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Author: Michael Isaiah Bennett Publisher: American Psychiatric Pub ISBN: 1585627615 Category : Medical Languages : en Pages : 103
Book Description
How can behavioral health clinicians provide managed care in an ethical, professionally satisfying way while also dealing with managed care organizations (MCOs)? This concise yet powerful volume will jump-start clinicians in their search for effective answers. Unlike other managed care guides, which tend to view the clinician-managed care relationship as inherently adversarial, this groundbreaking pocket guide (another in American Psychiatric Publishing's Concise Guides series) views resource management as a basic function -- indeed, an ally -- of ethical clinical practice. True managed care both improves the quality of clinical care and protects community resources. It even stimulates patients to become more active managers of their own care. The author, speaking from extensive first-hand experience as both network provider and MCO administrator, asserts that clinicians must know how to manage care themselves to effectively persuade insurance companies to pay for treatment. Toward that end, the author details the practical tools clinicians need in just five chapters: Chapter 1, Managing Care Ethically, discusses basic principles and methods for making clinical decisions about behavioral health care when resources are limited and methods for communicating these decisions to patients and MCOs. Chapter 2, Managing Nonacute Care, applies the principles and methods from Chapter 1 to providing non-acute, usually outpatient, services. Chapter 3, Managing Acute Care, applies the principles and methods from Chapter 1 to providing acute crisis or inpatient services. Chapter 4, Marketing to Managed Care Organizations, details strategies for negotiating contracts to often unreceptive MCOs who consider their networks full, showing how clinicians can enhance their market value by filling MCO needs. Chapter 5, Managing Utilization Review, offers insights on overseeing the clinical work of colleagues and shaping the health care system, assuming that care managers are professionally obligated to help patients receive the care they need and deserve without intruding on the clinician's role, and that the best management manages least, taking responsibility for efficient resource utilization and ongoing system improvement. This practical guide is more than just a handbook for successfully navigating MCO procedures and market dynamics; it also shows that the outcome of truly managed care can be just as satisfying and effective as care provided with infinite resources. Invaluable to clinicians in everyday practice, this remarkable guide with its unique insights, collaborative approach, and case examples will also find a wide audience among clinical administrators in private and public MCOs who train network clinicians and utilization managers.
Author: Michael Isaiah Bennett Publisher: American Psychiatric Pub ISBN: 1585627615 Category : Medical Languages : en Pages : 103
Book Description
How can behavioral health clinicians provide managed care in an ethical, professionally satisfying way while also dealing with managed care organizations (MCOs)? This concise yet powerful volume will jump-start clinicians in their search for effective answers. Unlike other managed care guides, which tend to view the clinician-managed care relationship as inherently adversarial, this groundbreaking pocket guide (another in American Psychiatric Publishing's Concise Guides series) views resource management as a basic function -- indeed, an ally -- of ethical clinical practice. True managed care both improves the quality of clinical care and protects community resources. It even stimulates patients to become more active managers of their own care. The author, speaking from extensive first-hand experience as both network provider and MCO administrator, asserts that clinicians must know how to manage care themselves to effectively persuade insurance companies to pay for treatment. Toward that end, the author details the practical tools clinicians need in just five chapters: Chapter 1, Managing Care Ethically, discusses basic principles and methods for making clinical decisions about behavioral health care when resources are limited and methods for communicating these decisions to patients and MCOs. Chapter 2, Managing Nonacute Care, applies the principles and methods from Chapter 1 to providing non-acute, usually outpatient, services. Chapter 3, Managing Acute Care, applies the principles and methods from Chapter 1 to providing acute crisis or inpatient services. Chapter 4, Marketing to Managed Care Organizations, details strategies for negotiating contracts to often unreceptive MCOs who consider their networks full, showing how clinicians can enhance their market value by filling MCO needs. Chapter 5, Managing Utilization Review, offers insights on overseeing the clinical work of colleagues and shaping the health care system, assuming that care managers are professionally obligated to help patients receive the care they need and deserve without intruding on the clinician's role, and that the best management manages least, taking responsibility for efficient resource utilization and ongoing system improvement. This practical guide is more than just a handbook for successfully navigating MCO procedures and market dynamics; it also shows that the outcome of truly managed care can be just as satisfying and effective as care provided with infinite resources. Invaluable to clinicians in everyday practice, this remarkable guide with its unique insights, collaborative approach, and case examples will also find a wide audience among clinical administrators in private and public MCOs who train network clinicians and utilization managers.
