthcare regulations and compliance requirements. Learn about HIPAA, fraud and abuse laws, and the importance of ethical billing practices. 8. Key Performance Indicators and Revenue Cycle Analytics: Gain insights into tracking and measuring revenue cycle performance through key performance indicators (KPIs) and analytics. Learn to identify areas for improvement and optimize revenue generation. With its student-friendly approach, practical examples, and case studies, this guide ensures that you not only grasp the theoretical concepts but also develop the critical thinking and problem-solving skills necessary for success in this field. Whether you are a healthcare administration student, aspiring medical coder, or revenue cycle professional, this comprehensive guide will serve as your go-to reference, providing you with a solid foundation in medical revenue cycle management. Unlock your potential and embark on a successful career in this crucial area of healthcare administration with confidence! Don't miss out on this essential resource. Get your copy of Medical Revenue Cycle Management: A Comprehensive Guide today and take your first step towards mastering this dynamic field!
Author: Viruti Shivan Publisher: Viruti Satyan Shivan ISBN: 9789359172934 Category : Languages : en Pages : 0
Book Description
Medical Revenue Cycle Management: One Book To Make You Genius by VIRUTI SHIVAN Are you a student aspiring to excel in the complex world of medical revenue cycle management? Look no further! This comprehensive guide is tailor-made to equip you with the knowledge and skills necessary to navigate the intricacies of this vital healthcare discipline. Medical Revenue Cycle Management: One Book To Make You Genius is a must-have resource that covers every aspect of the revenue cycle process, from patient registration to claim reimbursement. Written with students in mind, this book offers a comprehensive overview of the subject, providing a solid foundation for your future career. Inside this guide, you will find: 1. Introduction to Medical Revenue Cycle Management: Gain a clear understanding of the revenue cycle and its significance in healthcare organizations. Explore the various roles and responsibilities involved in revenue cycle management. 2. Patient Access and Registration: Learn the fundamentals of patient registration, insurance verification, and the importance of accurate patient data collection. Understand the impact of accurate information on revenue optimization. 3. Health Insurance and Payer Systems: Explore the intricacies of health insurance, different types of payers, and their impact on revenue cycle management. Gain insights into payer contracts, claim submission, and electronic data interchange (EDI). 4. Coding and Documentation: Discover the importance of accurate medical coding and its impact on reimbursement. Master the principles of coding, documentation guidelines, and coding systems such as ICD-10-CM and CPT. 5. Claims Management and Denial Resolution: Delve into the world of claims management, including claim submission, tracking, and denial resolution. Learn effective strategies to minimize claim denials and maximize revenue recovery. 6. Billing and Reimbursement: Understand the intricacies of billing processes, including charge capture, pricing, and electronic billing systems. Explore reimbursement methodologies, such as fee-for-service and value-based reimbursement. 7. Compliance and Regulatory Considerations: Stay up to date with the ever-evolving healthcare regulations and compliance requirements. Learn about HIPAA, fraud and abuse laws, and the importance of ethical billing practices. 8. Key Performance Indicators and Revenue Cycle Analytics: Gain insights into tracking and measuring revenue cycle performance through key performance indicators (KPIs) and analytics. Learn to identify areas for improvement and optimize revenue generation. With its student-friendly approach, practical examples, and case studies, this guide ensures that you not only grasp the theoretical concepts but also develop the critical thinking and problem-solving skills necessary for success in this field. Whether you are a healthcare administration student, aspiring medical coder, or revenue cycle professional, this comprehensive guide will serve as your go-to reference, providing you with a solid foundation in medical revenue cycle management. Unlock your potential and embark on a successful career in this crucial area of healthcare administration with confidence! Don't miss out on this essential resource. Get your copy of Medical Revenue Cycle Management: One Book To Make You Genius today and take your first step towards mastering this dynamic field!
Author: CapSite Publisher: CapSite ISBN: Category : Languages : en Pages : 11
Book Description
Highlights of 2012 U.S. revenue cycle management study are : 1) 21 percent of United States hospitals plan to replace their core current revenue cycle management solution. 2) 2nd annual United States revenue cycle management study with unique trending analysis. 3) VOC insights from more than 360 U.S hospitals.
Author: Linda Parks Publisher: Mindtap Course List ISBN: 9780357625514 Category : Business & Economics Languages : en Pages : 0
Book Description
Gain an understanding of advanced topics in healthcare revenue cycle management and explore current issues impacting healthcare organization reimbursements with Parks' REVENUE CYCLE FOR HEALTHCARE. This book introduces you to the various roles of HIM professionals beyond the traditional HIM department. You study measures of hospital performance, such as case mix and risk adjustment programs. You also examine important topics, such as clinical documentation integrity, physician queries, predictive analytics use in the revenue cycle, claims audits, denials and appeals and pay-for-performance. All content corresponds to the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) competencies. Enrichment activities and case studies give you a first-hand view of real-world experiences as you prepare for employment. MindTap digital resources are also available to reinforce your grasp of healthcare revenue cycle management.
Author: Neil Baum Publisher: Springer Nature ISBN: 3030277763 Category : Medical Languages : en Pages : 209
Book Description
This book is intended to be a roadmap towards a successful practice for medical students, residents, fellows, and doctors. This roadmap focuses on how to build and manage a medical practice, and can be applied regardless if the reader is employed, joins a small group, or if they are a doctor who decides to start their own practice. Part I covers the basic business concepts that every physician needs to know. Chapters emphasize the benefits that accrue to a physician who understands the basics of business. Part II provides a guide for doctors who are beginning a medical practice. The chapters define the various options for doctors’ employment such as solo practice, group practice, and academic medicine. The section also includes the process of negotiating contracts, identifying the advisers who help physicians become successful, and secure within their field and practice. The final part emphasizes strategies on how to build and grow a successful practice by covering topics such as hiring staff, employee motivation, creating a brand, gaining recognition, online reputation and presence, crisis management, integrating new technology, and work/life balance. The Business Basics of Building and Managing a Healthcare Practice serves as a valuable resource that helps doctors make a difference in the lives of their patients, as well as help them make good financial decisions.
Author: VIRUTI SATYAN SHIVAN
Author: VIRUTI SATYAN SHIVAN
Author: HCPro (Firm)
Author: April Wilson
Author: Kem Tolliver
Author: Claudia Birkenshaw Garabelli
Author: Viruti Satyan Shivan
Author: Viruti Shivan
Author: CapSite
Author: Linda Parks
Author: Neil Baum