Risk Adjustment Factor Raf Made Easy Provider Handbook

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Risk Adjustment Factor (Raf) Made Easy: Provider Handbook

Author : Barbara Jane Deaton
Publisher : Risk Adjustment
Page : 58 pages
File Size : 40,5 Mb
Release : 2019-09-11
Category : Medical
ISBN : 0578575701

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Risk Adjustment Factor (Raf) Made Easy: Provider Handbook by Barbara Jane Deaton Pdf

Providers have been counseled to code "to the highest specificity," yet are not taught how to accomplish it. Already overworked and often underpaid the Provider doesn't have time to plow through all the rules and regulations to produce the solution. Risk Adjustment Factor Made Easy hopes to cut through the jungle of red-tape, thick textbooks, and laborious internet searches to equip the Provider with quick access to the knowledge needed to be successful while providing references on topics for more exploration when desired. In this version of the Hierarchical Condition Coding (HCC) and Risk-Adjustment Factor (RAF) coding book, the busy provider will receive a simple short-cut to all the information necessary to be successful. This book is quick; easy-to-understand; focuses on common mistakes made by Providers and displays examples of proper coding with appropriate details to help the Provider describe the illnesses of their patients more effectively.HCC/RAF is designed to estimate a patient's "future" health care costs. With the changing of the payment system for Providers from "Paid for Services Rendered" to "Risk-Adjustment Value-Based Care" adherence to coding guidelines are vital to a Provider's bottom line. With the coding details listed, you will learn which codes carry high value and why the codes currently used are not increasing your risk score; thereby, lowering potential earnings. The business end of the practice often suffers because of simple coding errors. This RAF book will arm the provider with the tools necessary to ensure success in the "Value-Based Care" system. ABOUT THE AUTHOR: Barbara Jane Deaton, MSN, FNP-BC, ENP-BCBarbara holds a Master of Science in Nursing and is dually certified as a Family Nurse Practitioner and an Emergency Nurse Practitioner. She owns her own practice in North Carolina and is deeply involved in Risk Adjustment Factor Coding. She has been recognized by a major insurance agency for her understanding of the Risk Adjustment Factor and its role in the future of medicine. Her own risk score has significantly increased by implementing the rules contained in this book.Barbara has won numerous awards since entering the medical field. Among her awards are "Best Nurse Practitioner Award in Morganton, NC 2018" for Inclusion in the 2019-2020 Edition of Worldwide Leaders in Healthcare: nominated Best Nurse Practitioner Preceptor 2019 by Perdue University: Business of the Year Award in Burke County, NC Foundation Award; and the Emergency Physicians Award by the United States Commerce Association.NOTE FROM THE AUTHOR: Over the past year, as I became more interested in the Risk Adjustment Factor (RAF), I realized that much of my research portrayed RAF as complex and extremely difficult to learn. When I began putting RAF into play in my own practice, I realized that as a Family Provider, the main codes continued to reappear. The techniques developed became second nature. Gifted with the ability to translate complex medical problems into simple language for some of my uneducated patients; I became aware that this gift should be used to break down the barriers that exist with Risk Adjustment Factor Coding. This book is written in a simplified format with characterizations to help get the point across. By placing these techniques into practice, the patient's illnesses will be accurately portrayed, and the Provider's bottom line will improve

ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021)

Author : Department Of Health And Human Services
Publisher : Lulu.com
Page : 128 pages
File Size : 44,9 Mb
Release : 2020-09-06
Category : Medical
ISBN : 1716599989

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ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) by Department Of Health And Human Services Pdf

These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.

Weather Guide for the Canadian Forest Fire Danger Rating System

Author : B. D. Lawson
Publisher : Unknown
Page : 90 pages
File Size : 52,6 Mb
Release : 2008
Category : Fire risk assessment
ISBN : MINN:31951P010591464

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Weather Guide for the Canadian Forest Fire Danger Rating System by B. D. Lawson Pdf

This weather guide includes detailed specifications for locating and instrumenting fire weather stations, taking weather observations, and overwintering the Drought Code component of the FWI System. The sensitivity of the FWI System components to weather elements is represented quantitatively. The importance of weather that is not directly observable is discussed in the context of fuel moisture and fire behavior. Current developments in the observation and measurement of fire weather and the forecasting of fire danger are discussed, along with the implications for the reporting of fire weather of increasingly automated fire management information systems.

