Medical Practice Management System
Published on 1. February 2007
Book
Mixed media product
384 pages
978-1-4180-3750-5 (ISBN)
Description
A medical office will be more successful if it has a strategy in place that will enhance health outcomes, increase patient satisfaction, and add value to the health care product being delivered. This system will help you formulate procedures and policies to put you and your practice on a path to success. The Medical Practice Management System is a tool for you, the office administrator or medical office administration student, to begin preparing and enhancing your office's strategy for the future. By utilizing this system, you will walk through writing a business plan, setting employment standards, coordinating facility operations, and implementing HIPAA policies. Also, the Medical Practice Management System is a dynamic way to learn the policies and procedures that are used in the medical office, emphasizing the importance of having policies in place and the considerations that go into developing those policies.
Reviews / Votes
SECTION 1: BUSINESS PLATFORM CHAPTER 1: THE BUSINESS PLAN Elements Preparation Guidelines Layout Financial Plan Approaching Banks and Investors Summary CHAPTER 2: CREDENTIALING Individuals CHAPTER 3: HIPAA (Health Insurance Portability & Accountability Act) Elements Guidelines Regulations Business Associates Organizations CHAPTER 4: EMPLOYMENT STANDARDS Employee Application Employment at Will Work Day and Work Week Security CHAPTER 5: EMPLOYEE CONDUCT Delegation of Authority Disciplinary Actions Sexual Harassment Alcohol and Drugs Personal Appearance CHAPTER 6: EMPLOYEE COMPENSATION Full Time Employees Job Classifications, Pay Grades, and Salary Ranges Employee Evaluations Benefits CHAPTER 7: EMPLOYEMENT LEAVES Voluntary Separation Family and Medical Leave Act Leave of Absence CHAPTER 8: STAFF MEETINGS Communication Administrative Reporting CHAPTER 9: FACILITY OPERATIONS Facility Business Policy Notifications CHAPTER 10: FACILITY ENVIRONMENTAL GUIDELINES General Office Guidelines Back End Guidelines Laboratory Guidelines CLIA Guidelines OSHA Guidelines Fire Safety Plan SECTION 2: PATIENT MANAGEMENT CHAPTER 11: TELEPHONE MANAGEMENT Front Desk Guidelines Patient Communication and Messaging Facsimile Transmissions CHAPTER 12: APOINTMENT SYSTEMS Allotments Capacity Categories Scheduling Effective Systems CHAPTER 13: REGISGTRATION & SCHEDULING New Patient Registration Insurance Verification Appointment Confirmation Appointment Arrival Appointment Hurdles Cancellations and No-Shows Recall System CHAPTER 14: PATIENT CONSENT AND DISCLOSURE Consent for Purposes of Treatment, Payment and Healthcare Operations Authorization for Use or Disclosure of Protected Health Information Patient Rights Notice of Privacy Practices CHAPTER15: PATIENT VISITS Arrival Medical Record Check In Patient Preparation Orders for Treatment Patient Notification Check Out Next Day's Office Visits CHAPTER 16: PHARMACEUTICALS Medication Storage Controlled Substances Sample Medications Prescription Refills Packaged Devices CHAPTER 17: MEDICAL RECORDS Confidentiality Maintenance of Medical records Medical Record Review Narrative Report Subpoenas Release of Information Records Retention and Destruction Preventative and Ambulatory Survey CHAPTER 18: QUALITY IMPROVEMENT Quality Improvement Plan Emergency Protocol Physician Called Away Incident Reporting Change of Care SECTION 3: BILLING OPERATIONS CHAPTER 19: PATIENT FINANCIAL LIABILITY Patient Financial Policy Time of Service Financial Liability Payment Arrangements Economic Hardship CHAPTER 20: SCHEDULED FEE PROGRAMS CHAMPUS - CHAMPVA Chronically Ill and Disabled Children Laptook Medical Advocacy Services for Healthcare, (MASH) Medicaid Medicare CHAPTER 21: REIMBURSEMENTS Payment Posting Charge Posting Deposits Third Party Billing CHAPTER 22: COLLECTIONS, EDITS, and WRITE-OFFS Patient Collections Insurance Collections Scheduled Fee Denials Bad Debt Write-Off and Recovery Deceased Patient's Estate CollectionMore details
Language
English
Place of publication
Clifton Park
United States
Publishing group
Cengage Learning, Inc
Target group
Professional and scholarly
Dimensions
Height: 276 mm
Width: 224 mm
Thickness: 24 mm
Weight
980 gr
ISBN-13
978-1-4180-3750-5 (9781418037505)
Copyright in bibliographic data and cover images is held by Nielsen Book Services Limited or by the publishers or by their respective licensors: all rights reserved.
