Health Care Finance and the Mechanics of Insurance and Reimbursement

  • 6h 41m
  • Michael K. Harrington
  • Jones and Bartlett Learning
  • 2016

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 specifically addresses the methods and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing. With up-to-date coverage of the Affordable Care Act, this one-of-a-kind text will prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. Some of the topics covered include:

  • Claims Processing
  • The Affordable Care Act
  • Medicare Prospective Payment System (Inpatient)
  • Medicare Outpatient Prospective Payment Systems (Non-Inpatient)
  • 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 Student & Instructor Resources

This text comes packaged with Navigate 2 Advantage Access, a comprehensive package of mobile-ready course materials including:

  • Learn: A complete eBook with interactive tools Practice
  • A virtual Study Center with robust practice activities and flashcards
  • Assess: A homework and testing Assessment center with prepopulated quizzes and examinations
  • Analyze: Dashboards with learner and educator views that reports actionable data

In this Book

  • Introduction to Healthcare Finance
  • Financial Management
  • Introduction to Claims Processing
  • Government Payer Types
  • Affordable Care Act
  • Managed Care Organizations
  • Medicare Prospective Payment Systems
  • Hospital Outpatient Prospective Payment System (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
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