How Tobacco Smoke Causes Disease

Author : Anonim
Publisher : Unknown
Page : 728 pages
File Size : 51,9 Mb
Release : 2010
Category : Government publications
ISBN : UCSD:31822037817723

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How Tobacco Smoke Causes Disease by Anonim Pdf

This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products.

Guide for All-Hazard Emergency Operations Planning

Author : Kay C. Goss
Publisher : DIANE Publishing
Page : 277 pages
File Size : 53,6 Mb
Release : 1998-05
Category : Electronic
ISBN : 9780788148293

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Guide for All-Hazard Emergency Operations Planning by Kay C. Goss Pdf

Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

Ask a Manager

Author : Alison Green
Publisher : Ballantine Books
Page : 306 pages
File Size : 50,5 Mb
Release : 2018-05-01
Category : Business & Economics
ISBN : 9780399181818

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Ask a Manager by Alison Green Pdf

From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together

The Green Book

Author : Great Britain. Treasury
Publisher : Stationery Office
Page : 114 pages
File Size : 41,7 Mb
Release : 2003
Category : Business & Economics
ISBN : 0115601074

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The Green Book by Great Britain. Treasury Pdf

This new edition incorporates revised guidance from H.M Treasury which is designed to promote efficient policy development and resource allocation across government through the use of a thorough, long-term and analytically robust approach to the appraisal and evaluation of public service projects before significant funds are committed. It is the first edition to have been aided by a consultation process in order to ensure the guidance is clearer and more closely tailored to suit the needs of users.

The Animal Doctor

Author : Tayo Amoz
Publisher : Unknown
Page : 116 pages
File Size : 43,8 Mb
Release : 2008
Category : Electronic
ISBN : IND:30000124716220

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The Animal Doctor by Tayo Amoz Pdf

Science and Decisions

Author : National Research Council,Division on Earth and Life Studies,Board on Environmental Studies and Toxicology,Committee on Improving Risk Analysis Approaches Used by the U.S. EPA
Publisher : National Academies Press
Page : 422 pages
File Size : 55,7 Mb
Release : 2009-03-24
Category : Political Science
ISBN : 9780309120463

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Science and Decisions by National Research Council,Division on Earth and Life Studies,Board on Environmental Studies and Toxicology,Committee on Improving Risk Analysis Approaches Used by the U.S. EPA Pdf

Risk assessment has become a dominant public policy tool for making choices, based on limited resources, to protect public health and the environment. It has been instrumental to the mission of the U.S. Environmental Protection Agency (EPA) as well as other federal agencies in evaluating public health concerns, informing regulatory and technological decisions, prioritizing research needs and funding, and in developing approaches for cost-benefit analysis. However, risk assessment is at a crossroads. Despite advances in the field, risk assessment faces a number of significant challenges including lengthy delays in making complex decisions; lack of data leading to significant uncertainty in risk assessments; and many chemicals in the marketplace that have not been evaluated and emerging agents requiring assessment. Science and Decisions makes practical scientific and technical recommendations to address these challenges. This book is a complement to the widely used 1983 National Academies book, Risk Assessment in the Federal Government (also known as the Red Book). The earlier book established a framework for the concepts and conduct of risk assessment that has been adopted by numerous expert committees, regulatory agencies, and public health institutions. The new book embeds these concepts within a broader framework for risk-based decision-making. Together, these are essential references for those working in the regulatory and public health fields.

Measuring Metabolic Rates

Author : John R. B. Lighton
Publisher : Oxford University Press, USA
Page : 285 pages
File Size : 40,9 Mb
Release : 2018-12-24
Category : Science
ISBN : 9780198830399

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Measuring Metabolic Rates by John R. B. Lighton Pdf

This is the only authoritative textbook on metabolic measurement of animals, ranging in mass from fruit flies to whales. It integrates a rigorous theoretical background with detailed practical guidelines for making actual measurements in the field and laboratory.

