Revenue Cycle Management Toolkit

Revenue Cycle Management Toolkit Book in PDF, ePub and Kindle version is available to download in english. Read online anytime anywhere directly from your device. Click on the download button below to get a free pdf file of Revenue Cycle Management Toolkit book. This book definitely worth reading, it is an incredibly well-written.

Revenue Cycle Management Toolkit

Author : Anonim
Publisher : Hcpro Incorporated
Page : 0 pages
File Size : 48,8 Mb
Release : 2008
Category : Health facilities
ISBN : 1601462107

Get Book

Revenue Cycle Management Toolkit by Anonim Pdf

Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow William L. Malm, ND, RN, Contributing Editor Maintain a complete, thorough revenue cycle process The scope of a healthcare organization's revenue cycle is broad, encompassing issues on the front end of operations, in the coding and chargemaster departments, and in back-end/ reimbursement duties. New elements are constantly being introduced, with concepts such as MS-DRGs, Recovery Audit Contractors, and the Present on Admission Indicator, which all require operational changes. "Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow" caters to the complexities and demands that come with managing every facet of your organization's revenue cycle, from the moment a patient walks through the door to reconciling payment for services rendered. A follow-up to HCPro's successful 2006 edition, "Revenue Cycle Management Toolkit: A Comprehensive Guide to Managing Cash Flow" features forms, checklists, tips, and advice for all aspects of the revenue cycle including: Registration and scheduling Upfront collections Chargemaster maintenance Outpatient coding, including major OPPS changes, drug administration and incident-to Inpatient coding, including RACs Billing and collections Emergency department Taken from the pages of HCPro's popular newsletters Patient Access Advisor, Briefings on Coding Compliance Strategies, Briefings on APCs, and Managed Care Contracting and Reimbursement Advisor, "Revenue Cycle Management Toolkit" offers value-added management and training tools such as quizzes to reinforce learning and assess competency, and sample case studies to illustrate practical demonstrations of the material provided in the book. With a foreword written by William Malm, ND, RN, director of HCPro's Revenue Cycle Institute, "Revenue Cycle Management Toolkit" provides sensible guidance and tools you can use immediately to start strengthening all of the functions in your revenue cycle, from patient access, all the way through to managed care contracting. This book will help you: Reference specific details relevant to each step in the cycle with easy-to-navigate tabs and chapters Identify specific successful methods used by your peers, that you can implement in your own organization, including detailed case studies and applicable tools Customize important documents such as audit plans and model letters, with templates provided on the accompanying CD-ROM Discover time-sensitive analysis of important changes and programs in 2008, including MSDRGs, Recovery Audit Contractors, and the Present on Admission Indicator Take a look at the table of contents, which are chock full of ways to upgrade your revenue cycle process: Foreword Chapter 1: UNCHS Case Studies Chapter 2: Patient Access Chapter 3: Chargemaster and Outpatient Coding Chapter 4: Inpatient Coding Chapter 5: Patient Financial Services Chapter 6: Spotlight on the Emergency Department

Revenue Cycle Management

Author : HCPro (Firm)
Publisher : HC Pro, Inc.
Page : 155 pages
File Size : 46,5 Mb
Release : 2006
Category : Health facilities
ISBN : 9781578397631

Get Book

Revenue Cycle Management by HCPro (Firm) Pdf

The Revenue Integrity Training Toolkit

Author : Elizabeth E. Lamkin
Publisher : Unknown
Page : 0 pages
File Size : 53,6 Mb
Release : 2016-11-22
Category : Electronic
ISBN : 1683081269

