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Understanding Managed Care


Understanding Managed Care
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Understanding Managed Care


Understanding Managed Care
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Author : Annette U. Rickel
language : en
Publisher: Karger Medical and Scientific Publishers
Release Date : 2000

Understanding Managed Care written by Annette U. Rickel and has been published by Karger Medical and Scientific Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Health & Fitness categories.


A unique series of cases based on a fictional family selecting and using a health plan is presented and a glossary is provided which defines basic concepts frequently encountered in the managed care field.



Understanding Managed Care


Understanding Managed Care
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Author : Vicki DeBaca
language : en
Publisher:
Release Date : 2003

Understanding Managed Care written by Vicki DeBaca and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Education categories.




Understanding Managed Care


Understanding Managed Care
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Author : Barbara J. Youngberg
language : en
Publisher:
Release Date : 1998-05

Understanding Managed Care written by Barbara J. Youngberg and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998-05 with Medical categories.




Understanding Managed Care Contracts


Understanding Managed Care Contracts
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Author : David H. Lees
language : en
Publisher: Dental Economics
Release Date : 1999

Understanding Managed Care Contracts written by David H. Lees and has been published by Dental Economics this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.




Understanding Health Policy


Understanding Health Policy
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Author : Thomas Bodenheimer
language : en
Publisher: McGraw Hill Professional
Release Date : 2012-10-22

Understanding Health Policy written by Thomas Bodenheimer and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-10-22 with Medical categories.


"This highly readable text gives a broad but detailed picture of how health care is organized and dispensed in the United States." -Annals of Internal Medicine, on the First Edition The #1 text on health policy, this well-known book provides a short introduction to U.S. health care policy by two leading experts who are themselves practicing physicians. The Fourth Edition features the latest information on cost containment, health insurance, managed care, hospital payment, and the new two-tier model of physician reimbursement.



Purchasing Managed Care Services For Alcohol And Other Drug Treatment


Purchasing Managed Care Services For Alcohol And Other Drug Treatment
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Author : Stephen Moss
language : en
Publisher: DIANE Publishing
Release Date : 1997-06

Purchasing Managed Care Services For Alcohol And Other Drug Treatment written by Stephen Moss and has been published by DIANE Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997-06 with Medical categories.


Intended to provide guidance to those in State AOD (alcohol & other drug treatment) & Medicaid agencies who will be undertaking essential roles as planners & managers of managed care contracts. The guidelines & recommendations presented in this document were developed by a panel of experts from States that are already well advanced in developing State managed care plans for AOD clients. Contents: managed care overview; access to treatment; comprehensiveness of treatment; financial considerations; & consumer protections. Glossary & bibliography. Organizational readiness checklist.



Understanding Medicare Managed Care


Understanding Medicare Managed Care
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Author : Louis F. Rossiter
language : en
Publisher:
Release Date : 2001

Understanding Medicare Managed Care written by Louis F. Rossiter and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001 with Medical categories.


A reference for health-care executives and physicians as well as managers, administrators, and staff of Medicare managed-care plans, providing a structure for plotting a long-term plan to compete in this market. In addition to describing the economics of the current system, including trends and key players, the book covers strategic planning and marketing, including issues such as pricing and the capitation dollar, benefit design, and techniques of quality and cost control. Finally, the work speculates about future changes in the system and the health-care marketplace and their implications for health plan participation. The author is deputy secretary for Health and Human Resources, Commonwealth of Virginia, and previously was a member of the health economics faculty of Virginia Commonwealth U. Annotation copyrighted by Book News, Inc., Portland, OR



Managed Care Strategies


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 Law 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.



Workbook For Health Insurance Today E Book


Workbook For Health Insurance Today E Book
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Author : Julie Pepper
language : en
Publisher: Elsevier Health Sciences
Release Date : 2023-09-11

Workbook For Health Insurance Today E Book written by Julie Pepper and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-09-11 with Medical categories.


Corresponding to the chapters in Beik's Health Insurance Today, 8th Edition, this workbook lets you practice the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and engaging learning activities and case studies challenge you to apply your knowledge to real-world situations. This edition adds up-to-date coverage of cybersecurity, COVID-19, crowdfunding for medical bills, and more. Performance-based activities include hands-on, application-based learning exercises that provide practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. Critical thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Chapter assessments test your knowledge with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Problem-solving and collaborative (group) activities emphasize the importance of teamwork in the healthcare field. Case studies ask you to solve real-world problems related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Application exercises ask you to apply your knowledge and skills to real-world situations. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform and evaluate research online. Defining Chapter Terms activities help you review and understand the key terms in each chapter. - NEW! Additional content on cybersecurity emphasizes the importance of keeping digital information private and secure. - NEW! Information on crowdfunding for medical bills discusses how this practice affects billing. - NEW! Interactive VST eBook provides a seamless digital experience. - NEW! Coverage of COVID-19 explores its impact on billing, reimbursement, and employment.



Beik S Health Insurance Today E Book


Beik S Health Insurance Today E Book
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Author : Julie Pepper
language : en
Publisher: Elsevier Health Sciences
Release Date : 2023-09-14

Beik S Health Insurance Today E Book written by Julie Pepper and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-09-14 with Medical categories.


**Selected for Doody's Core Titles® 2024 in Managed Care**Master the complexities of health insurance with this easy-to-understand guide! Beik's Health Insurance Today, 8th Edition provides a solid foundation in basics such as the types and sources of health insurance, the submission of claims, and the ethical and legal issues surrounding insurance. It follows the claims process from billing and coding to reimbursement procedures, with realistic practice on the Evolve companion website. This edition adds up-to-date coverage of cybersecurity, COVID-19, crowdfunding for medical bills, and cost/value calculators. Making difficult concepts seem anything but, this resource prepares you for a successful career as a health insurance professional. - Direct, conversational writing style makes learning insurance and billing concepts easier. - Clear and attainable learning objectives, with chapter content that follows the order of the objectives, make learning easier for students and make chapter content easier to teach for educators. - Learning features include review questions, scenarios, and additional exercises to ensure comprehension, critical thought, and application to practice. - Hands-on practice with a fillable CMS-1500 form and accompanying case studies and unique UB-04 forms on the companion Evolve website, ensure practicum- and job-readiness. - HIPAA Tips emphasize the importance of privacy and government rules and regulations, ensuring a solid foundation in regulatory compliance. - NEW! Additional content on cybersecurity emphasizes the importance of keeping digital information private and secure. - NEW! Information on crowdfunding for medical bills discusses how this practice affects billing. - NEW! Geographic Practice Cost Indexes/Resource Based Relative Value Scale (GPCI/RBPVU) calculators are included. - NEW! Coverage of COVID-19 explores its impact on billing, reimbursement, and employment.