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| certified medical practice executive cmpe: Physician Practice Management Lawrence F. Wolper, 2012-05-24 Published in association with the MGMA and written for physician leaders and senior healthcare managers as well as those involved in smaller practices, Physician Practice Management: Essential Operational and Financial Knowledge, Second Edition provides a comprehensive overview of the breadth of knowledge required to effectively manage a medical group practice today. Distinguished experts cover a range of topics while taking into special consideration the need for a broader and more detailed knowledge base amongst physicians, practice managers and healthcare managers. Topics covered in this must-have resource include: physician leadership, financial management, health care information technology, regulatory issues, compliance programs, legal implications of business arrangements, medical malpractice, facility design, and capital financing for physician group practices. |
| certified medical practice executive cmpe: Financial Management Lee Ann H. Webster, David N. Gans, Jeffrey Milburn, Frederic R. Simmons, 2007 Learn the key financial management skills needed to lead a medical practice. After reading this book, you'll understand the concepts, tasks, and terminology to ensure success in medical group practice management. The text covers: Translating medical practice objectives into financial assumptions to aid planning, Compiling, interpreting, and communicating financial information to physicians/shareholders and staff for education and decision making, Developing requests for proposals (RFPs), analyzing and negotiating/renegotiating contract terms favorable to the practice, Calculating business ratios and benchmarks, Analyzing the relationship of fees to coding/diagnosis for appropriate reimbursement. |
| certified medical practice executive cmpe: Career Opportunities in Health Care Management Sharon Buchbinder, Jon Thompson, 2010-10-22 Career Opportunities in Healthcare Management is a concise, reader-friendly, introductory healthcare management book that covers a wide variety of career opportunities in a broad range of direct healthcare settings--such as hospitals, physician practices, nursing homes, and clinics--and non-direct health care settings, such as associations, managed care and health insurance companies, consulting firms, and medical supplier firms. Filled with first person accounts from health care managers working in the field, these profiles will engage the reader’s imagination, inform them of key issues associated with these important roles, as well as what makes these health care managers happy and eager to go to work in the morning. Beginning with an individualized 'Health Care Management Talent Quotient Quiz' and ending with a guide to finding a job in healthcare management, this hands on student-friendly and teacher-friendly text is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health. Features: • The experienced authors use an active voice to grab the reader’s attention. • An individualized Health Care Management Talent Quotient Quiz to assess each student’s baseline aptitude and identify skills gaps that need to be addressed. • Over forty lively, first person profiles of health care managers working in the field covering everything from educational background and how they first became aware of health care management, through advice to future health care managers. • Detailed appendices that include: resources for learning more about health care management; sample programs of study; job hunting advice; frequently used terms in advertisements, sample position descriptions, do’s and don’ts of interviewing, and a sample cover letter and resume. |
| certified medical practice executive cmpe: Insurance Handbook for the Medical Office Marilyn Fordney, 2013-01-01 A complete guide to insurance billing and coding, Insurance Handbook for the Medical Office, 13th Edition covers all the plans that are most commonly encountered in clinics and physicians' offices. Its emphasis on the role of the medical insurance specialist includes areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. Learning to fill in the claim form accurately is made easier by the use of icons for different types of payers, lists of key abbreviations, and numerous practice exercises. This edition provides the latest on hot topics such as ICD-10, healthcare reform, the new CMS-1500 form, and electronic claims. Trusted for more than 30 years, this proven reference from Marilyn Fordney prepares you to succeed as a medical insurance professional in any outpatient setting. Emphasis on the business of running a medical office highlights the importance of the medical insurance specialist in filing clean claims, solving problems, and collecting overdue payments.Key terms and key abbreviations are defined and emphasized, reinforcing your