Showing posts with label reimbursement. Show all posts
Showing posts with label reimbursement. Show all posts

5/07/2012

Methods for the Economic Evaluation of Health Care Programmes (Oxford Medical Publications) Review

Methods for the Economic Evaluation of Health Care Programmes (Oxford Medical Publications)
Average Reviews:

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This book is a jewel since it provides the essentials for economic analysis of health care in a very friendly and interesting way.

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Since its publication in 1987, Methods for the Economic Evaluation of Health Care Programmes has become the standard textbook in this field world-wide. Over the past ten years, the field of economic evaluation in health care has expanded considerably, with a rapid rise in the number of published studies, and wider recognition of their use in health care decision-making. Developments in economic evaluation have also led to the publication of several guidelines for study methodology, most recently those proposed by the United States Public Health Services Panel. The new edition of Methods for the Economic Evaluation of Health Care Programmes follows the same basic structure as the first edition. The key methodological principles are outlined using a critical appraisal checklist that can be applied to any published study. The methodological features of the basic forms of analysis (cost analysis, cost-effectiveness analysis, cost-utility analysis, and cost-benefit analysis) are then explained in more detail. The book has been greatly revised and enlarged, especially with respect to cost-utility and cost- benefit analysis, where major methodological developments have taken place.New to this edition are chapters on collecting and analysing data, and presenting and using economic evaluation results. The new edition will be required reading for anyone commissioning, undertaking, or using economic evaluations in health care, and will be popular with health service professionals, health economists, and health-care decision makers. Reviews of the first edition: 'An important contribution to studies on the economic evaluation of medical care...' (British Medical Journal) 'This is essential reading. Only if all managers are aware of the powers of economic techniques will they be used sensibly' (The Health Service Journal (UK) 'The methodological chapters on cost analysis and cost utility analysis are gems...should become the standard text on the subject at the intermediate level at which it is aimed.' (Medical Decision Making) 'It leaves nothing important in economic evaluation analysis untouched.' (Health Policy and Planning) This book is intended for health care management students, Health care professionals, economists, and decision makers.

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12/15/2011

Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age Review

Medical Billing Networks and Processes - Profitable and Compliant Revenue Cycle Management in the Internet Age
Average Reviews:

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Medical Billing is one of those niche targeted books that demonstrates the benefit of place like Amazon.com. This is the kind of book that you would NEVER find if not for the Internet. This book is a veritable cornucopia of information and advice on how a medical practice needs to structure itself to ensure viable billing practices. This is valuable to not only the physician but also to the patient.
The author suggests that although the managed care billing system may appear to be broken, with the right disciplines we can FIX IT ourselves in many cases. In my work with medical practices and hospitals I can't tell you how often I come across physicians that have no choice but to reduce certain patient services because they just don't have the income to invest it where they would like. In the same way I have seen improper billing procedures frustrate patients so much that they literally REDUCE the number of doctor visits just to avoid the hassle of dealing with insurance and billing companies.
What I particularly liked about Yuval's book is that it can be easily understood by medical professionals, billing and insurance company representatives but also by the common person. He starts with a clear, thorough explanation of the history of the medical billing system, the advent of managed care and then gets into the nuts and bolts of billing explaining in a very down-to-earth manner, Super bills, allowable, write-offs, charge-backs, how the clearing houses work and so on. The book is loaded with graphs, captions, bullet points and images that just aid in the understanding of what can often a rather confusing topic.
Throughout the book, the author makes reference to how the system needs to change and what new variables may be on the horizon. I found this to be helpful in guiding my medical clients toward some policies and procedures that we may want to put in place regarding the new ICD codes and CPT10 system, the new FTC Red Tag privacy issues, and new HIPA regulations. The book makes a great reference tool for planning as well.
As a consultant that spends time consulting with hospital administrators, practice managers and physicians I have to say this is probably THE MOST comprehensive, easy to understand manual on medical billing that I have ever seen. I have actually purchased several copies to give to some of my clients and I suggest other medical consultants do the same.
I STRONGLY recommend this book to all medical professionals, practice managers and medical consultants. That said, if you are a patient and really want to understand the medical billing process I will say this is the ONLY book for you.
Also check out Yuval's book on practice management as well. Thanks Dr. Lirov for helping us to all take charge in fixing what is a broken system!


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Is your practice profitable and compliant?Some state-managed insurance company audits have discovered up to 30% in mishandled and wrongly denied claims. This book shows private practitioners how to automate and enable such insurance claim payment audits in real time. You' will discover how to:'Improve your cash flow and reduce audit risk using Straight-Through Processing (STP) technologies'Design and implement industrial-grade network standards for continuous billing quality improvement and compliance maintenance'Reduce operations risk and improve your balance sheet using Software as a Service (SaaS) and outsourcingUnderstand the rules of the modern "payer-provider conflict" and learn to apply and manage winning Internet strategies, such as the "billing network effect." Gain further insight from guest chapters by Dennis Alessi, Esq., of Mandelbaum, Salsburg, Gold, Lazris & Discenza, PC; Eric Fishman, MD, of EHR Scope; Joe Kamelgard, MD, of Billing Integration, LLC; and Erum Raza, Esq, of Fox Rothschild, LLP.

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12/06/2011

Financial Management of the Medical Practice (Practice Success) Review

Financial Management of the Medical Practice (Practice Success)
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I've read several books on medical practice management, and this one is by far the most practical tool. The author gives excellent templates and clear, concise explanations. The reader is not overwhelmed by deep financial explanations. I recommend it especially for small, independant practices.

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11/01/2011

Stedman's Medical Dictionary Review

Stedman's Medical Dictionary
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Good dictionary. However, there are better ones (particularly Tabers). I have less physically attractive medical dictionaries with no color and a boring cover that seem to have the definitions I am looking for when Stedman's doesn't. Adequate dictionary but perhaps Taber's in a better value.

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Stedman's Medical Dictionary, 28th Edition has been thoroughly reviewed and updated to make this dictionary the most reliable resource available for healthcare, including medical students, physicians, educators, researchers, and medical language specialists. This new edition includes more than 107,000 terms and definitions, more than 5,000 new to this edition. More than 45 consultants from all the major medical and health science specialties have reviewed each word for accuracy and clarity, including new consultants for the specialties of endocrinology, gastroenterology, geriatrics, and rheumatology. The art program has also been extensively enhanced and now includes approximately 1,500 images and illustrations.

Readers will recognize the authoritative content contained in this new edition, and want to add it to their list of must have references.


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