Get Book

The Revenue Integrity Training Toolkit by Elizabeth E. Lamkin Pdf

The Revenue Integrity Training Toolkit Elizabeth Lamkin, MHA, ACHE The revenue cycle in a hospital or health system is a continuum, and each department and role within the cycle has to work in unison to be successful. Due to the nature of today's healthcare environment some staff may not even realize that they're part of the revenue cycle. If there's a weak link, the entire system can quickly be in trouble due to issues with compliance, reimbursement, and, ultimately, patient care. This handbook will help get everyone, from billers to clinicians, on the same page improving systemic information flow and feedback loops. This toolkit comes with five handbooks that you can give to members of the revenue cycle. Bulk pricing for these handbooks is also available. In addition to the handbook, you will receive: Downloadable flow charts depicting the overarching revenue cycle and its various components and information flow Diagram of best practice committee and communication structures to help ensure a single high-functioning revenue cycle A sample payer scorecard to help track payer performance and support internal accountability Customizable team charter template for a medical records improvement committee A list of helpful resources for all aspects and departments involved in the revenue cycle Table of Contents Chapter 1: Revenue Cycle Integrity: A System Enterprise The Revenue Cycle Plan Chapter 2: Other Roles and Responsibilities Hospital Departments Hospital and Medical Staff Leader Chapter 3: Cross Functional Management of Revenue Cycle Committee Structure and Information Flow Communication and Education Outcome Measurement and Reporting for Accountability Chapter 4: Summary This handbook will help you: Recognize how all of the different pieces of the revenue cycle fit together Reduce inconsistencies and increase buy-in across departments Identify key players in the revenue cycle Create and manage revenue cycle committees that produce measurable results and improve financial accountability Engage key stakeholders in education and help them tie overarching revenue cycle goals with specific departmental goals

The Sports Management Toolkit

Author : Paul Emery
Publisher : Routledge
Page : 247 pages
File Size : 47,9 Mb
Release : 2011-04-19
Category : Business & Economics
ISBN : 9781134007738

Get Book

The Sports Management Toolkit by Paul Emery Pdf

The Sports Management Toolkit is a practical guide to the most important management tools and techniques available to those working in the sport and leisure industries. Designed to bridge the gap between the classroom and the workplace, it includes ten free-standing chapters, each of which provides a detailed introduction to best practice in one of the core sports management disciplines. Written in a clear and straightforward style, and free of management jargon, the book covers all the key functional areas of contemporary sports management, including: marketing performance management risk management human resource management project management finance. Each chapter includes a detailed, step-by-step description of the key tools and techniques and their application; a ‘real world’ case study to demonstrate the technique in action, plus an extensive guide to further resources and a series of self-test questions. The final chapter offers an extended, integrated case-study, demonstrating how all the key management techniques are combined within the everyday operation of a successful sport or leisure organization. This book is essential reading for all students of sport and leisure management, and for all managers looking to improve their professional practice.

The Chargemaster Essentials Toolkit

Author : Valerie A. Rinkle
Publisher : Hcpro, a Division of Simplify Compliance
Page : 0 pages
File Size : 46,9 Mb
Release : 2016-12-19
Category : Health insurance claims
ISBN : 1683080866

Get Book

The Chargemaster Essentials Toolkit by Valerie A. Rinkle Pdf

Healthcare Financial Management

Author : Anonim
Publisher : Unknown
Page : 898 pages
File Size : 52,5 Mb
Release : 2009
Category : Hospitals
ISBN : UCLA:L0098895519

Get Book

Healthcare Financial Management by Anonim Pdf

Some issues accompanied by supplements.

Core Skills for Hospital Case Managers

Author : Tony Cesta,Beverly Cunningham
Publisher : HC Pro, Inc.
Page : 319 pages
File Size : 47,8 Mb
Release : 2009-06
Category : Medical
ISBN : 9781601463531

