The Revenue Integrity Training Toolkit

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The Revenue Integrity Training Toolkit

Author : Elizabeth E. Lamkin
Publisher : Unknown
Page : 0 pages
File Size : 51,7 Mb
Release : 2016-11-22
Category : Electronic
ISBN : 1683081269

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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 Revenue Integrity Manager's Guidebook

Author : Rose T Dunn
Publisher : Unknown
Page : 140 pages
File Size : 49,7 Mb
Release : 2018-04
Category : Electronic
ISBN : 1683081498

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The Revenue Integrity Manager's Guidebook by Rose T Dunn Pdf

Core Functions of Revenue Integrity

Author : Valerie A. Rinkle
Publisher : Unknown
Page : 103 pages
File Size : 48,9 Mb
Release : 2017
Category : Medical economics
ISBN : 1683086589

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Core Functions of Revenue Integrity by Valerie A. Rinkle Pdf

Core Skills for Hospital Case Managers

Author : Tony Cesta,Beverly Cunningham
Publisher : HC Pro, Inc.
Page : 319 pages
File Size : 41,8 Mb
Release : 2009-06
Category : Medical
ISBN : 9781601463531

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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

Enterprise Resource Planning: Concepts, Methodologies, Tools, and Applications

Author : Management Association, Information Resources
Publisher : IGI Global
Page : 1696 pages
File Size : 50,5 Mb
Release : 2013-06-30
Category : Business & Economics
ISBN : 9781466641549

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Enterprise Resource Planning: Concepts, Methodologies, Tools, and Applications by Management Association, Information Resources Pdf

The design, development, and use of suitable enterprise resource planning systems continue play a significant role in ever-evolving business needs and environments. Enterprise Resource Planning: Concepts, Methodologies, Tools, and Applications presents research on the progress of ERP systems and their impact on changing business needs and evolving technology. This collection of research highlights a simple framework for identifying the critical factors of ERP implementation and statistical analysis to adopt its various concepts. Useful for industry leaders, practitioners, and researchers in the field.

E-Learning for Geographers: Online Materials, Resources, and Repositories

Author : Rees, Philip,MacKay, Louise,Martin, David,Durham, Helen
Publisher : IGI Global
Page : 364 pages
File Size : 48,7 Mb
Release : 2008-11-30
Category : Business & Economics
ISBN : 9781599049816

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E-Learning for Geographers: Online Materials, Resources, and Repositories by Rees, Philip,MacKay, Louise,Martin, David,Durham, Helen Pdf

"This book provides a useful reference to the latest advancements in the area of educational technology and e-learning"--Provided by publisher.

Lean Software Development

Author : Mary Poppendieck,Tom Poppendieck
Publisher : Addison-Wesley
Page : 236 pages
File Size : 47,6 Mb
Release : 2003-05-08
Category : Computers
ISBN : 9780133812961

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Lean Software Development by Mary Poppendieck,Tom Poppendieck Pdf

Lean Software Development: An Agile Toolkit Adapting agile practices to your development organization Uncovering and eradicating waste throughout the software development lifecycle Practical techniques for every development manager, project manager, and technical leader Lean software development: applying agile principles to your organization In Lean Software Development, Mary and Tom Poppendieck identify seven fundamental "lean" principles, adapt them for the world of software development, and show how they can serve as the foundation for agile development approaches that work. Along the way, they introduce 22 "thinking tools" that can help you customize the right agile practices for any environment. Better, cheaper, faster software development. You can have all three–if you adopt the same lean principles that have already revolutionized manufacturing, logistics and product development. Iterating towards excellence: software development as an exercise in discovery Managing uncertainty: "decide as late as possible" by building change into the system. Compressing the value stream: rapid development, feedback, and improvement Empowering teams and individuals without compromising coordination Software with integrity: promoting coherence, usability, fitness, maintainability, and adaptability How to "see the whole"–even when your developers are scattered across multiple locations and contractors Simply put, Lean Software Development helps you refocus development on value, flow, and people–so you can achieve breakthrough quality, savings, speed, and business alignment.

Online Course Management: Concepts, Methodologies, Tools, and Applications

Author : Management Association, Information Resources
Publisher : IGI Global
Page : 2240 pages
File Size : 48,7 Mb
Release : 2018-03-02
Category : Education
ISBN : 9781522554738

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Online Course Management: Concepts, Methodologies, Tools, and Applications by Management Association, Information Resources Pdf

The rapid growth in online and virtual learning opportunities has created culturally diverse classes and corporate training sessions. Instruction for these learning opportunities must adjust to meet participant needs. Online Course Management: Concepts, Methodologies, Tools, and Applications is a comprehensive reference source for the latest scholarly material on the trends, techniques, and management of online and distance-learning environments and examines the benefits and challenges of these developments. Highlighting a range of pertinent topics, such as blended learning, social presence, and educational online games, this multi-volume book is ideally designed for administrators, developers, instructors, staff, technical support, and students actively involved in teaching in online learning environments.

