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Practice Management And Ehr: A Total Patient Encounter For Medisoft Clinical [Pehme köide]

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Susan Sanderson

Pehme köide 150,09 €

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Pehme köide (Hind: 166,85 €) - 25-Feb-2011

Formaat: Paperback / softback, 736 pages, kõrgus x laius x paksus: 275x218x25 mm, kaal: 1495 g
Ilmumisaeg: 23-Feb-2011
Kirjastus: McGraw-Hill Professional
ISBN-10: 0073374946
ISBN-13: 9780073374949

Teised raamatud teemal:

Medical administration & management - (Hetkel poes: 1 nimetust)
Health systems & services - (Hetkel poes: 14 nimetust)
Clinical & internal medicine - (Hetkel poes: 84 nimetust)
Medical profession - (Hetkel poes: 7 nimetust)

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Formaat: Paperback / softback, 736 pages, kõrgus x laius x paksus: 275x218x25 mm, kaal: 1495 g
Ilmumisaeg: 23-Feb-2011
Kirjastus: McGraw-Hill Professional
ISBN-10: 0073374946
ISBN-13: 9780073374949

Teised raamatud teemal:

Medical administration & management - (Hetkel poes: 1 nimetust)
Health systems & services - (Hetkel poes: 14 nimetust)
Clinical & internal medicine - (Hetkel poes: 84 nimetust)
Medical profession - (Hetkel poes: 7 nimetust)

Püsilink: https://www.kriso.ee/db/9780073374949.html

Märksõnad:

Practice Management and EHR: A Total Patient Encounter for Medisoft Clinical is a unique one-semester text designed to teach allied health students how to work with an integrated practice management and electronic health record program. It covers EHR and insurance and patient billing so students obtain a comprehensive picture of documenting the administrative and clinical tasks that take place during each step of the patient encounter during an office visit. It prepares students for employment in both administrative and clinical positions in a medical office.

Preface

xiv

Part 1 Managing the Revenue Cycle

(150)

Chapter 1 A Total Patient Encounter

(48)

1.1 Health Information Technology: Tools for a Total Patient Encounter

(3)

Practice Management Programs and Electronic Health Records

(1)

Health Informatics

(2)

1.2 Major Government HIT Initiatives

(6)

Electronic Exchange and Protection of Health information: HIPAA

(1)

The Medicare Improvements for Patients and Providers Act MIPPA

(1)

Medical Treatment Plans Based on Clinical Evidence of Effectiveness: PQRl

(1)

Electronic Health Records: HITECH

(1)

Meaningful Use

(1)

Regional Extension Centers

(1)

Health Information Exchange

(3)

Integrated PM/EHR Programs

(1)

Introduction to Medisoft Clinical

(1)

1.3 Documenting the Patient Encounter

(3)

Types of Clinical Encounters

(1)

The Medical Record

(2)

1.4 Other Uses of Clinical Information

(2)

Legal Issues

(1)

Quality Review

(1)

Research

(1)

Education

(1)

Public Health and Homeland Security

(1)

Billing and Reimbursement

(1)

1.5 Functions of an Electronic Health Record Program

(6)

What's in a Name?

(1)

Contents of EHRs in Ambulatory Care Settings

(1)

Functions and Uses

(2)

Advantages of Electronic Health Records

(1)

Safety

(1)

Quality

(1)

Efficiency

(1)

Implementation Issues

(2)

1.6 Functions of a Practice Management Program

(2)

Initial Setup

(1)

Daily Activities

(1)

Focus on Health Care Claim Processing

(1)

Creating Electronic Claims

(1)

Electronic Monitoring of Claim Status

(1)

Receiving Electronic Payment Notification

(1)

Handling Electronic Payments

(1)

1.7 The Medical Documentation and Billing Cycle

(7)

Steps in the Medical Documentation and Billing Cycle

(1)

Step 1 Preregister Patients

(1)

Step 2 Establish Financial Responsibility for Visit

(1)

Step 3 Check In Patients

(1)

Step 4 Review Coding Compliance

(1)

Step 5 Review Billing Compliance

(1)

Step 6 Check Out Patients

(1)

Step 7 Prepare and Transmit Claims

(1)

Step 8 Monitor Payer Adjudication

(1)

Step 9 Generate Patient Statements

(1)

Step 10 Follow Up Payments and Collections

(1)

Increasing Patient Financial Responsibility

(1)

Data Management and Records Retention

(1)

1.8 The Physician Practice Health Care Team: Roles and Responsibilities

(5)

Physicians

(1)

