Outpatient Services: Designing, Organizing and Managing Outpatient Resources (Hfma Healthcare Financial Management Series)

Book Detail
Edition: 1
Release: 1998-01
Publisher: McGraw-Hill Companies
Binding: Paperback
ISBN/ASIN: 0786310855
Format: hardcover, kindle, PDF, EPUB

Outpatient Services pdf
Description

The rapid development of outpatient services is not only marked by a general increase in volume, it is also characterized by a wide diversity of types of services, providers, locations and a variety of payment systems. This book aims to provide a comprehensive guide to designing and providing such services, including organizational considerations and payment systems. Topics covered include how to analyze each service line and provider through cost-benefit analysis, resource and feasibility analysis, the various organizational approaches to designing an outpatient facility, and a discussion of the different payment systems utilized for outpatient services. Download Outpatient Services for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Outpatient Services: Designing, Organizing and Managing Outpatient Resources (Hfma Healthcare Financial Management Series) pdf

Indexing Managed Care: Benchmarking Strategies for Assessing Managed Care Penetration in Your Market (HFMA Healthcare Financial Management)

Book Detail
Edition: 1
Release: 1997-04
Publisher: Mcgraw-Hill (Tx)
Binding: Hardcover
ISBN/ASIN: 0786310677
Format: hardcover, kindle, PDF, EPUB

Indexing Managed Care pdf
Description

This volume aims to go beyond tracking HMO penetration by examining the aggregate forces at work in an emerging managed care market. It discusses the fundamentals of managed care including: managing health; defining covered populations; and financing. The book examines how providers, payors and physicians are responding to trends in managed care and illustrates how to measure any market's level of managed care penetration through the creation of a managed care index. In addition, it details how to put the index to work as a reliable benchmarking tool and a solid planning base. Download Indexing Managed Care for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Indexing Managed Care: Benchmarking Strategies for Assessing Managed Care Penetration in Your Market (HFMA Healthcare Financial Management) pdf

Managed Care on Trial (Hfma Healthcare Financial Management Series) Pdf

Book Detail
Edition: 1
Release: 1998-01
Publisher: McGraw-Hill Companies
Binding: Hardcover
ISBN/ASIN: 0070530998
Format: hardcover, kindle, PDF, EPUB

Managed Care on Trial (Hfma Healthcare Financial Management Series) pdf
Description

Although managed care affects over 100 million Americans and continues to extend its reach across this country, its successes are often overshadowed by a deterioration of consumer confidence, as evidenced by the literally thousands of legislative and regulatory initiatives aimed at taming managed care. Managed Care on Trial explores the ethical and legal issues that arise from managed care and offers a for the eroding confidence in the system by resorting trust, integrity and accountability. Managed Care on Trial seeks to arm the physician and other healthcare providers with knowledge that will better enable them to bridge the gap between fiscal mandates and clinical stamina, and to negotiate with payors as active partners rather than passive recipients in dealing with the challenges of marketplace demands. It is also oriented as a guide for consumers seeking better ways of addressing and solving the problems pose by the rapid transformation of the healthcare system. Included in the bo Download Managed Care on Trial (Hfma Healthcare Financial Management Series) for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Managed Care on Trial (Hfma Healthcare Financial Management Series) pdf

Integrated Community Healthcare: Second Generation Strategies for Developing Provider Networks (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES)

Book Detail
Edition: Har/Dis
Release: 1997-01-01
Publisher: McGraw-Hill Professional Publishing
Binding: Hardcover
ISBN/ASIN: 0786311010
Format: hardcover, kindle, PDF, EPUB

Integrated Community Healthcare pdf
Description

An integrated system of healthcare links hospital, physician, and other community-based providers, such as home healthcare and long term care, into one system and is key to the future for healthcare providers. The aim of this book is to address the roles and relationships between hospitals, physicians and other direct care providers, examine their existing and emerging activities, and how they fit together to create an integrated system of healthcare. It includes an exploration of how to align community care providers within an existing system, identification of key issues concerning antitrust, fraud and abuse, a guide to financial planning and pro forma development within two sample five year plans, and a summary of operational issues in specific integration strategies. Download Integrated Community Healthcare for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Integrated Community Healthcare: Second Generation Strategies for Developing Provider Networks (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) pdf

IPA, PHO, and MSO Development Strategies: Building Successful Provider Alliances (Hfma Healthcare Financial Management Series) Reviews

Book Detail
Edition: 1
Release: 1997-01
Publisher: McGraw-Hill Publishing Co
Binding: Hardcover
ISBN/ASIN: 0786311193
Format: hardcover, kindle, PDF, EPUB

IPA, PHO, and MSO Development Strategies pdf
Description

The formation of IPA, PHO and MSO entities are several organizational models that hospitals and physicians are investigating to consolidate clinical service and shared support service. The common goal of these organization types is to create a single business entity to maximize economic clout, provide quality of care and yet preserve some of the traditional values of autonomy. This text includes chapters on: government and regulatory issues pertaining to the development of IPA, PHO and MSO models; capitalization concerns involved with each model; administrative, billing, human resource management and other operational issues involved in the MSO model; and successful and unsuccessful case studies of PHO design. Download IPA, PHO, and MSO Development Strategies for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download IPA, PHO, and MSO Development Strategies: Building Successful Provider Alliances (Hfma Healthcare Financial Management Series) pdf

