Description
Book SynopsisGain an understanding of advanced topics in healthcare revenue cycle management and explore current issues impacting healthcare organization reimbursements with Parks' REVENUE CYCLE FOR HEALTHCARE. This book introduces you to the various roles of HIM professionals beyond the traditional HIM department. You study measures of hospital performance, such as case mix and risk adjustment programs. You also examine important topics, such as clinical documentation integrity, physician queries, predictive analytics use in the revenue cycle, claims audits, denials and appeals and pay-for-performance. All content corresponds to the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) competencies. Enrichment activities and case studies give you a first-hand view of real-world experiences as you prepare for employment. MindTap digital resources are also available to reinforce your grasp of healthcare revenue cycle management.
Table of ContentsChapter 1: Overview of Revenue Cycle Management Chapter 2: Reimbursement Processes and Tools Chapter 3: Healthcare Financial Information, a strategic resource Chapter 4: Inpatient Prospective Payment System Chapter 5: Outpatient Prospective Payment System Chapter 6: Measures of Hospital Performance Chapter 7: Pay-for-Performance and Value-Based Purchasing Chapter 8: Charge Description Master Chapter 9: Clinical Documentation Integrity Chapter 10: Physician Queries Chapter 11: Claims Denials and Appeals Chapter 12: Compliant Billing and Audits Appendices