Schweitzer Classification
Content
SECTION 1: BUSINESS PLATFORM CHAPTER 1: THE BUSINESS PLAN Elements Preparation Guidelines Layout Financial Plan Approaching Banks and Investors Summary CHAPTER 2: CREDENTIALING Individuals CHAPTER 3: HIPAA (Health Insurance Portability & Accountability Act) Elements Guidelines Regulations Business Associates Organizations CHAPTER 4: EMPLOYMENT STANDARDS Employee Application Employment at Will Work Day and Work Week Security CHAPTER 5: EMPLOYEE CONDUCT Delegation of Authority Disciplinary Actions Sexual Harassment Alcohol and Drugs Personal Appearance CHAPTER 6: EMPLOYEE COMPENSATION Full Time Employees Job Classifications, Pay Grades, and Salary Ranges Employee Evaluations Benefits CHAPTER 7: EMPLOYEMENT LEAVES Voluntary Separation Family and Medical Leave Act Leave of Absence CHAPTER 8: STAFF MEETINGS Communication Administrative Reporting CHAPTER 9: FACILITY OPERATIONS Facility Business Policy Notifications CHAPTER 10: FACILITY ENVIRONMENTAL GUIDELINES General Office Guidelines Back End Guidelines Laboratory Guidelines CLIA Guidelines OSHA Guidelines Fire Safety Plan SECTION 2: PATIENT MANAGEMENT CHAPTER 11: TELEPHONE MANAGEMENT Front Desk Guidelines Patient Communication and Messaging Facsimile Transmissions CHAPTER 12: APOINTMENT SYSTEMS Allotments Capacity Categories Scheduling Effective Systems CHAPTER 13: REGISGTRATION & SCHEDULING New Patient Registration Insurance Verification Appointment Confirmation Appointment Arrival Appointment Hurdles Cancellations and No-Shows Recall System CHAPTER 14: PATIENT CONSENT AND DISCLOSURE Consent for Purposes of Treatment, Payment and Healthcare Operations Authorization for Use or Disclosure of Protected Health Information Patient Rights Notice of Privacy Practices CHAPTER15: PATIENT VISITS Arrival Medical Record Check In Patient Preparation Orders for Treatment Patient Notification Check Out Next Day's Office Visits CHAPTER 16: PHARMACEUTICALS Medication Storage Controlled Substances Sample Medications Prescription Refills Packaged Devices CHAPTER 17: MEDICAL RECORDS Confidentiality Maintenance of Medical records Medical Record Review Narrative Report Subpoenas Release of Information Records Retention and Destruction Preventative and Ambulatory Survey CHAPTER 18: QUALITY IMPROVEMENT Quality Improvement Plan Emergency Protocol Physician Called Away Incident Reporting Change of Care SECTION 3: BILLING OPERATIONS CHAPTER 19: PATIENT FINANCIAL LIABILITY Patient Financial Policy Time of Service Financial Liability Payment Arrangements Economic Hardship CHAPTER 20: SCHEDULED FEE PROGRAMS CHAMPUS - CHAMPVA Chronically Ill and Disabled Children Laptook Medical Advocacy Services for Healthcare, (MASH) Medicaid Medicare CHAPTER 21: REIMBURSEMENTS Payment Posting Charge Posting Deposits Third Party Billing CHAPTER 22: COLLECTIONS, EDITS, and WRITE-OFFS Patient Collections Insurance Collections Scheduled Fee Denials Bad Debt Write-Off and Recovery Deceased Patient's Estate Collection