Fundamentals of Managed Care & Network Development a Business Guide for Healthcare Professionals & P (Hfma Healthcare Financial Management Series) Pdf Reviews

Book Detail
Edition:
Release: 1998-11
Publisher: McGraw-Hill Publishing Co
Binding: Hardcover
ISBN/ASIN: 0071346325
Format: hardcover, kindle, PDF, EPUB

Fundamentals of Managed Care & Network Development a Business Guide for Healthcare Professionals & P (Hfma Healthcare Financial Management Series) pdf
Description

Describes the types of managed care organizations and providers, the forms of provider payment, and managed care contracting. Capitation as a preferred payment mechanism, the need to align financial incentives, risk pools, and Medicare and Medicaid risk arrangements are also discussed. Download Fundamentals of Managed Care & Network Development a Business Guide for Healthcare Professionals & P (Hfma Healthcare Financial Management Series) for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Fundamentals of Managed Care & Network Development a Business Guide for Healthcare Professionals & P (Hfma Healthcare Financial Management Series) pdf

Global Capitation: Strategies and Techniques for Assuming Full Risk (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) Pdf

Book Detail
Edition: 1
Release: 1999-01
Publisher: McGraw-Hill Companies
Binding: Paperback
ISBN/ASIN: 0070793492
Format: hardcover, kindle, PDF, EPUB

Global Capitation pdf
Description

Provides practical advice on how to gain enrollee volume by assuming global capitation from payors. Includes details on structuring globally capitated provider network for maximum efficiency and cost savings. Uses case examples. For administrators. Download Global Capitation for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Global Capitation: Strategies and Techniques for Assuming Full Risk (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) pdf

Total Quality Management in Healthcare (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) Pdf Reviews

Book Detail
Edition: 1
Release: 1996-01
Publisher: Irwin Professional Publishing
Binding: Hardcover
ISBN/ASIN: 0786309806
Format: hardcover, kindle, PDF, EPUB

Total Quality Management in Healthcare (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) pdf
Description

This text explains the need for quality in healthcare, and defines quality from the healthcare professional's perspective. It provides guidance on appropriate strategies and implementation techniques, and includes a detailed discussion of ISO 9000 in healthcare. The impact of customer satisfaction is illustrated, and strategies are provided for a marketing approach to TQM in healthcare. Download Total Quality Management in Healthcare (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Total Quality Management in Healthcare (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) pdf

Advanced IPA Management: Direct Contracting (Hfma Healthcare Financial Management Series)

Book Detail
Edition:
Release: 1999-06
Publisher: McGraw-Hill Publishing Co
Binding: Paperback
ISBN/ASIN: 0071343202
Format: hardcover, kindle, PDF, EPUB

Advanced IPA Management pdf
Description

Addresses third party intervention. Summarizes the requirements and criteria that must be met by an IPA or any physician network. Includes examples of employer-driven, community-driven, and provider-driven arrangements in urban and rural settings. For physicians. Softcover. Download Advanced IPA Management for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Advanced IPA Management: Direct Contracting (Hfma Healthcare Financial Management Series) pdf

Download Making Managed Care Work: Strategies for Local Market Dominance (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES)

Book Detail
Edition: 1
Release: 1997-01
Publisher: McGraw-Hill Companies
Binding: Hardcover
ISBN/ASIN: 078631012X
Format: hardcover, kindle, PDF, EPUB

Making Managed Care Work pdf
Description

Hospital executives and managers are shifting from the old fee-for-service model to managed care. This book is a pragmatic tool that aims to help healthcare executives and managers move from the old paradigm of healthcare to the future of managed care. By utilizing the economic models and benchmarking techniques found in this book, professionals may accurately access their hospital's competitive position in the community and properly position their facilities for the future. The book leads the reader through tactics for uncovering market needs, methodologies for conducting internal diagnosis and evaluating the financial impact of the current operation structures, increased market share through partnerships, and case studies from other industries that illustrate successful business practice. Download Making Managed Care Work for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Making Managed Care Work: Strategies for Local Market Dominance (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) pdf

The Case Management Sourcebook: A Guide to Designing and Implementing a Centralized Case Management System (Hfma Healthcare Financial Management Series)

Book Detail
Edition: 1
Release: 1997-01
Publisher: McGraw-Hill Professional Publishing
Binding: Hardcover
ISBN/ASIN: 0786312211
Format: hardcover, kindle, PDF, EPUB

The Case Management Sourcebook pdf
Description

This is a comprehensive guide to understanding, developing and implementing healthcare case management. It includes case studies and selected forms and worksheets that illustrate a model of case management. Topics covered include: the importance of case management in the continuum of care; how good outcomes can have an effect on reimbursement; different models of case management and how each model should be implemented; and the legal, cost and expectation-in-care decisions a case management professional must make. Download The Case Management Sourcebook for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download The Case Management Sourcebook: A Guide to Designing and Implementing a Centralized Case Management System (Hfma Healthcare Financial Management Series) pdf