understanding of new concepts and terminology.Detailed tables, boxes, and illustrations call out key points and main ideas.Unique! Color-coded icons clarify information, rules, and regulations for different payers.An Evolve companion website enhances learning with performance checklists, self-assessment quizzes, and the Student Software Challenge featuring cases for different payer types and an interactive CMS-1500 form to fill in.A workbook contains learning tips, practice exercises for key terms and abbreviations, review questions, study outlines, performance objectives, a chapter with practice tests, and critical thinking activities for hands-on experience with real-world cases. Available separately. Updated coverage of key health insurance topics includes HIPAA compliance, the HITECH Act, health reform of 2010, electronic health records, electronic claims, ICD-10, NUCC standards, Physician Quality Reporting System (PQRS) Incentive Program, Meaningful Use, and CPT 2013.Updated ICD-10 coding information prepares you for the October 2014 ICD-10 implementation date.Updated content on claim forms includes block-by-block explanations and examples for the new CMS-1500 Claim Form.Updated guidelines for the filing and submission of electronic claims include sample screenshots and prepare you for the future of the medical office. |
| certified medical practice executive cmpe: Business and Clinical Operations Edward Gulko, 2006 Grasp the foundational knowledge of business and clinical operations with this book - part of the Medical Practice Management of Knowledge Review Series. This book provides a review of the basic skills needed in medical practice, focusing on the operations and highlighting key concepts, tasks, terminology, and regulations, and offering key resources. |
| certified medical practice executive cmpe: Information Management Donna Jean Slovensky, Jerry M. Trimm, Robert L. Garrie, Pamela E. Paustian, 2006 Grasp fundamental knowledge on health care information management with this book - part of the Medical Practice Management Body of Knowledge Review Series. This booklet covers the basic skills needed in medical practice, specifically focusing on the information technology and systems of the practice, and highlighting key concepts, tasks, terminology, regulations and resources. |
| certified medical practice executive cmpe: Risk Management Geraldine Amori, 2006 Grasp the foundational knowledge on risk management related to the practice with this book - part of the Medical Practice Management Body of Knowledge Review Series. It provides a review of the basic skills needed in medical practice, focusing on risk and compliance of the practice, and highlighting key concepts, tasks, terminology, regulations and resources. |
| certified medical practice executive cmpe: Slee's Health Care Terms Vergil N. Slee, Debora A. Slee, Herbert Joachim Schmidt, 2001 Includes terms from: health care administration, public health & epidemiology, government regulation, ethics & patient empowerment, finance & reimbursement, medical staff organization, clinical medicine & nursing, science, research & technology, law & legislation, and healthy communities movement. |
| certified medical practice executive cmpe: Health Care Administration Lawrence Wolper, 2011 Health Care Administration: Managing Organized Delivery Systems, Fifth Edition provides graduate and pre-professional students with a comprehensive, detailed overview of the numerous facets of the modern healthcare system, focusing on functions and operations at both the corporate and hospital level. The Fifth Edition of this authoritative text comprises several new subjects, including new chapters on patient safety and ambulatory care center design and planning. Other updated topics include healthcare information systems, management of nursing systems, labor and employment law, and financial management, as well discussions on current healthcare policy in the United States. Health Care Administration: Managing Organized Delivery Systems, Fifth Edition continues to be one of the most effective teaching texts in the field, addressing operational, technical and organizational matters along with the day-to-day responsibilities of hospital administrators. Broad in scope, this essential text has now evolved to offer the most up-to-date, comprehensive treatment of the organizational functions of today's complex and ever-changing healthcare delivery system. |
| certified medical practice executive cmpe: The Top 15 Staff Management Policies and Procedures for Physician Practices W. Lyle Oelrich, W. Lyle Oelrich, Jr., 2005 |
| certified medical practice executive cmpe: Slee's Health Care Terms Debora Slee, Vergil Slee, Joachim Schmidt, 2008 This healthcare dictionary contains more than 8,000 nonmedical words, phrases, and acronyms related to the healthcare industry. |
| certified medical practice executive cmpe: Professional Responsibility David J. Peterson, Ken Mace, 2006 |
