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Handling the Medical Claim An 8-Step Guide on “How To” Correct and Resolve Claim Issues

Handling the Medical Claim An 8-Step Guide on “How To” Correct and Resolve Claim Issues

When a doctor sees a patient how does the doctor‘s office get paid? If a claim for a service or procedure provided is denied how does the doctor‘s office get the patient‘s insurance company to pay? Handling the Medical Claim: An 8-Step Guide on How To Correct and Resolve Claim Issues explains from beginning to end how to bill and collect on claims for services provided in a physician‘s office. Focusing on the CMS-1500 claim form the book explains how to prepare and file the form to submit charges to patients insurance companies. Written by a medical billing specialist experienced in handling medical claims and denials on both the provider and insurer sides of the business this step-by-step guide begins by covering some basic good practice management skills. Next it outlines each department‘s specific duties based on the each department‘s responsibilities for specific parts of the claim. In addition to learning how to submit and resolve claims that cannot be processed or are denied readers will learn how to: Enter data in the doctor‘s schedule including appointment types Gather patient data from medical records Register patients including patient information guarantor and policyholder and insurance information Input information about the appointment and diagnosis Use the different types of coding systems used for billing charges Understand the claim cycle determine reimbursement and apply payment Obtain patient and insurance information Appeal a denied claim and handle patient balances The book includes case examples and step-by-step guidance for resolving claim issues that could arise including how to determine what part of the chapter you can find your answer and how to link your findings to the box number on the claim form to which the problem pertains. Highlighting opportunities for | Handling the Medical Claim An 8-Step Guide on “How To” Correct and Resolve Claim Issues

GBP 170.00
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Training Within Industry: Problem Solving Problem Solving

Training Within Industry: Problem Solving Problem Solving

Training Within Industry is the structural genesis of Lean Manufacturing and the heart of kaizen the practice of small continuous improvements. From the Toyota Production System to the standardization of training retail sales clerks Training Within Industry proves that true innovation is timeless. The training material contained in this 8 1/2 x 11 118 page Training Within Industry book is as applicable today as it was when it was first written down decades ago. | Training Within Industry: Problem Solving Problem Solving

GBP 28.99
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Training Within Industry: Program Development Program Development

Training Within Industry: Program Development Program Development

Training Within Industry is the structural genesis of Lean Manufacturing and the heart of kaizen the practice of small continuous improvements. From the Toyota Production System to the standardization of training retail sales clerks Training Within Industry proves that true innovation is timeless. The training material contained in this 8 1/2 x 11 124 page Training Within Industry book is as applicable today as it was when it was first written down decades ago. | Training Within Industry: Program Development Program Development

GBP 28.99
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Training Within Industry: Job Instruction Job Instruction

Training Within Industry: Job Instruction Job Instruction

Training Within Industry is the structural genesis of Lean Manufacturing and the heart of kaizen the practice of small continuous improvements. From the Toyota Production System to the standardization of training retail sales clerks Training Within Industry proves that true innovation is timeless. The training material contained in this 8 1/2 x 11 84 page Training Within Industry book is as applicable today as it was when it was first written down decades ago. | Training Within Industry: Job Instruction Job Instruction

GBP 28.99
1

Lean Healthcare Systems Engineering for Clinical Environments A Step-by-Step Process for Managing Workflow and Care Improvement Projects

Lean Healthcare Systems Engineering for Clinical Environments A Step-by-Step Process for Managing Workflow and Care Improvement Projects

It has been almost 20 years since the Institute of Medicine released the seminal report titled Crossing the Quality Chasm. In it the IoM identified six domains of care quality (safe timely effective efficient equitable and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention sadly there has been little progress in these areas. In the U. S. healthcare still has huge disparities is inefficient and is fragmented with delays in care that are often unsafe. Most U. S. citizens are expected to suffer from a diagnostic error sometime during their lifetime not receive a large fraction of recommended care and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety the hotel and entertainment industry for a ‘customer’ focus and the automotive industry particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What’s unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms emergency departments and ancillary departments clinical and imaging laboratories pharmacies and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare systems engineering and Lean. The book also contains the first major product created with the LHSE process namely tabularized summaries of representative projects in healthcare delivery applications called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes powerful improvement goals risks and expected benefits and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments addressing fragmentation wastes wrong incentives ad-hoc and stove-piped management lack of optimized processes hierarchy gradient lack of systems thinking “blaming and shaming culture” burnout of providers and many others. | Lean Healthcare Systems Engineering for Clinical Environments A Step-by-Step Process for Managing Workflow and Care Improvement Projects

GBP 39.99
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Integrating Business Management Processes Volume 1: Management and Core Processes

Integrating Business Management Processes Volume 1: Management and Core Processes

Integrating Business Management Processes: Management and Core Processes (978-0-367-48549-8 365816) Shelving Guide: Business & Management The backbone of any organisation is its management system. It must reflect the needs of the organisation and the requirements of its customers. Compliance with legal requirements and ethical environmental practices contributes towards the sustainability of the management system. Whatever the state of maturity of the management this book one of three provides useful guidance to design implement maintain and improve its effectiveness. This volume with its series of examples and procedures shows how organizations can benefit from satisfying customer requirements and the requirements of ISO standards to gain entry into lucrative markets. It provides a comprehensive coverage of the key management and core processes. Topics include the impact of management systems on business performance strategic planning risk management good manufacturing practices purchasing production and provision of services new product planning warehousing and logistics sales management and several other topics. This book along with its two companion volumes is a practical guide for real managers designed to help them manage their business more effectively and gain competitive advantage. Titus De Silva is a consultant in management skills development pharmacy practice quality management and food safety and an advisor to the newly established National Medicines Regulatory Authority (NMRA) in Sri Lanka. | Integrating Business Management Processes Volume 1: Management and Core Processes