Diagnosis Documentation & Coding: The Key to Reimbursement and Capitation (Hfma Healthcare Financial Management Series) Pdf

Book Detail
Edition: 1
Release: 1997-01
Publisher: McGraw-Hill Companies
Binding: Hardcover
ISBN/ASIN: 0786310006
Format: hardcover, kindle, PDF, EPUB

Diagnosis Documentation & Coding pdf
Description

Accurate diagnosis, documentation and coding of services rendered for every patient visit permits close analysis of a healthcare provider's utilization profile. This information, gathered by using diagnostic structuring, can provide detailed data for proper utilization prediction. This book aims to illustrate the importance of data capture and teaches physicians and practice administrators accurate techniques for doing so. It also provides the basics for combining data with in-office demographic information to give the provider a strong position for negotiating managed care contracts. The book aims to help with the successful implemetation of managed care by providing the basics of using diagnostic structuring for: compiling utilization data; creating prediction formulas; developing negotiation strategies and implementing practice strategies to use after contracting. Download Diagnosis Documentation & Coding for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Diagnosis Documentation & Coding: The Key to Reimbursement and Capitation (Hfma Healthcare Financial Management Series) pdf

Post Acute Care Reimbursement Manual (Hfma Healthcare Financial Management Series)

Book Detail
Edition: Ringbound
Release: 1997-11
Publisher: Mcgraw-Hill (Tx)
Binding: Hardcover
ISBN/ASIN: 0786312483
Format: hardcover, kindle, PDF, EPUB

Post Acute Care Reimbursement Manual (Hfma Healthcare Financial Management Series) pdf
Description

The Post Acute Reimbursement Manual acts as your hands-on reference to the reimbursement regulations and strategies appropriate for each venue of care in the post acute arena. Authors Cherilyn Murer, Michael Murer, and Lyndean Brick collectively draw upon more than fifty years of post acute reimbursement experience to provide you with: A complete chapter on navigating and understanding TEFRA regulations with detailed strategies to help you establish appropriate TEFRA caps Specific discussion of the reimbursement regulations and strategies appropriate for each venue of care in the post acute arena Model pro-formas and strategies for maximizing reimbursement Extensive discussion of CORFs, including the certification process required by governing bodies Additional revenues for your facility to best understand how a CORF fits in your continuum of care A chapter devoted to Medicare Risk Contracting, serving a bridge to future reimbursement methodologies I Download Post Acute Care Reimbursement Manual (Hfma Healthcare Financial Management Series) for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Post Acute Care Reimbursement Manual (Hfma Healthcare Financial Management Series) pdf

Physician Equity Groups and Other Emerging Equity: Competitive Organizational Choices for Physicians (Hfma Healthcare Financial Management Series) Reviews

Book Detail
Edition: 1
Release: 1997-08
Publisher: Mcgraw-Hill (Tx)
Binding: Hardcover
ISBN/ASIN: 0786309601
Format: hardcover, kindle, PDF, EPUB

Physician Equity Groups and Other Emerging Equity pdf
Description

Physicians struggle between the desire to be part of a competitive healthcare system and the need for autonomy. Many are selling their practices to hospital organizations, healthcare systems, or physician management companies. Others have joined independent practice associations, clinics without walls, modified physician hospital organizations, or specialty networks. Some have formed physician equity groups. To make an informed decision, physicians need to be able to consider the advantages of each of these structures against an increasingly complex demand to market to targeted payors. This is a guide to the organizational options facing physicians, including all of the choices in detail, suggestions on how to market each organizational structure, and examples of successful practices. Download Physician Equity Groups and Other Emerging Equity for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Physician Equity Groups and Other Emerging Equity: Competitive Organizational Choices for Physicians (Hfma Healthcare Financial Management Series) pdf

Capitation For Physicians: Understanding And Negotiating Contracts to Maximize Reimbursement and Manage Financial Risk (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) Pdf

Book Detail
Edition: 1
Release: 1996
Publisher: MCGRAW-HILL HEALTH CARE EDUCATION GROUP
Binding: Hardcover
ISBN/ASIN: 0786311495
Format: hardcover, kindle, PDF, EPUB

Capitation For Physicians pdf
Description

Capitation directly effects physicians' reimbursement and the way they practice. If not negotiated and managed properly, the provider could be out of business or forced to sell their practice to a healthcare system. Physicians and their office managers need to have a clear understanding of what capitiation is and how it will effect their practice, how to negotiate with HMOs, and the risks of capitation. This book shows physicians how to negotiate and implement a capitated contract for a positive cash flow. It discusses the dynamics of capitated contracting, what to look for and how to negotiate with payors and how a capitated contract can effect cash flow and reimbursement. Download Capitation For Physicians for free via rapidshare, mediafire, 4shared, dropBox, uploading, fileserve

Download Capitation For Physicians: Understanding And Negotiating Contracts to Maximize Reimbursement and Manage Financial Risk (HFMA HEALTHCARE FINANCIAL MANAGEMENT SERIES) pdf