Health insurance basics -- Getting paid what you deserve : strategies for payer contracting and optimal reimbursement -- Pay for performance and quality initiatives -- Basics of coding -- Revenue cycle management : front-end processes -- Back-office processes -- Appeals and reviews -- Benchmarking and monitoring reimbursement -- Billing and reimbursement for ancillary services -- Compliance programs -- Information technology and reimbursement : the role of information systems in the revenue cycle.
Summary:
"This book provides current resources for supporting the medical practice through reimbursement management. Resources include a comprehensive Glossary, Online Resources, Medicare Intermediaries by State, Prompt Pay Statutes and Regulations, Refund Recoupment Statutes, and multiple sample letters for dealiing with reimbursement challenges and issues"--Provided by publisher.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.