Author: Jeremy A. Lazarus Publisher: American Psychiatric Pub ISBN: 1585626740 Category : Medical Languages : en Pages : 192
Book Description
Packed with practical advice from experts, and based on the editor's many years of organizing career seminars for psychiatric residents, Entering Private Practice: A Handbook for Psychiatrists offers a comprehensive curricular approach -- highlighted throughout by user-friendly forms, samples, and checklists -- to setting out on a career in private practice. Entering Private Practice: A Handbook for Psychiatrists details the advantages and disadvantages of private practice and emphasizes that practitioners must love their work and balance it with a successful personal life. Following a systematic, no-nonsense approach to private practice, these distinguished contributors discuss the nuts and bolts of how to, Find and set up a private practice, including the use of technology and the web to minimize administrative overhead and enhance clinical services -- A self-administered form to get started; advice on finance, Internet searches, networking, and interviewing; pros and cons of solo practice, small and large psychiatric groups, and multidisciplinary and multispecialty groups; and step-by step instructions on everything from choosing a location and handling finances and billing to hiring staff and selecting décor Market a practice -- Top 10 tips for both internal marketing (advice for communicating with patients and sample patient and physician surveys), and external marketing (effective outlets, including directory listings, brochures and sample content, direct mail, and the media; includes sample press release and media pitch) Navigate the ins and outs of insurance billing and relationships -- Basic principles and procedures to help practitioners do good work for reasonable pay and help patients get what they most need despite limited resources (including Medicare forms and checklists for understanding insurance benefits and notifying patients about the costs of ancillary services) Relate to primary care physicians -- Integration of care (referral, consultation, and collaboration) to achieve better patient outcomes, including basic principles and skills for effective communication Steer clear of legal pitfalls -- The top 10 legal and risk management areas of concern for psychiatrists, including practice rules, confidentiality, record-keeping, compliance, managed care, and malpractice insurance, among others Avoid or deal with common ethical problems -- Confidentiality, informed consent, boundaries, dealing with industry, continuing education responsibilities, general health care ethics, collaboration, and money issues illustrated by case vignettes Joining the ranks of essential guides, Entering Private Practice: A Handbook for Psychiatrists is a must-read for any psychiatrist planning a career in or a career change to private practice.
Author: Michael Goodman Publisher: American Psychiatric Pub ISBN: 9780880487726 Category : Medical Languages : en Pages : 262
Book Description
Managing Managed Care II: A Handbook for Mental Health Professionals, Second Edition, provides an easy-to-learn, easy-to-use method for documenting and communicating the necessity, appropriateness, and course of treatment for managed care review. Using the Patient Impairment Profile method, practitioners can convincingly convey a clinical rationale for treatment, efficiently track progress over time, and demonstrate favorable patient outcomes. Keeping pace with the evolving and expanding presence of managed care, the authors have extensively revised and enlarged the previous edition. New clinical research on the validity and reliability of the impairment terminology has produced a much-improved, clinically valid, and statistically reliable impairment lexicon. Detailed severity rating qualifiers, reference lists of patient objectives, and a useful glossary have been added. All regulations have also been updated. Managing Managed Care II is reference and valuable resource for mental health practitioners and for the individuals who monitor and review treatment. By providing concise, relevant, and outcome-focused treatment information, practitioners become proactive participants in managed care while adeptly articulating the value and quality of their services.
