Health Care Finance and the Mechanics of Insurance and Reimbursement Second Edition Michael K. Harrington
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Investigate Financial institution For Health Care Finance and the Operation of Insurance and Compensation Second Edition by Michael Ok. Harrington
- ISBN-10 : 1284169030
- ISBN-13 : 978-1284169034
The concept behind Health Care Finance and the Operation of Insurance and Compensation sets it apart from other writings on health care finance or medical insurance. This book combines financial principles specific to the healthcare environment with the strategies and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing. It elaborates on the revenue cycle in detail, linking it with general management functions, and encompasses reimbursement from the initial point of care through claim submission and reconciliation. Fully updated for its second edition, this book reflects alterations 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 healthcare fraud and abuse, adjustments to the Recovery Audit Contractors (RAC) program, and more. Tailored to equip health administration and health information management students with the essential resources to effectively transition from the classroom to the healthcare facility, this book covers: – Basics of Health Care Finance & Financial Administration – Patient Safety and the Affordable Care Act – Managed Care Organizations – Medicare Potential Payment System (Inpatient) – Hospital Outpatient Potential Payment Systems (OPPS) – Coding for the Non-HIM Professional – Revenue Cycle Management – Healthcare Fraud and Abuse – Electronic Health Records and Meaningful Use – Government Incentive Programs – Recovery Audit Contractors (RAC) Two recent chapters discuss the techniques of hierarchical condition categories from a CMS perspective (15), and the application of HCC coding in a medical practice (16).
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