Physician Assistants

(1)

Nurses

(1)

Medical Assistants

(1)

Medical Billers and Coders

(1)

Practice or Office Manager

(1)

Compliance Officer

(1)

Working as a Team

(2)

1.9 Administrative Careers Working with Integrated PM/EHR Programs

(12)

Gaining Certification in Your Field

(1)

A Commitment to Lifelong Learning

(10)

Chapter 2 HIPAA, HITECH, and Medical Records

(54)

2.1 The Legal Medical Record

(1)

2.2 Health Care Regulation

(4)

Federal Regulation

(1)

State Regulation

(1)

HIPAA Rules

(1)

Electronic Data Interchange

(1)

The Administrative Simplification Provisions

(1)

HITECH Act

(1)

Covered Entities: Complying with HIPAA and HITECH

(1)

Covered Entities

(1)

Business Associates

(1)

2.3 HIPAA Privacy Rule

(9)

Minimum Necessary Standard

(1)

Designated Record Set

(1)

Notice of Privacy Practices and Acknowledgment

(1)

Disclosure for Treatment, Payment, and Health Care Operations (TPO)

(2)

Release by Any Method

(1)

PHI Release to People Acting on a Patient's Behalf

(1)

Release of Information for Purposes Other than TPO

(1)

Authorization Document

(3)

Accounting for Disclosures Exceptions to Disclosure Standards

(1)

Patients' Rights

(1)

2.4 HIPAA Security Rule

(3)

Administrative Safeguards

(1)

Physical Safeguards

(1)

Technical Safeguards

(1)

Firewalls

(1)

Intrusion Detection Systems

(1)

Access Control

(1)

Antivirus Software

(1)

2.5 HITECH Breach Notification Rule

(3)

Guidance on Securing PHI

(1)

Breach Notification Procedures

(2)

2.6 HIPAA Electronic Health Care Transactions and Code Sets, and National Identifiers

(5)

Standard Transactions

(1)

ASCX12 Version 4010

(1)

ASCX12 Version 5010

(1)

Standard Code Sets

(1)

ICD-9-CM (Volumes 1 and 2): Codes for Diseases

(1)

CPT Level 1: Codes for Physician Procedures and Services

(1)

HCPCS Level II

(1)

ICD-10-CM and ICD-10-PCS

(1)

HIPAA National Identifiers

(1)

Employer Identification Number

(1)

National Provider Identifier

(1)

2.7 Threats to Privacy and Security

(4)

Threats in Connection with EHRs

(1)

Sharing Clinical Data Through Networks

(1)

Portable Computers and Storage Devices

(1)

HITECH Provisions: Addressing Inadequacies in Privacy Standards

(1)

Overseas Business Associates

(1)

Personal Health Records

(1)

Private Sector Electronic Networks

(1)

2.8 Fraud and Abuse Regulations

(4)

The Health Care Fraud and Abuse Control Program

(1)

Federal False Claims Act and State Laws

(1)

OIG Enforcement Actions for Fraud, False Claims, and Substandard Care: Case Examples

(1)

Additional Laws

(1)

Definition of Fraud and Abuse

(1)

Examples of Fraudulent and Abusive Acts

(1)

Medicaid Fraud: A Case Example

(1)

Excluded Parties

(1)

2.9 Enforcement and Penalties

(5)

HIPAA Enforcement Agencies

(1)

Office for Civil Rights

(1)

Department of Justice

(1)

Centers for Medicare and Medicaid Services

(1)

Office of Inspector General

(1)

Civil Money Penalties

(1)

Criminal Case Procedures

(1)

2.10 Compliance Plans

(14)

Parts of a Compliance Plan

(1)

Compliance Officer and Committee

(1)

Ongoing Training

(1)

Physician Training

(1)

Staff Training

(1)

Code of Conduct

(1)

Audits

(1)

Documentation

(12)

Chapter 3 Introduction to Medisoft Clinical

104

(47)

3.1 Medisoft Clinical: A Practice Management/Electronic Health Record Program

106

(1)

3.2 Security Features in Medisoft Clinical

106

(3)

User Names and Passwords

106

(1)

Access Levels

107

(1)

The Park Feature and Auto Log Off

108

(1)

3.3 Medisoft Clinical Patient Records

109

(4)

Exploring the Main Medisoft Clinical Patient Records Window

110

(1)

The Dashboard

110

(2)

Schedule

112

(1)

Messages

112

(1)

Lab Review

112

(1)

To Do

112

(1)

Note Review

112

(1)