| certified medical practice executive cmpe: Human Resource Management Michael A. O'Connell (MHA), 2006 Grasp the foundational knowledge of human resources of a medical practice with this book - part of the Medical Practice Management Body of Knowledge Series. It provides a review of the basic skills needed in the medical practice, specifically focusing on the staffing and other human-resource issues of the practice and highlighting key concepts, tasks, terminology, regulations and key resources. |
| certified medical practice executive cmpe: Health Care Administration Lawrence F. Wolper, 2004 Health Care Administration continues to be the definitive guide to contemporary health administration and is a must-have reference for students and professionals. This classic text provides comprehensive coverage of detailed functional, technical, and organizational matters. |
| certified medical practice executive cmpe: Insurance Handbook for the Medical Office - E-Book Marilyn Fordney, 2015-12-08 Stay up on the latest in insurance billing and coding with Marilyn Fordney’s Insurance Handbook for the Medical Office, 14th Edition. Trusted for more than 30 years, this market-leading handbook equips you to succeed as medical insurance specialist in any of today’s outpatient settings. Coverage emphasizes the role of the medical insurance specialist in areas such as diagnostic coding, procedural coding, Medicare, HIPAA, and bill collection strategies. As with previous editions, all the plans that are most commonly encountered in clinics and physicians’ offices are incorporated into the text, as well as icons for different types of payers, lists of key abbreviations, and numerous practice exercises that assist you in accurately filling out claim forms. This new edition also features expanded coverage of ICD-10, electronic medical records, electronic claims submission, and the HIPAA 5010 — keeping you one step ahead of the latest practices and protocols of the profession. Key terms are defined and emphasized throughout the text to reinforce understanding of new concepts and terminology. Separate chapter on HIPAA Compliance in Insurance Billing, as well as Compliance Alerts throughout the text highlights important HIPAA compliance issues to ensure readers are compliant with the latest regulations. Emphasis on the business of running a medical office and the importance of the medical insurance specialist details the importance of the medical insurance specialist in the business of the medical office. Increased focus on electronic filing/claims submission prepares readers for the industry-wide transition to electronic claims submission. Separate chapter on documentation in the medical office covers the principles of medical documentation and the rationales for it. Service to Patient features in most chapters offer examples of good customer service. User resources on the Evolve companion website feature performance checklists, self-assessment quizzes, the Student Software Challenge (with cases on different payer types and an interactive CMS-1500 (02-12) form to fill in). NEW! Expanded coverage of ICD-10 prepares users to code ICD-10 with the planned effective date of October 2015. NEW! Added information on the electronic medical record and electronic claims submission — including information on the HIPAA 5010 — equips users for the transition between paper and electronic methods of medical records and links the CMS-1500 (02-12) form to the electronic submissions process. NEW! SimChart for the Medical Office (SCMO) application activities on the companion Evolve website adds additional functionality to the insurance module on the SCMO roadmap. |
| certified medical practice executive cmpe: Health Services Management Zachary Pruitt, PhD, MHA, FACHE, 2024-11-15 Health Services Management: Competencies and Careers provides students in healthcare administration and management, public health, and other healthcare sectors with the necessary knowledge, practical understanding, and fundamental skills to become successful, confident, and empathetic health services managers in this exciting and growing field. The text incorporates fundamental management competencies in every chapter and supplies relevant examples of managerial decision-making and problem-solving in various health service delivery settings. Written with Generation Z students in mind, this book takes on a straightforward approach to planning, organizing, directing, and leading, and imparts important knowledge on the science of evidence-based management. Health Services Management covers the roles and functions of health services managers and breaks down the variety of subjects they must understand to be thoughtful and effective. Chapters cover the dynamic challenges in managing interpersonal relationships, navigating leadership and change, and balancing professionalism and ethics to prepare future leaders for the obstacles