Utilization Management In The Clinical Laboratory And Other Ancillary Services

Author : Kent Lewandrowski,Patrick M. Sluss
Publisher : Springer
Page : 303 pages
File Size : 49,6 Mb
Release : 2016-11-29
Category : Medical
ISBN : 9783319341996

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Utilization Management in the Clinical Laboratory and Other Ancillary Services by Kent Lewandrowski,Patrick M. Sluss Pdf

This book is the first comprehensive text on utilization management in the clinical laboratory and other ancillary services. It provides a detailed overview on how to establish a successful utilization management program, focusing on such issues as leadership, governance, informatics, and application of utilization management tools. The volume also describes ways to establish utilization management programs for multiple specialties, including anatomic pathology and cytology, hematology, radiology, clinical chemistry, and genetic testing among other specialties. Numerous examples of specific utilization management initiatives are also described that can be imported to other heath care organizations. A chapter on utilization management in Canada is also included. Edited by an established national leader in utilization management, Utilization Management in the Clinical Laboratory and Other Ancillary Services is a valuable resource for physicians, pathologists, laboratory directors, hospital administrators, and medical insurance professionals looking to implement a utilization management program.

Author : Alan H.B. Wu
Publisher : Elsevier
Page : 492 pages
File Size : 52,5 Mb
Release : 2020-08-29
Category : Medical
ISBN : 9780128220948

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Self-assessment Q&A in Clinical Laboratory Science, III by Alan H.B. Wu Pdf

Self-assessment Q&A in Clinical Laboratory Science, III, adds a variety of subject matter that addresses new concepts and emerging technology, particularly in the areas of kidney biomarkers, cancer biomarkers, molecular diagnostics, multiple myeloma, pharmacogenomics, novel cardiovascular biomarkers and biomarkers of neurologic diseases. The field of Clinical Laboratory Science continues to evolve and editor Alan Wu has once again brought together experts in the field to cover the contemporary topics that are being tested today. This updated bank of questions and answers is a must-have to sharpen knowledge and skills. Contains nearly 800 multiple choice questions with correct answer explanations Assists readers in determining knowledge gaps so they can better study for certification examinations and remain current in this rapidly changing field Provides a format that is conducive to quick learning in digestible segments Includes beneficial citations for additional study

Author : Anand S Dighe
Publisher : Elsevier Health Sciences
Page : 128 pages
File Size : 40,7 Mb
Release : 2019-05-08
Category : Medical
ISBN : 9780323681162

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Clinical Decision Support: Tools, Strategies, and Emerging Technologies, An Issue of the Clinics in Laboratory Medicine by Anand S Dighe Pdf

This issue of Clinics in Laboratory Medicine, Guest Edited by Dr. Anand S. Dighe, will focus on Clinical Decision Support, including tools, strategies, and emerging technologies. This issue is one of four issues selected per year by the series Consulting Editor, Milenko Jovan Tanasijevic. Topics include, but are not limited to, The Laboratory’s Role in Clinical Decision Support, Integrating Decision Support into a Utilization Management Program, Decision Support Tools within the Electronic Health Record, Decision Support to Enhance Automated Testing and Laboratory Workflow, Laboratory-based CDS programs, Decision Support in Blood Banking, Decision Support in Molecular Pathology, A Computational Perspective on Decision Support, Emerging Decision Support Techniques, Decision Support and Patient Safety, Decision Support from a Reference laboratory perspective, and Training Aspects of Laboratory Based Decision Support.

Author : Gary W. Procop
Publisher : Unknown
Page : 128 pages
File Size : 49,9 Mb
Release : 2017
Category : Evidence-based medicine
ISBN : 1562388207

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Developing and Managing a Medical Laboratory (test) Utilization Management Program by Gary W. Procop Pdf

Author : Debra P. Ferenc
Publisher : Elsevier Health Sciences
Page : 626 pages
File Size : 46,7 Mb
Release : 2013-02-26
Category : Medical
ISBN : 9781455723638

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Understanding Hospital Billing and Coding by Debra P. Ferenc Pdf

A basic guide to hospital billing and reimbursement, Understanding Hospital Billing and Coding, 3rd Edition helps you understand, complete, and submit the UB-04 claim form that is used for all Medicare and privately insured patients. It describes how hospitals are reimbursed for patient care and services, showing how the UB-04 claim form reflects the flow of patient data from the time of admission to the time of discharge. Written by coding expert Debra P. Ferenc, this book also ensures that you understand the essentials of ICD-10-CM and develop skills in both inpatient coding and outpatient/ambulatory surgery coding. UB-04 Claim Simulation on the companion Evolve website lets you practice entering information from source documents into the claim form. Over 300 illustrations and graphics bring important concepts to life. Detailed chapter objectives highlight what you are expected to learn. Key terms, acronyms, and abbreviations with definitions are included in each chapter. Concept Review boxes reinforce key concepts. Test Your Knowledge exercises reinforce lessons as you progress through the material. Chapter summaries review key concepts. Practice hospital cases let you apply concepts to real-life scenarios. Updated Claim Forms chapter covers the UB-04 claim form. Updated information covers diagnosis and procedural coding, with guidelines and applications. Updated claim forms and names are used throughout.