3.4 Medisoft Network Professional

113

(4)

Exploring the Main Medisoft Network Professional Window

114

(3)

3.5 Using Medisoft Clinical to Complete Pre-Encounter Tasks

117

(4)

Preregistration

118

(1)

Entering the Chief Complaint/Reason for Visit

118

(1)

Scheduling Appointments

119

(2)

3.6 Using Medisoft Clinical to Complete Encounter Tasks

121

(13)

Establishing Financial Responsibility

121

(1)

Checking Insurance Eligibility

122

(1)

Check-in

122

(1)

Checking In and Reviewing Account Balance

123

(1)

Gathering and Recording Additional Patient Information

123

(1)

Documentation and Examination

123

(4)

Coding

127

(2)

Transmit Charges to Medisoft Network Professional for Billing

129

(1)

Checkout

130

(1)

Coding and Billing Compliance Review

130

(1)

Calculate and PostTime-of-Service (TOS) Payments

131

(2)

Additional Checkout Activities

133

(1)

3.7 Using Medisoft Clinical to Complete Post-Encounter Tasks

134

(6)

Preparing and Transmitting Claims

134

(1)

Monitoring Payer Adjudication

135

(1)

Generating Patient Statements

136

(1)

Following Up on Payments and Collections

137

(3)

3.8 Backing Up and Restoring Files

140

(3)

Backing Up Files

140

(2)

Restoring Files

142

(1)

3.9 The Medisoft Clinical Help Feature

143

(8)

Built-in Help

143

(1)

Online Help

144

(7)

Part 2 Documenting Patient Encounters

151

(234)

Chapter 4 Scheduling

152

(62)

4.1 Scheduling Methods

154

(3)

Making Appointments via Telephone or Online

154

(2)

Scheduling Systems

156

(1)

Open Hours

156

(1)

Stream Scheduling

156

(1)

Double-Booking

156

(1)

Wave Scheduling

157

(1)

4.2 New Versus Established Patients

157

(1)

4.3 Preregistration for New Patients

158

(2)

Gathering Patient Demographics

158

(1)

Gathering Insurance Information

159

(1)

Recording the Reason for the Visit

159

(1)

4.4 Appointments for Established Patients

160

(1)

4.5 Insurance Basics

160

(12)

Medical Insurance Policies

161

(1)

Health Care Benefits

162

(1)

Covered Services

162

(2)

Noncovered Services

164

(1)

Types of Health Care Plans

164

(1)

Indemnity

164

(3)

Managed Care

167

(1)

Health Maintenance Organizations

167

(3)

Point-of-Service Plans

170

(1)

Preferred Provider Organizations

170

(1)

Consumer-Driven Health Plans

171

(1)

4.6 Eligibility and Benefits Verification

172

(5)

Factors Affecting General Eligibility

172

(1)

Checking Out-of-Network Benefits

173

(1)

Verifying the Amount of the Copayment and Coinsurance

173

(1)

Determining Whether the Planned Encounter Is for a Covered Service

173

(1)

Electronic Benefit Inquiries and Responses

173

(1)

Online Eligibility Services

174

(1)

Procedures When the Patient Is Not Covered

175

(2)

4.7 Preauthorization, Referrals, and Outside Procedures

177

(3)

Preauthorization

177

(1)

Referrals

177

(1)

Outside Procedures

178

(2)

4.8 Using Office Hours---Medisoft Network Professional's Appointment Scheduler

180

(4)

The Office Hours Window

180

(1)

Program Options

181

(2)

Entering and Exiting Office Hours

183

(1)

4.9 Entering Appointments

184

(7)

Searching for Available Time Slots

188

(2)

Entering Appointments for New Patients

190

(1)

4.10 Booking Follow-up and Repeating Appointments

191

(3)

Booking Follow-up Appointments

191

(1)

Booking Repeating Appointments

192

(2)

4.11 Rescheduling and Canceling Appointments

194

(2)

4.12 Creating a Patient Recall List

196

(4)

Adding a Patient to the Recall List

198

(2)

4.13 Creating Provider Breaks

200

(2)

4.14 Printing Schedules

202

(12)

Chapter 5 Check-in Procedures

214

(68)

5.1 Patient Registration

216

(8)

Information for New Patients

216

(1)

Medical History Form

216

(1)

Patient Information Form

216

(1)

Identification Verification

217

(3)

Assignment of Benefits

220

(1)

Financial Agreement and Authorization for Treatment

220

(1)

Acknowledgment of Receipt of Notice of Privacy Practices

221

(1)

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