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Cost-Based Charge-Based and Contractual Payment Systems

Cost-Based Charge-Based and Contractual Payment Systems

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 background material on the different types of healthcare providers it covers the basics of cost-based charge-based and contractual payment systems. The book illustrates essential concepts with a series of simple case studies making it ideal for anyone interested in learning more about the specific systems and processes used for payment in healthcare services. It discusses Medicare cost-based payment systems Medicare payment approaches and includes an appendix that outlines the various Medicare payment systems. Demystifying contractual language it outlines managed care contracts and also: Delves into the intricacies involved with adjudication of claims Considers capitated payment systems Addresses healthcare costs and cost-based reimbursement systems Examines charge-based and contractual payment systems Describes where healthcare payment systems are headed in the future Since compliance is inherent throughout the process of providing services filling claims and receiving payment the book examines the range of compliance concerns including statutory contractual and overpayment issues. Using numerous examples to illustrate the processes used for capitated contract arrangements the book includes coverage of claim adjustment managed care contracts and the various combinations of payment systems used by third-party administrators.

GBP 170.00
1

A Global Guide to FinTech and Future Payment Trends

Arnos Hang-A-Plan General Binder A1 D100A

Arnos Hang A Plan General Binder A0 Silver

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Medical Practice Business Plan Workbook

Medical Practice Business Plan Workbook

How does a medical practice thrive in a business environment where the margin of management error has all but disappeared? Profit margins are being squeezed by declining reimbursement rates capitation plans gamesmanship on the part of the payors and increasing operating costs. Addressing the specific needs of today‘s medical practice Medical Practice Business Plan Workbook Third Edition supplies a detailed and ordered work plan to tackle some of the most pressing issues facing the field. Peter D. Lucash delves into decades of experience helping physician groups develop business plans to guide you along the process of building the profitable practice you want and deserve. This updated edition of a bestseller begins with a review of the fundamentals including the questions your plan should answer how to get started how to organize and develop your plan and the staff support and resources you will need. Complete with a wealth of helpful sample plans and worksheets this workbook: Reflects recent changes in the healthcare industry including federal healthcare reform Offers a one-of-a-kind design and approach tailored to the medical practice Covers conceptualization organization and implementation of your business plan This updated edition reflects current and forecasted challenges for practices including the Affordable Care Act data security and quality and outcome measures. It supplies detailed coverage of the different types of organizations governance and management personnel needs key business relationships and contacts demographics and economic factors patients as customers competitor analysis marketing information technology disaster and business continuity planning and financial strategies. The final section outlines a process for implementing your plan. Sticking to this process will help ensure your plan covers what is needed to succeed in today‘s complex

GBP 160.00
1