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. Designed to prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility, this text includes: - Basics of Health Care Finance & Financial Management - Patient Protection and the Affordable Care Act - Managed Care Organizations - Medicare Prospective Payment System (Inpatient) - Hospital Outpatient Prospective Payment Systems (OPPS) - Coding for the Non-HIM Professional - Revenue Cycle Management - Healthcare Fraud and Abuse - Electronic Health Records and Meaningful Use - Government Incentive Programs - Recovery Audit Contractors (RAC) Two new chapters cover the mechanics of hierarchical condition categories from a CMS perspective (15), and the application of HCC coding in a physican practice (16).
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Product Details
Weight: 567g
Publication Date: 15 Oct 2019
Publisher: Jones and Bartlett Publishers Inc
Publication City/Country: United States
Language: English
ISBN13: 9781284169034
About Michael K. Harrington
Michael K. Harrington MATS MSHA RHIA CHP has more than 30 years of experience in health care in areas such as Health Information Management managing homecare companies on a local and regional level and consulting in the post-acute sector. He is a leading authority on healthcare reimbursement and Revenue Cycle Management (RCM) and has extensive experience in implementing the RCM model in physicians offices and other healthcare organizations outside of the acute-care setting.After starting out in the healthcare field in a home care company as a coordinator Harrington quickly advanced into managing home care companies that handled durable medical equipment specialty home infusion high-tech respiratory services and specialty biologicals and repositioned these companies by using reimbursement and quality clinical care as the cornerstones to his success. In addition to managing home care companies Harrington started to teach and was part of the adjunct faculty at Gwynedd Mercy College Temple University and St. Josephs University in the Philadelphia area. His focus has always been in healthcare reimbursement when teaching but he has instructed in other areas such as Healthcare Policy Healthcare Ethics Healthcare Delivery Computerized Medical Records and Healthcare Law. Recently Harrington has been named Program Director over the Health Administration Department for St. Josephs College of Maine. His responsibilities include the Undergraduate Health Administration Health Information Management Long-Term Care Radiologic Science Administration Programs and a Graduate Level Health Administration Program.Harrington earned his bachelors degree from LaSalle College and his masters degree from Independence University (formerly California College for Health Sciences). Harrington also earned his Registered Health Information Management (RHIA) credentials at Alabama State University. He is an active patient advocate and is a much soughtafter speaker on a global basis in the areas of healthcare reimbursement healthcare finance and healthcare operations.He can be reached at michaelharrington@sjcme.edu.