ahead. Students are also given a better understanding of population health management and community collaboration, healthcare governance, strategic planning and marketing, human resource management, organizational design, project management, financial management, and much more. Health Services Management is a foundational textbook for anyone seeking a challenging and enriching career as a health services manager. Key Features: Provides an easy-to-read text with an engaging style that will appeal to current and future health services managers Listen to more than 30 informational interviews with health services management professionals discussing career topics including roles, responsibilities, and the value of the health service management profession to clinicians and patients Features engaging professional development reflections and career boxes that provide guidance on the technical skills and professional insights needed to succeed in health services management careers Students have access to a glossary featuring more than 700 key terms Qualified instructors have access to expanded Instructor Resources featuring chapter PowerPoints, Test Banks, an Instructor Manual with learning activities, discussion and essay questions for each chapter, and additional resources to supplement students' dynamic learning and interaction with the text |
| certified medical practice executive cmpe: Governance and Organizational Dynamics Stephen L. Wagner, Lawrence F. Wolper, 2006 |
| certified medical practice executive cmpe: Medicare, Cures for Billing Code Complexity United States. Congress. House. Committee on Government Reform and Oversight. Subcommittee on Human Resources, 1998 |
| certified medical practice executive cmpe: Fordney's Medical Insurance - E-Book Linda M. Smith, 2019-01-18 - NEW! Expanded coverage of inpatient insurance billing, including diagnosis and procedural coding provides you with the foundation and skills needed to work in the physician office, outpatient, and inpatient setting. - NEW! Expanded coverage of Ambulatory Surgical Center (ASC) billing chapter provides you with the foundation and skills needed to work in this outpatient setting. - NEW! Updated information on general compliance issues, HIPAA, Affordable Care Act and coding ensures that you have the knowledge needed to enter today's ever-changing and highly regulated healthcare environment. |
| certified medical practice executive cmpe: Fordney's Medical Insurance and Billing - E-Book Linda M. Smith, 2021-10-27 - NEW! Insights From The Field includes short interviews with insurance billing specialists who have experience in the field, providing a snapshot of their career paths and offering advice to the new student. - NEW! Scenario boxes help you apply concepts to real-world situations. - NEW! Quick Review sections summarize chapter content and also include review questions. - NEW! Discussion Points provide the opportunity for students and instructors to participate in interesting and open dialogues related to the chapter's content. - NEW! Expanded Health Care Facility Billing chapters are revised to provide the latest information impacting the insurance billing specialist working in a variety of healthcare facility settings. |
| certified medical practice executive cmpe: Operating Policies and Procedures Manual for Medical Practices Elizabeth W. Woodcock, Bette A. Warn, 2006 This popular bestseller is an easy-to-use manual complete with customizable medical office policies. Covering more than 100 of todays most pressing events, this manual helps practice administrators and managers set procedures and policies for managing operational, financial, and risk issues, as well as personnel, disaster planning, and exposure control. |
| certified medical practice executive cmpe: Health Care Financial Management for Nurse Managers Janne Dunham-Taylor, Joseph Z. Pinczuk, 2005 Enhances the financial skills that nurse managers and administrators need to navigate the health care system and the varying reimbursement issues facing different health care settings. |
| certified medical practice executive cmpe: Reverse Acronyms, Initialisms, & Abbreviations Dictionary , 2007 |
| certified medical practice executive cmpe: Medical Billing & Coding For Dummies Karen Smiley, 2024-09-24 The essential guide for medical billing professionals, updated for ICD-11 standards Medical Billing & Coding For Dummies will set you up for success in getting started as a medical biller and coder. To ensure data accuracy and efficient data processing, medical offices need professionally trained coders to handle records. This book provides prospective allied health professionals with everything they need to know to get started in medical billing and coding as a career. In addition to an introduction to the basics of medical coding, you'll get information on how to find a training course, meet certification requirements, and deal with government agencies and