Health Care Finance and the Mechanics of Insurance and Reimbursement

Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. Harrington
Publisher: Jones & Bartlett Learning
Total Pages: 344
Release: 2019-10-01
Genre: Medical
ISBN: 1284169030

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Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.

Health Care Finance and the Mechanics of Insurance and Reimbursement

Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. Harrington
Publisher: Jones & Bartlett Learning
Total Pages: 344
Release: 2019-10-01
Genre: Medical
ISBN: 1284203298

Download Health Care Finance and the Mechanics of Insurance and Reimbursement Book in PDF, Epub and Kindle

Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.

Hc Finance & Mechanics of Insurance and Reimbursement Nav Scenario for Hc Finance

Hc Finance & Mechanics of Insurance and Reimbursement Nav Scenario for Hc Finance
Author: Michael K Harrington
Publisher:
Total Pages: 0
Release: 2023-12-14
Genre:
ISBN: 9781284302455

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This bundle includes Health Care Finance and the Mechanics of Insurance and Reimbursement, Third Edition and the Navigate Scenario for Health Care Finance. Health Care Finance and the Mechanics of Insurance and Reimbursement combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Through immersive technology and instructional design, the Navigate Scenario for Health Care Finance creates an environment in which the student assumes roles such as Chief Executive Officer, Chief Financial Officer, and Board Member, and applies their knowledge of health care finance to make decisions that directly impact hospitals and patients, such as whether to relocate a hospital facility and whether to propose a bond to finance a major hospital renovation. In each episode, the student will progress through a series of different settings and character interactions that will teach them about key concepts in Health Care Finance. The student will analyze information, make decisions, and see the impact of their participation in real time.

Essentials of Health Care Finance

Essentials of Health Care Finance
Author: William O. Cleverley
Publisher: Jones & Bartlett Learning
Total Pages: 586
Release: 2023-12-11
Genre: Medical
ISBN: 1284260844

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Blending the topics of both accounting and finance, Essentials of Health Care Finance is a relevant, readable, and easily applied resource for health care management students and executives that explores finance theory and its practical application in health care across a full range of facilities, from hospitals, home health agencies, and skilled nursing facilities to surgical centers, physician practices, and integrated health systems. Carefully revised, the Ninth Edition of Essentials of Health Care Finance has been updated with additional reflection, examples, and application so that individuals with no healthcare experience can benefit from additional elaboration on key concepts such as physician practice management, flex budgeting, and strategic financial planning. The Ninth Edition also explores trends in national health expenditures and physician organizations and alignment; changes in health services financing and utilization since the enactment of the Affordable Care Act (ACA)

Navigate 2 Advantage Access for Health Care Finance and the Mechanics of Insurance and Reimbursement

Navigate 2 Advantage Access for Health Care Finance and the Mechanics of Insurance and Reimbursement
Author: Michael K. Harrington
Publisher:
Total Pages: 347
Release: 2015-06-01
Genre: Medical
ISBN: 9781284034929

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Navigate 2 Advantage Access For Health Care Finance And The Mechanics Of Insurance And Reimbursement Is A Digital-Only Access Code That Unlocks A Comprehensive And Interactive Ebook, Student Practice Activities And Assessments, A Full Suite Of Instructor Resources, And Learning Analytics Reporting System. Navigate 2 Is Nearly Here. In The Meantime, We Invite You To Redeem Your Access Code And Join Our Lounge. Once Your Navigate 2 Advantage Access Is Live, We Will Notify You Via Email. This Navigate 2 Digital-Only Package For Health Care Finance And The Mechanics Of Insurance And Reimbursement Offers The Following: •Learn: A Complete Ebook With Interactive Tools •Practice: A Virtual Study Center With Robust Practice Activities And Flashcards •Assess: A Homework And Testing Assessment Center With Prepopulated Quizzes And Examinations •Analyze: Dashboards With Learner And Educator Views That Reports Actionable Data Learn More About Navigate 2 At Http: //Www.Jblnavigate.Com/2