Bioavailability of Contaminants in Soils and Sediments

Author : National Research Council,Division on Earth and Life Studies,Water Science and Technology Board,Committee on Bioavailability of Contaminants in Soils and Sediments
Publisher : National Academies Press
Page : 433 pages
File Size : 44,6 Mb
Release : 2003-05-03
Category : Technology & Engineering
ISBN : 9780309086257

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Bioavailability of Contaminants in Soils and Sediments by National Research Council,Division on Earth and Life Studies,Water Science and Technology Board,Committee on Bioavailability of Contaminants in Soils and Sediments Pdf

Bioavailability refers to the extent to which humans and ecological receptors are exposed to contaminants in soil or sediment. The concept of bioavailability has recently piqued the interest of the hazardous waste industry as an important consideration in deciding how much waste to clean up. The rationale is that if contaminants in soil and sediment are not bioavailable, then more contaminant mass can be left in place without creating additional risk. A new NRC report notes that the potential for the consideration of bioavailability to influence decision-making is greatest where certain chemical, environmental, and regulatory factors align. The current use of bioavailability in risk assessment and hazardous waste cleanup regulations is demystified, and acceptable tools and models for bioavailability assessment are discussed and ranked according to seven criteria. Finally, the intimate link between bioavailability and bioremediation is explored. The report concludes with suggestions for moving bioavailability forward in the regulatory arena for both soil and sediment cleanup.

Magnesium in the Central Nervous System

Author : Robert Vink,Mihai Nechifor
Publisher : University of Adelaide Press
Page : 354 pages
File Size : 47,8 Mb
Release : 2011
Category : Medical
ISBN : 9780987073051

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Magnesium in the Central Nervous System by Robert Vink,Mihai Nechifor Pdf

The brain is the most complex organ in our body. Indeed, it is perhaps the most complex structure we have ever encountered in nature. Both structurally and functionally, there are many peculiarities that differentiate the brain from all other organs. The brain is our connection to the world around us and by governing nervous system and higher function, any disturbance induces severe neurological and psychiatric disorders that can have a devastating effect on quality of life. Our understanding of the physiology and biochemistry of the brain has improved dramatically in the last two decades. In particular, the critical role of cations, including magnesium, has become evident, even if incompletely understood at a mechanistic level. The exact role and regulation of magnesium, in particular, remains elusive, largely because intracellular levels are so difficult to routinely quantify. Nonetheless, the importance of magnesium to normal central nervous system activity is self-evident given the complicated homeostatic mechanisms that maintain the concentration of this cation within strict limits essential for normal physiology and metabolism. There is also considerable accumulating evidence to suggest alterations to some brain functions in both normal and pathological conditions may be linked to alterations in local magnesium concentration. This book, containing chapters written by some of the foremost experts in the field of magnesium research, brings together the latest in experimental and clinical magnesium research as it relates to the central nervous system. It offers a complete and updated view of magnesiums involvement in central nervous system function and in so doing, brings together two main pillars of contemporary neuroscience research, namely providing an explanation for the molecular mechanisms involved in brain function, and emphasizing the connections between the molecular changes and behavior. It is the untiring efforts of those magnesium researchers who have dedicated their lives to unraveling the mysteries of magnesiums role in biological systems that has inspired the collation of this volume of work.

Command Of The Air

Author : General Giulio Douhet
Publisher : Pickle Partners Publishing
Page : 327 pages
File Size : 52,6 Mb
Release : 2014-08-15
Category : History
ISBN : 9781782898528

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Command Of The Air by General Giulio Douhet Pdf

In the pantheon of air power spokesmen, Giulio Douhet holds center stage. His writings, more often cited than perhaps actually read, appear as excerpts and aphorisms in the writings of numerous other air power spokesmen, advocates-and critics. Though a highly controversial figure, the very controversy that surrounds him offers to us a testimonial of the value and depth of his work, and the need for airmen today to become familiar with his thought. The progressive development of air power to the point where, today, it is more correct to refer to aerospace power has not outdated the notions of Douhet in the slightest In fact, in many ways, the kinds of technological capabilities that we enjoy as a global air power provider attest to the breadth of his vision. Douhet, together with Hugh “Boom” Trenchard of Great Britain and William “Billy” Mitchell of the United States, is justly recognized as one of the three great spokesmen of the early air power era. This reprint is offered in the spirit of continuing the dialogue that Douhet himself so perceptively began with the first edition of this book, published in 1921. Readers may well find much that they disagree with in this book, but also much that is of enduring value. The vital necessity of Douhet’s central vision-that command of the air is all important in modern warfare-has been proven throughout the history of wars in this century, from the fighting over the Somme to the air war over Kuwait and Iraq.