Author: Philip R. Muskin Publisher: American Psychiatric Pub ISBN: 1615370730 Category : Medical Languages : en Pages : 500
Book Description
Psychiatrists and residents are faced with the important -- but what may feel overwhelming -- task of refreshing their knowledge of the whole of psychiatric practice, typically while remaining engaged in full-time clinical activity. Psychiatrists will find the logical structure, substantive questions, and thorough explanations provided by the Study Guide for the Psychiatry Board Examination to be as reassuring as they are educational. Although readers are advised to consult a range of resources in preparation for the examination, this guide is indispensable. It is the first and only guide to reflect the revisions contained in DSM-5®, and it will ably assume a primary role in the study and review process. The guide is designed for maximum usefulness, with specific features and attributes to support knowledge recall and successful examination performance. The authors are from a cross-section of accomplished students, fellows, and junior and senior faculty, all of whom have faced or will face the board examination and who understand its importance to the profession. Topics were determined by the American Board of Psychiatry and Neurology Certification Examination in Psychiatry 2015 Content Blueprint. The approximately 400 questions were formulated from information extracted from widely available American Psychiatric Publishing textbooks and accurately reflect the accepted psychiatric knowledge base. Each multiple choice question is followed by an explanation of why the correct answer is correct and the others are incorrect, and every question and explanation is referenced, directing the reader to the primary material for more in-depth learning and study. The volume was designed as a study guide for both the initial psychiatry board examination and the recertification examination. The process of working through the study guide will allow the reader to identify areas of strength and weakness, initiate further study, and test and retest knowledge, ultimately preparing for the examination's rigors. Only the Study Guide for the Psychiatry Board Examination offers support for the new, DSM-5® -- compatible examination, and that alone renders it essential.
Author: William Winston Publisher: Routledge ISBN: 1317786297 Category : Business & Economics Languages : en Pages : 347
Book Description
Managed care is a revolution impacting the practice of clinicians throughout America. The Clinician’s Guide to Managed Behavioral Care, called “a survival kit” and “must reading,” helps clinicians develop and market professional services attuned to the needs of managed care systems, manage the utilization process, and reshape an office practice or hospital-based program to become more “managed care friendly.” It is newly referenced and updated for clinicians to continue to advocate for their patients and clients.The Clinician’s Guide to Managed Behavioral Care addresses how clinicians can develop and market professional services attuned to the needs of managed care systems, how to best manage the utilization review process, how to re-shape an office practice or hospital-based program to become more “managed care friendly,” and how to best advocate for patients and clients. Readers will understand the history and evolution of attempts to manage mental health care costs and services as well as the emerging clinical, economic, and social trends that will continue to fuel changes in the mental health field in coming years. Importantly, this guide sensitizes readers to the perspectives about mental health care benefits and the treatment field held by the payor community--insurance carriers, HMO’s, and self-insured employers. It allows readers to consider a payor’s view of how professionals can play a crucial role in providing quality services while helping control spiraling mental health care costs--costs that have escalated much faster than other segments of health care.Who can benefit from this book? Practicing psychologists, social workers, psychiatrists, substance abuse counselors, marriage and family therapists, Employee Assistance Professionals, psychiatric nurses, professional counselors, program managers, hospital administrators, and health care marketing professionals will find The Clinician’s Guide to Managed Behavioral Care and invaluable resource.It is often said that in the future, all in the treatment community will be involved in “managing care” and that the most successful clinicians and practices will be those most adept at working with managed care systems on behalf of their patients and clients. This book helps you understand how!Important topics in The Clinician’s Guide to Managed Behavioral Care: the changing marketplace for mental health/substance abuse treatment services assessing market opportunities in light of managed care influences clinical service needs of managed care systems clinical innovations: examples, case studies, vignettes strategies for managing utilization review marketing strategies for office-based practitioners hospital-managed care partnerships contemporary office management strategies to control costs consumers and managed care directory of America’s HMOs directory of America’s Managed Mental Health Care Companies glossary of key terms
Author: Teri Thomas-Brogan Publisher: Jones & Bartlett Learning ISBN: 0763746878 Category : Business & Economics Languages : en Pages : 193
Book Description
Health Information Technology Basics gives your students an introduction to the fundamental concepts of the health information technology profession. Perfect for introductory courses where core material in the health information profession is being introduced, this book is written for associate degree level HIT programs at technical, community, or career colleges. The text begins with an introduction to the U.S. health care system and explores career opportunities within the health information profession. The health record is dissected and its many components are carefully reviewed. The book also examines various formats of the medical record and analyzes the advantage and disadvantages of the EHR. Finally, the text covers medical terminologies and classification systems and outlines the basics of reimbursement systems. Features: Each chapter begins with learning objectives and key terms to give the reader a synopsis of what he/she should expect to learn. Additional resources are listed at the end of each chapter for further exploration of the information covered in the chapter. A glossary is included for quick reference of main terms presented throughout the text. An accompanying Instructor’s Manual provides review exercises which recap the important points as well as lab assignments that allow students to apply the information in a practical setting.