Author : United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight
Publisher : Unknown
Page : 244 pages
File Size : 53,6 Mb
Release : 1979
Category : Government publications
ISBN : PURD:32754077529711

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Review of PSRO Medical Cost Control by United States. Congress. House. Committee on Ways and Means. Subcommittee on Oversight Pdf

Author : Institute of Medicine,Committee on Utilization Management by Third Parties
Publisher : National Academies Press
Page : 321 pages
File Size : 52,9 Mb
Release : 1989-01-01
Category : Medical
ISBN : 9780309040488

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Controlling Costs and Changing Patient Care? by Institute of Medicine,Committee on Utilization Management by Third Parties Pdf

Utilization management (UM) has become a strong trend in health care cost containment. Under UM, some decisions are not strictly made by the doctor and patient alone. Instead, they are now checked by a reviewer reporting to an employer or other paying party who asks whether or not the proposed type or location of care is medically necessary or appropriate. This book presents current findings about how UM is faring in practice and how it compares with other cost containment approaches, with recommendations for improving UM program administration and clinical protocols and for conducting further research.

Author : Deborah L. Walker,David N. Gans
Publisher : Medical Group Management Assn
Page : 198 pages
File Size : 41,5 Mb
Release : 2003
Category : Medical
ISBN : 1568291493

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Rightsizing by Deborah L. Walker,David N. Gans Pdf

Rightsizing is the process of determining whether a medical practice has the right number of staff doing the right things at the right time, with the right resources to achieve optimal practice performance. With declining reimbursement and increasing costs, medical practice executives frequently look to staffing as a means of reducing costs. Before taking action, however, they need to know that a higher level of staffing may increase practice revenue. Authors Deborah Walker and David Gans provide the systematic approach to rightsizing staff in the medical practice. They outline a five-step process to benchmark and analyze current staffing, productivity and work processes to realign staffing levels and responsibilities. This book includes a number of tools and resources to help practice executives apply the staff rightsizing process to their organizations. By following the authors' guidelines, practice leaders will realize that rightsizing doesn't always mean downsizing or reducing costs. It means having the right number and right mix of staff to ensure optimal physician productivity and practice efficiency to maximize the practice's financial performance. Book jacket.

Author : Jack W. Plunkett
Publisher : Plunkett Research, Ltd.
Page : 734 pages
File Size : 54,6 Mb
Release : 2008-10
Category : Medical care
ISBN : 9781593921323

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Plunkett's Health Care Industry Almanac by Jack W. Plunkett Pdf

This acclaimed and popular text is the only complete market research guide to the American health care industry--a tool for strategic planning, competitive intelligence, employment searches or financial research. Covers national health expenditures, technologies, patient populations, research, Medicare, Medicaid, managed care. Contains trends, statistical tables and an in-depth glossary. Features in-depth profiles of the 500 major firms in all health industry sectors.

Author : National Health Standards and Quality Information Clearinghouse (U.S.)
Publisher : Unknown
Page : 200 pages
File Size : 41,6 Mb
Release : 1981
Category : Health facilities
ISBN : MINN:30000010605305

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NHSQIC Annual Bibliography by National Health Standards and Quality Information Clearinghouse (U.S.) Pdf

Author : Anthem
Publisher : Elsevier Health Sciences
Page : 608 pages
File Size : 47,6 Mb
Release : 2014-04-25
Category : Medical
ISBN : 9780323317252

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PROP - Coding Systems Custom by Anthem Pdf

PROP - Coding Systems Custom

Author : Jack Rabin
Publisher : CRC Press
Page : 628 pages
File Size : 43,9 Mb
Release : 1988-05-27
Category : Political Science
ISBN : 082477924X

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Handbook on Human Service Administration by Jack Rabin Pdf

Introducing theories and concepts essential for human services administration, this book covers organization theory and management, budgeting and financial management, personnel administration and labor relations, laws and regulations, innovation and change, and data administration and information systems. The author explores bioethics and managing "Babies Doe," legal right to refuse treatment, nursing home payments, and more. He applies important general concepts to specific concerns such as organizational structure and service delivery arrangements, internal financial planning, innovations in drug services delivery, and implementing medical information systems.

Author : Anonim
Publisher : Jones & Bartlett Publishers
Page : 715 pages
File Size : 41,9 Mb
Release : 2013
Category : Managed care plans (Medical care)
ISBN : 9781449604646

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Essentials of Managed Health Care by Anonim Pdf

Peter Kongstvedt provides an authoritative and comprehensive overview of the key strategic, tactical, and operational aspects of managed health care and health insurance. With a primary focus on the commercial sector, the book also addresses managed health care in Medicare, Medicaid, and military medical care. An historical overview and a discussion of taxonomy and functional differences between different forms of managed health care provide the framework for the operational aspects of the industry as well.

Author : Eleanor May Travers
Publisher : Lippincott Williams & Wilkins
Page : 848 pages
File Size : 51,8 Mb
Release : 1997
Category : Medical laboratories
ISBN : UOM:39015040690888

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Clinical Laboratory Management by Eleanor May Travers Pdf

Author : J. Warren Salmon
Publisher : Routledge
Page : 289 pages
File Size : 48,6 Mb
Release : 2021-06-23
Category : Psychology
ISBN : 9781351841320

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The Corporate Transformation of Health Care by J. Warren Salmon Pdf

This new volume illuminates the growing corporate in-roads into the health care system and its probable consequences, especially for physicians and other practitioners. Its fourteen contributors examine both the delivery and supply functions in the health sector in America. Ambulatory care, hospitals, health maintenance organizations, and health promotion activities are each critically dissected. A major thrust of the investigations focuses upon implications for the medical profession, principally how the increased scrutiny over clinical decision making by corporate purchasers and payors threatens the traditional role and relative autonomy of physicians. Varying theoretical perspectives are debated, with an additional Canadian perspective offered.