Get Book

Core Skills for Hospital Case Managers by Tony Cesta,Beverly Cunningham Pdf

Core Skills for Hospital Case Managers: A Training Toolkit for Effective Outcomes Toni Cesta, PhD, RN, FAAN; Beverly Cunningham, MS, RN As of June 20, 2014, contact hours for nurses are no longer available with this product. Finally--an affordable, effective, and consistent training program for your hospital case managers. This one-of-a-kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department. This resource is designed to give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed. Core Skills for Hospital Case Managers is an orientation and training manual for nurses transitioning into case management, an easy-to-read reference guide for new case managers, and a source of inspiration, tools, and resources for seasoned professionals. With a flexible format, this book and CD-ROM offer practical information and customizable tools to develop and maintain a wide variety of care management skills. Table of contents Chapter 1: Hospital Case Management 101 Chapter 2: Case Manager Role Chapter 3: Roles, Functions, and Caseloads Chapter 4: The Case Management Process Chapter 5: The Case Manager's Role in Transitional and Discharge Planning Chapter 6: Utilization Management Chapter 7: Managing Long Length of Stay Patients Chapter 8: Denials: Prevention and Appeals Strategies Chapter 9: Reimbursement Chapter 10: The Role of the Case Manager in Patient Flow Chapter 11: Measuring Success: Strategic Outcome Measures Chapter 12: Dealing with the Uninsured and Underinsured Chapter 13: Working with Multidisciplinary Teams Chapter 14: Crucial Communication and Conflict Resolution Learning objectives: Discuss the evolution of hospital case management Explain the different models of hospital case management Determine the various goals of hospital case management Examine the various roles of case management Discuss the variety of functions performed by case managers Discuss the scope of the case manager position Examine staffing ratios in various models List the steps in the case management process Determine the role of case managers in documentation Examine case managers' role in discharge planning List the factors that influence the discharge planning process Determine strategies for improving discharge planning Discuss how hospital reimbursement affects utilization management (UM) List the stages of UM coordination Determine the affect of outside influences on UM Evaluate different payers' regulations regarding UM Examine case management's role in length of stay (LOS) Evaluate strategies for managing patients with long LOS Identify data used to track and trend LOS Evaluate the reasons behind denials Discuss case management's role in preventing denials Examine case management's roles in reversing denials Examine case management's role in reimbursement Determine strategies for effective case management related to reimbursement Evaluate case management's role in patient flow Discuss demand and capacity management Identify strategies for managing patient flow Identify measurable case management outcomes Explain how case managers can track quality outcome metrics Discuss other metrics case management departments can track and trend Examine ways to create a case management report card Discuss the unfunded or underfunded patient populations Describe the role of the ED case manager with unfunded or underfunded patient populations Evaluate strategies for dealing with unfunded or underfunded patient populations Examine strategies for successfully working with multidisciplinary teams Describe sources of conflict with which case managers frequently come in contact Discuss strategies for reducing conflict Intended audience Staff nurses, charge nurses, staff educators, staff development specialists, directors of education, nurse managers, and nurse leaders

Managed Health Care in the New Millennium

Author : David I. Samuels
Publisher : CRC Press
Page : 309 pages
File Size : 40,6 Mb
Release : 2011-12-05
Category : Business & Economics
ISBN : 9781439840306

Get Book

Managed Health Care in the New Millennium by David I. Samuels Pdf

David Samuels, a leading authority on financial models in healthcare, draws on his multidisciplinary background in all aspects of managed care to provide an expansive yet detailed perspective of this complex field. Grounded in evidence-based modeling, the book’s multidisciplinary focus puts the spotlight on core concepts from the standpoints of health plans, hospitals, physician practice, and their respective integrated network models. You’ll learn what happened when a country’s national health care plan is developed with problematic underwriting, why hospitals will always be victimized at their payer’s bargaining table, and even how to improve the current primary care shortage at both 50% less provider costs as well as with triple their members’ compliance in wellness care. The book gives you the critical tools to stay ahead of the learning curve, engage patients to take responsibility for their own and their family’s health status, and improve your differentiation in a RAPIDLY changing marketplace.

Modern Healthcare

Author : Anonim
Publisher : Unknown
Page : 610 pages
File Size : 40,6 Mb
Release : 2008-04
Category : Health facilities
ISBN : UOM:49015003304194

Get Book

Modern Healthcare by Anonim Pdf

The Innovator's Toolkit

Author : David Silverstein,Philip Samuel,Neil DeCarlo
Publisher : The Innovators Toolkit
Page : 392 pages
File Size : 46,9 Mb
Release : 2009
Category : Business & Economics
ISBN : 0470345357

Get Book

The Innovator's Toolkit by David Silverstein,Philip Samuel,Neil DeCarlo Pdf

An innovation guide for business leaders, managers, and new product developers. The Innovator's Toolkit explains all the fundamental tools and concepts anyone involved in innovation should be familiar with--especially methods and strategies for improving products and services and developing new ones. This book is written in an easy-to-use reference format that helps readers understand why, when, and how to apply each tool. The tools and techniques in this book are organized around a four-step innovation methodology--define, discover, develop, and demonstrate--that takes readers through problem identification, then flows into idea generation, idea selection, and, finally, idea implementation. Constant innovation is a necessity for business success today; The Innovator's Toolkit presents an effective plan for achieving it.

Health Care Finance and the Mechanics of Insurance and Reimbursement

Author : Michael K. Harrington
Publisher : Jones & Bartlett Learning
Page : 344 pages
File Size : 53,6 Mb
Release : 2019-10-01
Category : Medical
ISBN : 9781284169034

Get Book

Health Care Finance and the Mechanics of Insurance and Reimbursement by Michael K. Harrington Pdf

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.

