The Managed Care Contracting Handbook
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The Managed Care Contracting Handbook
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Author : Maria K. Todd
language : en
Publisher: CRC Press
Release Date : 2009-03-26
The Managed Care Contracting Handbook written by Maria K. Todd and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-03-26 with Business & Economics categories.
Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
The Managed Care Contracting Handbook
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Author : Maria K. Todd
language : en
Publisher: CRC Press
Release Date : 2009-03-26
The Managed Care Contracting Handbook written by Maria K. Todd and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-03-26 with Business & Economics categories.
Managed care contracting is a process that frustrates even the best administrators. However, to ignore this complexity is to do so at your own expense. You don‘t necessarily need to bear the cost of overpriced legal advice, but you do need to know what questions to ask, what clauses to avoid, what contingencies to cover ... and when to ask a lawyer
The Physician Employment Contract Handbook
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Author : Maria K. Todd
language : en
Publisher: CRC Press
Release Date : 2011-02-28
The Physician Employment Contract Handbook written by Maria K. Todd and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-02-28 with Business & Economics categories.
This book provides sample physician employment contracts and explains how each contract works. It is helpful for physicians and administrators who wish to prepare themselves for the contract and employment decisions that lie ahead of them.
Managed Care Strategies
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Author : George B. Moseley
language : en
Publisher: Jones & Bartlett Learning
Release Date : 1999
Managed Care Strategies written by George B. Moseley and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
This book is a guide to strategic training for physicians in an era of managed care. The first half of the book provides a step-by-step process to help physicians take their practices into the new world of integrated delivery systems. The second half of the book covers a variety of key topics such as credentialing, reimbursement systems, and utilization management.
The Physician Employment Contract Handbook Second Edition
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Author : Maria K. Todd
language : en
Publisher: CRC Press
Release Date : 2011-06-30
The Physician Employment Contract Handbook Second Edition written by Maria K. Todd and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-06-30 with Business & Economics categories.
No matter which way you look at it, whether you own your own practice, become a part of a large physician group, or become an employee of a hospital, you will be signing an employment contract of some sort. Revised and updated, The Physician Employment Contract Handbook, Second Edition: A Guide to Structuring Equitable Arrangements provides sample physician employment contracts and explains how each contract works. The new edition includes increased information on the latest managed care entities and a review of basic concepts in fraud and abuse, corporate practice of medicine, and antitrust concerns. The author discusses the various legal and compliance issues related to physician employment, such as anti-self referral and anti-kickback issues, and examines how to resolve disputes through arbitration or mediation. The author also outlines the pros and cons of various partnership arrangements. After you have finished this book, you will be able to ask meaningful questions of legal and accounting counsel, do a preliminary review and analysis of the agreement offered, and even compare a prospective employer’s contract to other standard agreements without endangering confidentiality agreements. You will be able to design standard text, saving time and money on legal fees by having counsel review and add the final touches to contract drafts instead of starting from scratch. With proper planning and a clear understanding of both short- and long-term objectives, you can move into the future and take advantage of opportunities in the current healthcare revolution.
Compliance For Coding Billing Reimbursement 2nd Edition
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2008-04-02
Compliance For Coding Billing Reimbursement 2nd Edition written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-02 with Medical categories.
While the vast majority of providers never intend to commit fraud or file false claims, complex procedures, changing regulations, and evolving technology make it nearly impossible to avoid billing errors. For example, if you play by HIPAA’s rules, a physician is a provider; however, Medicare requires that the same physician must be referred to as a supplier. Even more troubling is the need to alter claims to meet specific requirements that may conflict with national standards. Far from being a benign issue, differing guidelines can lead to false claims with financial and even criminal implications. Compliance for Coding, Billing & Reimbursement, Second Edition: A Systematic Approach to Developing a Comprehensive Program provides an organized way to deal with the complex coding, billing, and reimbursement (CBR) processes that seem to force providers to choose between being paid and being compliant. Fully revised to account for recent changes and evolving terminology, this unique and accessible resource covers statutorily based programs and contract-based relationships, as well as ways to efficiently handle those situations that do not involve formal relationships. Based on 25 years of direct client consultation and drawing on teaching techniques developed in highly successful workshops, Duane Abbey offers a logical approach to CBR compliance. Designed to facilitate efficient reimbursements that don’t run afoul of laws and regulations, this resource – Addresses the seven key elements promulgated by the OIG for any compliance program Discusses numerous types of compliance issues for all type of healthcare providers Offers access to online resources that provide continually updated information Cuts through the morass of terminology and acronyms with a comprehensive glossary Includes a CD-ROM packed with regulations and information In addition to offering salient information illustrated by case studies, Dr, Abbey provides healthcare providers and administrators, as well as consultants and attorneys, with the mindset and attitude required to meet this very real challenge with savvy, humor, and perseverance.
Cost Based Charge Based And Contractual Payment Systems
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Author : Duane C. Abbey
language : en
Publisher: CRC Press
Release Date : 2018-06-28
Cost Based Charge Based And Contractual Payment Systems written by Duane C. Abbey and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-28 with Business & Economics categories.
The fourth book in the Healthcare Payment System series, Cost-Based, Charge-Based, and Contractual Payment Systems compares cost-based systems, charge-based payment approaches, and contractually-based payment processes with fee-schedule payment systems and prospective payment systems. Supplying readers with a clear understanding of important backgr
Managed Care Contracting Handbook
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Author : American Hospital Association. American Academy of Healthcare Attorneys. Managed Care Contracting Manual Task Force
language : en
Publisher:
Release Date : 1997
Managed Care Contracting Handbook written by American Hospital Association. American Academy of Healthcare Attorneys. Managed Care Contracting Manual Task Force and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Contracts categories.
Risk Management Handbook For Health Care Organizations 3 Volume Set
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Author :
language : en
Publisher: John Wiley & Sons
Release Date : 2011-01-06
Risk Management Handbook For Health Care Organizations 3 Volume Set written by and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-01-06 with Medical categories.
Continuing its superiority in the health care risk management field, this sixth edition of The Risk Management Handbook for Health Care Organizations is written by the key practitioners and consultant in the field. It contains more practical chapters and health care examples and additional material on methods and techniques of risk reduction and management. It also revises the structure of the previous edition, and focuses on operational and organizational structure rather than risk areas and functions. The three volumes are written using a practical and user-friendly approach.
Physician Employment Contract Handbook
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Author : Maria K. Todd
language : en
Publisher: McGraw-Hill Professional Publishing
Release Date : 1999
Physician Employment Contract Handbook written by Maria K. Todd and has been published by McGraw-Hill Professional Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Law categories.