Author: Laura Weiss Roberts Publisher: World Scientific ISBN: 9814405620 Category : Medical Languages : en Pages : 957
Book Description
This handbook will be a concise guide to important topics in psychiatry with an international focus. It constitutes a précis of the field of psychiatry with emphases on the therapeutic approach to the patient and on the proper diagnosis of major psychiatric disorders.All psychiatric diagnoses are encoded using both the US Diagnostic and Statistical Manual (DSM) and the International Statistical Classification of Diseases and Related Health Problems (ICD). Treatment options for psychiatric disorders will include approaches used in developed nations in North America, Europe, Asia, as well as in the developing world. Furthermore an invaluable brief history of psychiatry allows readers to trace the beginnings of their chosen field and gain awareness of the ethical and legal contexts.This handbook will provide a comprehensive introduction to psychiatry appropriate for students, trainees, and practitioners seeking an international approach.
Author: Christa Modschiedler Publisher: American Library Association ISBN: 0838912214 Category : Computers Languages : en Pages : 488
Book Description
Drawn from the extensive database of Guide to Reference, this up-to-date resource provides an annotated list of print and electronic biomedical and health-related reference sources, including internet resources and digital image collections. Readers will find relevant research, clinical, and consumer health information resources in such areas as Medicine Psychiatry Bioethics Consumer health and health care Pharmacology and pharmaceutical sciences Dentistry Public health Medical jurisprudence International and global health Guide to Reference entries are selected and annotated by an editorial team of top reference librarians and are used internationally as a go-to source for identifying information as well as training reference professionals. Library staff answering health queries as well as library users undertaking research on their own will find this an invaluable resource.
Author: Michael R. Privitera Publisher: Jones & Bartlett Publishers ISBN: 1449619398 Category : Medical Languages : en Pages : 352
Book Description
The American Psychiatric Foundation Manfred Guttmacher Award Winner for 2012. Workplace Violence in Mental and General Health Settings provides clinicians, health care administrators, law enforcement professionals and educators with an easily accessible, cross-disciplinary approach to preventing and controlling violence in the workplace. This book condenses the vast literature available on workplace violence and renders it operational—allowing readers to rapidly digest important concepts and put them into action in real-world settings. Workplace Violence in Mental and General Health Settings draws on knowledge from fields beyond medicine to provide a comprehensive resource on everything from organizational and emergency room violence to self-defense techniques for the health care professional. More than any other, this book guides the reader from theory to practical application of prevention and management methods in the workplace. Key Features: - An explanation of violence terminology to enhance readability - New information on how workplace violence affects quality of care - Steps to manage high-volume emergency room violence - Specific training protocol to prevent workplace violence - A free CD-Rom containing sample workplace violence guidelines, powerpoints, internet links and more
Author: Michael Isaiah Bennett
Author: Michael Isaiah Bennett
Author: Jeremy A. Lazarus
Author: Michael Goodman
Author: 
Author: Philip R. Muskin
Author: William Winston
Author: Teri Thomas-Brogan
Author: Laura Weiss Roberts
Author: Christa Modschiedler
Author: Michael R. Privitera