insurance companies. Learn about the standard practices in the medical billing industry and get up to speed on the ethical and legal issues you're likely to face on the job. This accessible guide is a great entry point—and a great refresher—for anyone interested in the medical billing and coding profession. Get a primer on your career options in the field of medical billing Learn coding practices for telehealth, viral outbreaks, and other emerging issues Update your knowledge of the changes between ICD-10 and ICD-11 coding systems Find training programs and explore your options for certification This Dummies guide is an accessible entry point for prospective professionals looking get a jump on their new career, and current professionals intent on staying up-to-date in this flexible and growing field. |
| certified medical practice executive cmpe: Dyad Leadership in Healthcare Kathleen Sanford, 2015-01-07 Healthcare leaders are facing major change in how healthcare is delivered as we move from fee-for-service payment models to pay for value. Physicians and hospitals are evolving from separate financial entities (with relationships varying from customers/workshops to competitors) to unified systems. Government policy maker, payers, and hordes of consultants advise hospitals to increase physician leadership in all parts of the system. However, few have proposed how this can be done when the gaps between hospitals and physicians are so wide. Physicians do not trust healthcare leaders, lack leadership and teamwork skills, and have little knowledge of how systems work. Some hospital leaders are working to overcome these gaps by setting up dyad leadership teams, consisting of a physician and an experienced manager/leader. The physician member of the team helps with the first gap; the nurse or other dyad partner is important to manage the other gaps. Until now, with the publication of Dyad Clinical Leadership, there has not been a source to help clinical dyad partners learn and understand how to work together in this emerging management model. Kathleen D. Sanford, DBA, RN, CENP, FACHE, Senior Vice President and Chief Nursing Officer at Catholic Health Initiatives (CHI), builds on CHI’s success with this unique playbook for the model. |
| certified medical practice executive cmpe: MGMA Connexion , 2007 |
| certified medical practice executive cmpe: Health Systems Science E-Book Susan E. Skochelak, 2020-05-06 The first textbook devoted to this emerging area, Health Systems Science now brings you fully up to date with today's key issues and solutions. This increasingly important branch of health care explores how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. Along with basic and clinical sciences, health systems science is rapidly becoming a crucial 'third pillar' of medical science, with an emphasis on understanding the role of human factors, systems engineering, leadership, and patient improvement strategies that will help transform the future of health care and ensure greater patient safety. In this 2nd Edition, new chapters, new exercises, and new information help you acquire the knowledge and skills you need for success in today's challenging healthcare system. - The first comprehensive text for mastering health systems science, offering practical coverage of all of the factors in the lives of patients that influence their well-being, the structures and processes of the health system itself, societal factors, communication, and information technology. - NEW to this edition: New content on systems thinking, ethics and legal issues, and international care models further define and address this new important component of health care education; additional exercises; and expanded information on the patient experience and private practice. - Complete coverage of patient safety, quality improvement, value in health care, teamwork, stewardship of health care resources, population health, clinical informatics, care coordination, leadership, and health care financing/reform. - Patient improvement strategies incorporate checklists, information technology, team training, and more. - A consistent chapter template provides clear coverage of each topic, including Learning Objectives, Chapter Outline, Core Chapter Content, Summary, Questions for Reflection, and Annotated Bibliography and References. - Developed by the American Medical Association's Accelerating Change in Medical Education Consortium, and authored by a team that includes AMA staff members working with individuals from the Consortium member schools. |
| certified medical practice executive cmpe: Chart of Accounts for Health Care Organizations Neill Finnes Piland, 1999 |
| certified medical practice executive cmpe: RVUs Kathryn P. Glass, 2003 |
| certified medical practice executive cmpe: Coding for Chest Medicine 2009 , 2009 |
