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Health Care Finance and the Mechanics of Insurance and Reimbursement, Second Edition

Michael K. Harrington

©2021  
ISBN: 9781284169034
List of Content Removed Due to Copyright Restrictions  

Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it combines financial principles unique to the health care setting with the methods and process for reimbursement (including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing). It explains the revenue cycle in detail, correlating it with regular management functions; and covers reimbursement from the initial point of care through claim submission and reconciliation. Thoroughly updated for its second edition, this text reflects changes to the Affordable Care Act, Managed Care Organizations, new coding initiatives, new components of the revenue cycle (from reimbursement to compliance), updates to regulations surrounding health care fraud and abuse, changes to the Recovery Audit Contractors (RAC) program, and more.
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295 pages
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$47.20  B&W
$26.55  eBook
  • 10 pages
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    Chapter 1 Introduction to Healthcare Finance
    Author: Michael K. Harrington

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  • 19 pages
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    Chapter 2 Financial Management
    Author: Michael K. Harrington

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  • 21 pages
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    Chapter 3 Introduction to Claims Processing
    Author: Michael K. Harrington

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  • 16 pages
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    Chapter 4 Government Payer Types
    Author: Michael K. Harrington

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  • 29 pages
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    Chapter 5 Affordable Care Act
    Author: Michael K. Harrington

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  • 14 pages
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    Chapter 6 Managed-Care Organizations
    Author: Michael K. Harrington

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  • 24 pages
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    Chapter 7 Medicare Prospective Payment Systems
    Author: Michael K. Harrington

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  • 15 pages
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    Chapter 8 Hospital Outpatient Prospective Payment
    System
    Author: Michael K. Harrington

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  • 17 pages
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    Chapter 9 Coding for the Non-Health Information Management
    Professional
    Author: Michael K. Harrington

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  • 13 pages
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    Chapter 10 Revenue Cycle Management
    Author: Michael K. Harrington

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  • 15 pages
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    Chapter 11 Healthcare Fraud and Abuse
    Author: Michael K. Harrington

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  • 17 pages
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    Chapter 12 Electronic Health Records and Meaningful
    Use
    Author: Michael K. Harrington

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  • 18 pages
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    Chapter 13 Government Incentive Programs
    Author: Michael K. Harrington

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  • 11 pages
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    Chapter 14 Recovery Audit Contractors
    Author: Michael K. Harrington

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  • 18 pages
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    Chapter 15 Introduction to the Mechanics of Hierarchical
    Condition Categories from a CMS Perspective
    Author: Michael K. Harrington

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  • 20 pages
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    Chapter 16 The Application of HCC in a Physician Practice
    and Lessons Learned
    Author: Michael K. Harrington

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  • 4 pages
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    Chapter 17 List of Acronyms
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  • 14 pages
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    Chapter 18 Glossary
    Author: Michael K. Harrington

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