Each year, healthcare providers deliver more than $2 trillion in goods and services. Because of the unique healthcare payment system in the United States, few of these dollars change hands directly between providers and patients Instead, there is a complex reimbursement system, mostly dirven by third-party payment transaction between government programs and insurance companies on the one hand, and healthcare providers on the other. This system is made even more complex by the increasing necessity to collect a growing percentage of fees diretly from patients.
This unique work tells the complete story of healthcare revenue cycle management. Designed to improve the efficiency of managers, the book is organized by functional area to reflect the organization of most revenue cycles. In addition to first party interviews that define best practices and provide solutions to predictable but complex challenges, the author includes a wealth of relevant literature citations. He further augments the text with a glossary, information tables, flowcharts, organizational charts, sample policies, and sample position descriptions.
Sprache
Verlagsort
Verlagsgruppe
Zielgruppe
Für Beruf und Forschung
Healthcare finance professionals in both the acute-care and ambulatory markets including CFO, finance directors and managers, patient financial services directors and managers; finance and reimbursement personnel in physician groups.
Maße
Höhe: 254 mm
Breite: 178 mm
ISBN-13
978-1-4200-9136-6 (9781420091366)
Copyright in bibliographic data is held by Nielsen Book Services Limited or its licensors: all rights reserved.
Schweitzer Klassifikation
Preface. Introduction. Key Performance Indicators / Financial Analysis. Organization and Management. Patient Access. Self-Pay Collections and Financial Counseling. Charge Capture and Revenue Protection. Health Information Management. Billing and Claim Submission. Patient Financial Services. Customer Service. Cash Application and Cashiering. Revenue Cycle Transactions. Reimbursement and Third-Party Payors. Vendor Management. Physician Practice Management. Managed Care Contracting. Information Technology.