| certified medical practice executive cmpe: One Revolution David J. Bachrach, William R. Nicholas, 1997 Experienced academic practice leaders share the essentials of academic practice, crucial discoveries and sound advice. You'll have information on the nuts and bolts of practice management translated to the academic model. |
| certified medical practice executive cmpe: Acronyms, Initialisms & Abbreviations Dictionary Linda Hall, 2008 Provides definitions of a wide variety of acronyms, initialisms, abbreviations and similar contractions, translating them into their full names or meanings. Terms from subject areas such as associations, education, the Internet, medicine and others are included. |
| certified medical practice executive cmpe: Physician Practice Management Lawrence F. Wolper, 2005 Health Sciences & Professions |
| certified medical practice executive cmpe: The American Heritage Abbreviations Dictionary , 2002 An updated edition of current acronyms, abbreviations, and Americanisms includes some 19,000 entries that encompass a wide range of blends, clippings, foreign words, initialisms, numericals, and truncations. |
| certified medical practice executive cmpe: Performance and Practices of Successful Medical Groups Mgma, 2005 |
| certified medical practice executive cmpe: Financial Feasibility Studies for Healthcare Christopher J. Evans, 2000 Providers are seeking to evaluate alternatives that will allow them to provide care to patients in their service area or conduct business in a more cost-effective manner. A firm grasp of market conditions, operations and financial issues is required to understand where opportunities exist to improve service, profitability and survival. The first step in this market assessment is the financial feasibility study.Financial Feasibility Studies for Healthcare helps demystify financial analysis for professionals without significant experience or formal training in this discipline. It provides a basis for nearly anyone to produce a basic analysis of existing operations or of a planned new venture. Financial Feasibility, Studies for Healthcare provides: -- Basic concepts of financial feasibility including the financial model and spreadsheet design-- An understanding of the impact of managed care and regulatory issues on the feasibility study-- Concepts of financial modeling-- Financial considerations on provider compensation-- Modeling mergers, the valuation of entities, employment agreements, operational assessment and more-- Case studies in financial feasibility-- A diskette with spreadsheet analysis and proformas for developing a feasibility studyFinancial Feasibility Studies for Healthcare is designed to teach both an introduction and advanced techniques of conducting a feasibility study in the present healthcare environment. If you are considering any type of organizational change, purchase or joint venture, then Financial Feasibility Studies its Healthcare should be your first step. |
| certified medical practice executive cmpe: Tyler's Guide J. Larry Tyler, 2002 |
| certified medical practice executive cmpe: Benefits & Compensation Digest , 2006 |
| certified medical practice executive cmpe: Practice Management Reference Guide - First Edition AAPC, 2020-03-16 Effectively manage the business side of medicine. Profit margin, collections, cash flow, compliance, human resources, health information, efficient business processes—the broad responsibilities and complex requirements of practice management are endless. Drop one ball in the daily juggle and the fallout can be costly. There’s never enough time, which makes it tough to stay on top of regulations and best practices. That’s where AAPC’s Practice Management Reference Guide becomes vital to your organization, providing you with one-stop access to the latest and best in practice management. From office operations to financial oversight, the Practice Management Reference Guide lays out essential guidance to help you optimize efficiency, security, and profitability. Benefit from actionable steps to streamline accounts receivable. Discover how to bring in new patients and keep the ones you have happy. Leverage real-world strategies to command payer relations, recruitment, training, employee evaluations, HIPAA, MACRA, Medicare, CDI, EHR … everything you need to ensure bountiful operations in 2020 and beyond. With the Practice Management Reference Guide, you’ll gain working knowledge covering the spectrum of practice management issues, including: Negotiating favorable payer contracts Preventing an appeals backlog Remaining audit-ready Correctly applying incident-to billing rules to maximize reimbursement Using assessment tools to evaluate your risk Preparing a risk plan and know what questions to ask Knowing how and why you should implement policies and protocols Complying with state and federal patient privacy rules |
| certified medical practice executive cmpe: National Trade and Professional Associations of the United States , 2008 |
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