Principles of healthcare reimbursement and revenue cycle management /

The seventh edition of Principles of Healthcare Reimbursement and Revenue Cycle Management is a comprehensive tool for educators, students, and healthcare professionals to master understanding of the US healthcare reimbursement systems and their impact on the US healthcare delivery system and econom...

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Bibliographic Details
Main Author: Casto, Anne B. (Author)
Format: Book
Language:English
Published: Chicago, Illinois : AHIMA Press, 2021
Edition:Seventh edition.
Subjects:
Table of Contents:
  • Healthcare reimbursement and revenue cycle management
  • Health insurance
  • Government-sponsored healthcare programs
  • Healthcare reimbursement methodologies
  • Medicare hospital acute inpatient payment system
  • Medicare skilled nursing facility services payment system
  • Medicare hospital outpatient payment system
  • Medicare physician and other health professional payment system
  • Revenue cycle front-end processes-patient engagement
  • Revenue cycle middle processes-resource tracking
  • Revenue cycle back-end processes-claims production and revenue collection
  • Coding and clinical documentation integrity management
  • Revenue compliance
  • Healthcare data in action: real-world analysis
  • Appendix A: Glossary
  • Appendix B: Answer Key for Check your Understanding Questions
  • Appendix C: CMS 1500 Claim Form
  • Appendix D: CMS 1450 (UB-04) Claim Form
  • Appendix E: Medicare Summary Notice