Monday, May 16, 2016

Health Care Fraud and Abuse: A Physician's Guide to Compliance (Billing and Compliance)

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Health Care Fraud and Abuse: A Physician's Guide to Compliance (Billing and Compliance) Info

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A guide for physicians covering the legal aspects of health insurance and offers ways to design an effective billing, coding, and accounts receivable process..


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Thursday, May 12, 2016

Lean Six Sigma for the Medical Practice

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Lean Six Sigma for the Medical Practice Description

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Boost profitability without cutting costs or increasing revenues Medical practices face serious financial challenges.

>Staff and costs are already cut to the bone. Payers fight physicians for every penny of reimbursement. Revenues aren t likely to soar anytime soon.
So what can be done to increase profitability? This perfectly-timed book provides good answers and ready-to-use tools by Six Sigma Black Belt Frank Cohen and Practice Management expert Owen Dahl in Mastering Lean Six Sigma for the Medical Practice: Improving Profitability by Improving Processes.

Step by step, this book explains how to use Lean Six Sigma decision-making processes, team-building principles and efficiency-boosting tools to do more without increasing costs. That means more of the revenue that comes in goes right to the bottom line. Plus, you ll learn the secrets of using data analysis to hold payers feet to the fire to optimize revenue. Six Sigma practices have revolutionized other businesses. Now, by being ahead of your field in applying them to the medical business, you ll put your practice way ahead. In fact, don t be surprised if you find yourself at an upcoming conference presenting a case study about your own thriving practice. NOTEWORTHY FEATURES:
Real skill-building for making decisions and using process-improvement teams even if you re in a solo practice Lean Six Sigma exclusively for medical practices you can apply improvement strategies directly to everything from managing litigation and payer behavior to gaining more control over office operations and clinical efficiency.
A sharp focus on the business model giving practice profitability the level of attention that s previously been focused solely on quality of care.

Table of Contents
Chapter 1: What s In It For Me? Lean Six Sigma benefits for healthcare providers, administrators, frontline staff, attorneys, consultants and payers.
Chapter 2: Process Improvement How to map processes to the revenue cycle to drive efficiency and profitability.
Chapter 3: Team Building How process improvement (PI) teams differ from other teams and how to create and use them.
Chapter 4: Project Management How to streamline, eliminate bottlenecks, and use data and metrics for making PI decisions.
Chapter 5: TPI Toolbox 24 Lean Six Sigma tools tailored specifically for medical practices.
Chapter 6: Deployment Using Lean Six Sigma tools to cut denials due to CCI edit policy by 50%, speed patient registration, complete entire patient visits in 60 minutes, and make other profit- boosting improvements.
Chapter 7: What's Next? The vital role Lean Six Sigma plays in the future of health care and practice profitability.

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Tuesday, May 10, 2016

Saunders Medical Office Management, 3e

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Saunders Medical Office Management, 3e Description

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With proven techniques and professional insight, this one-of-a-kind resource is your complete guide to ensuring both effective patient care and sound business practices in the medical facility. From the front office to financial management, each detailed chapter addresses the interpersonal and administrative concerns you’ll face in the management of a medical office, accompanied by realistic forms, letters, and procedural policies that help you prepare for on-the-job success. This new edition keeps you up to date on emerging developments in billing and coding, documentation, ethical and legal issues, and technological advances to help you keep your medical office at the forefront of the competitive health care field.
  • Manager’s Alert boxes detail measures to help you avoid complications and prevent potential emergencies.
  • From the Expert’s Notebook boxes help you build daily decision-making skills with helpful tips, suggestions, and insights drawn from real-world practice.
  • Exercises at the end of each chapter reinforce concepts and help you assess your understanding.
  • Detailed appendices provide fast, easy access to commonly used abbreviations and symbols, Medicare information, helpful websites, and answers to the end-o-f-chapter exercises, as well as a sample procedure and policy manual to guide you in developing your own practices.
  • Written Communication chapter helps you ensure proper communication and documentation in the health care facility.
  • Updated content in the Medical Record chapter familiarizes you with the latest information on the electronic medical record.
  • The updated Billing, Coding, and Collections chapter keeps you up to date with the latest coding and insurance forms (CMS 1500).
  • Coverage of current legal and ethical issues and emerging technology in the medical office keep you apprised of recent developments.
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