Debating Public Administration

Author : Robert F. Durant,Jennifer R.S. Durant
Publisher : Routledge
Page : 371 pages
File Size : 52,6 Mb
Release : 2017-09-25
Category : Political Science
ISBN : 9781351570060

Get Book

Debating Public Administration by Robert F. Durant,Jennifer R.S. Durant Pdf

Dialog between practitioners and academics has increasingly become the exception rather than the rule in contemporary public administration circles. Bridging the gap between theory and practice, Debating Public Administration: Management Challenges, Choices, and Opportunities tackles some of the major management challenges, choices, and opportunities of the twenty-first century facing public managers across various subfields of public administration. Informed by contemporary pressures on public managers to reconceptualize purpose, redefine administrative rationality, recapitalize human assets, reengage resources, and revitalize democratic constitutionalism, the book offers students, practitioners, and researchers an opportunity to take stock and ponder the future of practice and research in public administration. Organized by three sets of major management challenges facing the field—Rethinking Administrative Rationality in a Democratic Republic, Recapitalizing Organizational Capacity, and Reconceptualizing Institutions for New Policy Challenges—the book takes an uncommon approach to the study of these topics. In it, leading practitioners and academics comment on condensed versions of articles appearing in the Theory to Practice feature of Public Administration Review (PAR) from 2006 through 2011. The authors and commentators focus on some of the best current research, draw lessons from that literature for practice, and identify gaps in research that need to be addressed. They expertly draw out themes, issues, problems, and prospects, providing bulleted lessons and practical takeaways. This makes the book a unique one-stop resource for cross-disciplinary, cross-sectoral, and cross-professional exchanges on contemporary challenges.

The Chargemaster Essentials Toolkit, Second Edition

Author : Valerie A. Rinkle
Publisher : Unknown
Page : 210 pages
File Size : 46,9 Mb
Release : 2019-09
Category : Electronic
ISBN : 1683089987

Get Book

The Chargemaster Essentials Toolkit, Second Edition by Valerie A. Rinkle Pdf

In its second edition, The Chargemaster Essentials Toolkit returns to provide readers with the tools needed to optimize their chargemaster and ensure accurate reimbursement and revenue integrity across their organization. This edition contains a new section on price transparency as well as updated information on certain field locations, supply charge considerations, changes to the 340B drug pricing program, and functional reporting requirements for physical and occupational therapy. It also includes updated regulatory information throughout all chapters to provide the latest information on topics relevant to chargemaster operations and management.

ASHP's Management Pearls

Author : Deborah Swartwood Ash
Publisher : ASHP
Page : 121 pages
File Size : 49,7 Mb
Release : 2008-10-22
Category : Medical
ISBN : 9781585282821

Get Book

ASHP's Management Pearls by Deborah Swartwood Ash Pdf

One of the significant values of the “pearls” is to show the creative ways that issues were approached, and solutions reached. Many variations in practice setting present themselves (hospital size, location, patient base, etc.) but the value of creative approaches to problems has a universal appeal. Management Pearls is edited by Deborah Ash who was the session chair for the 2007 presentations. The publication provides a number of examples of tools, techniques, and interventions that have improved pharmacy management in both U.S. and foreign health systems.

An Elegant Puzzle

Author : Will Larson
Publisher : Stripe Press
Page : 281 pages
File Size : 40,7 Mb
Release : 2019-05-20
Category : Computers
ISBN : 9781953953339

Get Book

An Elegant Puzzle by Will Larson Pdf

A human-centric guide to solving complex problems in engineering management, from sizing teams to handling technical debt. There’s a saying that people don’t leave companies, they leave managers. Management is a key part of any organization, yet the discipline is often self-taught and unstructured. Getting to the good solutions for complex management challenges can make the difference between fulfillment and frustration for teams—and, ultimately, between the success and failure of companies. Will Larson’s An Elegant Puzzle focuses on the particular challenges of engineering management—from sizing teams to handling technical debt to performing succession planning—and provides a path to the good solutions. Drawing from his experience at Digg, Uber, and Stripe, Larson has developed a thoughtful approach to engineering management for leaders of all levels at companies of all sizes. An Elegant Puzzle balances structured principles and human-centric thinking to help any leader create more effective and rewarding organizations for engineers to thrive in.