The Chargemaster Essentials Toolkit

Author : Valerie A. Rinkle
Publisher : Hcpro, a Division of Simplify Compliance
Page : 0 pages
File Size : 53,5 Mb
Release : 2016-12-19
Category : Health insurance claims
ISBN : 1683080866

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The Chargemaster Essentials Toolkit by Valerie A. Rinkle Pdf

Fostering Integrity in Research

Author : National Academies of Sciences, Engineering, and Medicine,Policy and Global Affairs,Committee on Science, Engineering, Medicine, and Public Policy,Committee on Responsible Science
Publisher : National Academies Press
Page : 327 pages
File Size : 40,6 Mb
Release : 2018-01-13
Category : Science
ISBN : 9780309391252

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Fostering Integrity in Research by National Academies of Sciences, Engineering, and Medicine,Policy and Global Affairs,Committee on Science, Engineering, Medicine, and Public Policy,Committee on Responsible Science Pdf

The integrity of knowledge that emerges from research is based on individual and collective adherence to core values of objectivity, honesty, openness, fairness, accountability, and stewardship. Integrity in science means that the organizations in which research is conducted encourage those involved to exemplify these values in every step of the research process. Understanding the dynamics that support â€" or distort â€" practices that uphold the integrity of research by all participants ensures that the research enterprise advances knowledge. The 1992 report Responsible Science: Ensuring the Integrity of the Research Process evaluated issues related to scientific responsibility and the conduct of research. It provided a valuable service in describing and analyzing a very complicated set of issues, and has served as a crucial basis for thinking about research integrity for more than two decades. However, as experience has accumulated with various forms of research misconduct, detrimental research practices, and other forms of misconduct, as subsequent empirical research has revealed more about the nature of scientific misconduct, and because technological and social changes have altered the environment in which science is conducted, it is clear that the framework established more than two decades ago needs to be updated. Responsible Science served as a valuable benchmark to set the context for this most recent analysis and to help guide the committee's thought process. Fostering Integrity in Research identifies best practices in research and recommends practical options for discouraging and addressing research misconduct and detrimental research practices.

Ensuring Quality to Gain Access to Global Markets

Author : Martin Kellermann
Publisher : World Bank Publications
Page : 275 pages
File Size : 55,6 Mb
Release : 2019-04-09
Category : Business & Economics
ISBN : 9781464813726

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Ensuring Quality to Gain Access to Global Markets by Martin Kellermann Pdf

In a modern world with rapidly growing international trade, countries compete less based on the availability of natural resources, geographical advantages, and lower labor costs and more on factors related to firms' ability to enter and compete in new markets. One such factor is the ability to demonstrate the quality and safety of goods and services expected by consumers and confirm compliance with international standards. To assure such compliance, a sound quality infrastructure (QI) ecosystem is essential. Jointly developed by the World Bank Group and the National Metrology Institute of Germany, this guide is designed to help development partners and governments analyze a country's quality infrastructure ecosystems and provide recommendations to design and implement reforms and enhance the capacity of their QI institutions.

Handbook on Corruption, Ethics and Integrity in Public Administration

Author : Adam Graycar
Publisher : Edward Elgar Publishing
Page : 512 pages
File Size : 44,6 Mb
Release : 2020-07-31
Category : Political Science
ISBN : 9781789900910

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Handbook on Corruption, Ethics and Integrity in Public Administration by Adam Graycar Pdf

This timely Handbook unpacks the underlying common factors that give rise to corrupting environments. Investigating opportunities to deliver ethical public policy, it explores global trends in public administration and its vulnerability to corruption today, as well as proposing strategies for building integrity and diminishing corruption in public sectors around the globe.

The Internal Revenue Service's Processing of 501(c)(3) and 501(c)(4) Applications for Tax-exempt Status Submitted by "political Advocacy" Organizations from 2010-2013

Author : United States. Congress. Senate. Committee on Finance
Publisher : Unknown
Page : 1380 pages
File Size : 54,5 Mb
Release : 2015
Category : Nonprofit organizations
ISBN : STANFORD:36105050691729

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The Internal Revenue Service's Processing of 501(c)(3) and 501(c)(4) Applications for Tax-exempt Status Submitted by "political Advocacy" Organizations from 2010-2013 by United States. Congress. Senate. Committee on Finance Pdf

Auditing PFS

Author : Debi Weatherford
Publisher : HC Pro, Inc.
Page : 141 pages
File Size : 42,6 Mb
Release : 2007
Category : Auditing, Internal
ISBN : 9781601460561

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Auditing PFS by Debi Weatherford Pdf