Healthcare Finance and Financial Management

Healthcare Finance and Financial Management
Author: Mary A. Paterson
Publisher: DEStech Publications, Inc
Total Pages: 215
Release: 2014-02-28
Genre: Business & Economics
ISBN: 1605950629

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Includes case studies for assignments and classroom discussion Covers NP practice financial management Comprehensive instructor's manual available including presentation slides, chapter guides, and grading rubrics This textbook is designed for students preparing as advanced practice clinicians, including APRNs, DNPs, DPTs, DOTs, and physician assistants. The book covers both health policy issues and practice financial management issues. It is organized into seven sections in two parts. The first part is focused on macro issues in healthcare finance, and the second part is focused on healthcare financing management in professional practice. This approach provides the context necessary for the clinician to understand how to manage reimbursement requirements and preferred provider contracting as health care financial policy drives these payment and contracting strategies. Each section features a case study to facilitate classroom discussion on key points. This book is suitable for healthcare finance courses in the curriculum for MSN and DNP programs and also for schools of social work, medicine, occupational, and physical therapy.

Gapenski's Healthcare Finance

Gapenski's Healthcare Finance
Author: Kristin L. Reiter
Publisher: Asociation of University Programs in Health Administration/Health Administration Press
Total Pages: 0
Release: 2020-07-27
Genre: Business & Economics
ISBN: 9781640551862

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Gapenski's Healthcare Finance: An Introduction to Accounting and Financial Management explores how healthcare organizations manage financial operations to optimally provide patient care. This significantly revised edition of one of Health Administration Press's best-selling books introduces the key foundational elements of healthcare finance, including both accounting and financial management. Numerous examples throughout showcase how healthcare finance is practiced in a variety of organizations, including hospitals, medical practices, clinics, home health agencies, nursing homes, and managed care organizations. Authors Kristin L. Reiter and Paula H. Song present the financial management and accounting concepts that are most critical to managerial decision-making. They emphasize not only financial theory and principles but also practical tools healthcare managers can use to make the crucial decisions that promote the financial well-being of their organization. Gapenski's Healthcare Finance examines the current financial environment in which providers operate, with an emphasis on health system design, healthcare insurance, and reimbursement methodologies. Dates, exhibits, references, and resources have been updated throughout. All examples and financial statements reflect current accounting and reporting standards. Extensive updates and content new to this seventh edition include: A discussion of health reform that reflects the current status of the Affordable Care Act; Information on the field's increasing focus on social determinants of health; Tax rates and examples that reflect the effects of the Tax Cuts and Jobs Act; A discussion of Medicaid expansion and health insurance exchanges; Coverage of the implications of value-based payment for the revenue cycle; Significant reorganization of the financial accounting chapters to orient students to financial accounting before the book's coverage of the income statement, statement of changes in equity, the balance sheet, and the statement of cash flows; A new chapter supplement provides expanded analysis of the double-entry accounting system; Amendments to the financial accounting conceptual framework by the Financial Accounting Standards Board; Better differentiation of risk measures of realized vs. expected return distributions In a dynamic environment, healthcare leaders need to practice good financial decision-making for the health of their patients and the financial stability of their organization. From this book, current and future managers will understand the finance problems provider organizations face and how best to solve them.

Consumer-Driven Health Care

Consumer-Driven Health Care
Author: Regina E. Herzlinger
Publisher: John Wiley & Sons
Total Pages: 930
Release: 2004-03-22
Genre: Medical
ISBN: 9780787972165

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Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. With additionalcontributions by health care's leading strategists,innovators, regulators and scholars, Consumer-Driven HealthCare presents a compelling vision of a health care system builtto satisfy the people it serves. This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare (CDHC) in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized drugs and devices; and government roles.

Essentials of Health Care Finance

Essentials of Health Care Finance
Author: William O. Cleverley
Publisher: Jones & Bartlett Learning
Total Pages: 574
Release: 2007
Genre: Health facilities
ISBN: 9780763742362

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Stands firmly in its place as the leading textbook on health care finance.