GBP 56.99
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Healthcare Delivery in the U.S.A. An Introduction

Healthcare Delivery in the U.S.A. An Introduction

With the same clarity that made the previous editions bestsellers Healthcare Delivery in the U. S. A. : An Introduction Third Edition provides readers with the understanding required to navigate the healthcare provider field. In the intervening 8 years since the 2nd Edition was published there have been significant developments in the healthcare delivery systems including COVID-19 global health issues and the evolution of the Affordable Care Act and other financing mechanisms. Brilliantly simple yet comprehensive this updated edition includes updated case studies and describes the new organizational structures being driven by current market conditions. Focusing on healthcare management the book addresses the range of topics critical to understanding the U. S. healthcare system including the quality of care movement delivering care during a pandemic recent finance reform new technologies cyber security and the recent increase in merger and acquisition activity. Dr. Schulte walks readers through the history of the development of U. S. healthcare delivery. She describes the various venues of care delivery as well as the different elements of the financing system. Offering a glimpse into the global market and medical tourism the text includes coverage of legal and regulatory issues workforce and the drivers and barriers that are shaping healthcare delivery around the world. Painting a clear and up-to-date picture this quick-and-easy read provides you with the understanding of the terminology structures roles relationships and nuances needed to interact effectively and efficiently with anyone in the healthcare provider field. | Healthcare Delivery in the U. S. A. An Introduction

GBP 39.99
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Ways of Greening Using Plants and Gardens for Healthy Work and Living Surroundings

Ways of Greening Using Plants and Gardens for Healthy Work and Living Surroundings

This book focuses on rethinking working and living spaces and understanding how greening can make them healthier and their occupants happier. It teaches how to see unique ideas for spaces and some of the materials needed to create the designs. Inspired by a study that states that 8% of a space needs to have plants in order to positively affect the air quality of the space this book explores what that minimum would look like in spaces and how it can be done to existing spaces as well as to new site designs greening both interiors and exteriors. Using the mathematical amount of 10% per square foot the illustrations start at that quantity of greening and show how it can look. The sites selected are both public and private sites as well as interior and exterior. As there are more modalities needs and locations where people now work making sure that multiple types of spaces are designed for people’s success is more relevant than ever. This includes designs for more traditional offices open-air offices commercial spaces homes studios and more. Ways of Greening: using Plans and Gardens for Healthy Work and Living Surroundings gives readers a way to not only understand greening but to understand how to see greening applied to their place. The two basic ways to see the spaces selected are existing spaces to which greening design is applied afterward and upcoming spaces in which greening design can be built directly into the space. The first type of retrofitting greening into existing spaces can also be combined with the second type of space (new designs). There are examples of both types throughout the book. Essentially this book addresses ways in which business owners residents developers architects agencies and others can integrate greening to improve the air quality and the quality of life with a green solution. | Ways of Greening Using Plants and Gardens for Healthy Work and Living Surroundings

GBP 42.99
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Rethinking Organizational Diversity Equity and Inclusion A Step-by-Step Guide for Facilitating Effective Change

Rethinking Organizational Diversity Equity and Inclusion A Step-by-Step Guide for Facilitating Effective Change

Research has shown that having a diverse organization only improves and enhances businesses. Forbes and Time report that diversity is an $8 Billion a year investment. However poorly implementing diversity programs have damaging effects on the organization and the very individuals these programs attempt to help. Poorly implemented programs can cause peers and subordinates to question decisions and lose faith in leadership. In addition it can cause even the most confident individuals to doubt their own skillset and qualifications. Many organizations have turned to training to solve this complex issue. Yet still other organizations have created and filled diversity and inclusion positions to tackle the issue. The effects of these poorly implemented programs are highlighted during strenuous times such as the latest COVID-19 pandemic. Marginalized people are more marginalized and resources and support do not reach everyone. Tasks such as providing technical support conducting large group meetings or distributing work obligations without seeing employees on a daily basis becomes more challenging. Complex problems cannot be solved with simple solutions. Using organization development (OD) to develop a comprehensive change initiative can help. This book outlines how properly conducting an OD change initiative can effectively increase an organization’s diversity and inclusion - it is grounded in research-based literature on diversity and OD principles. Many organizational leaders realize the key importance of diversity equity inclusion and multiculturalism in modern organizations. It is only through such efforts can organizations thrive in a networked world where much work is done virtually—and often across borders. But a common scenario is that leaders recognizing the need for a diversity program will pick someone from the organization to launch it. Perhaps the person identified for this challenge is in the HR department but has had no experience in launching diversity efforts—or even in managing large-scale long-term organization wide change efforts. But these are the challenges to be faced. This book quickly identifies some reasons why diversity programs fail and how to avoid those failures. The majority of the book highlights how to use OD to improve organization culture and processes to not only increase diversity and inclusion but develop overall organization talent and prevent personal preferences and biases from hindering the selection of the best talent for positions. | Rethinking Organizational Diversity Equity and Inclusion A Step-by-Step Guide for Facilitating Effective Change

GBP 34.99
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