Principles of Healthcare Reimbursement / Edition 5

by Anne Casto

Overview

This fourth edition of Principles of Healthcare Reimbursement provides health information management educators and students an up-to-date textbook to understand how reimbursement systems affect providers and payers, consumers, policy makers, and the development of classification and information technology systems.

This publication makes a complex topic understandable for students and practitioners and helps to clarify the US healthcare reimbursement maze.

New to this Edition

• Affordable Care Act overview and implementation timeline
• Expanded requirement for electronic claim submissions
• Accountable care organizations and value-based purchasing
• Most recent PPS rules
• Dual eligibility and special needs plans
• Safety-net providers and hospice

Key Features

• Covers accessing and using fee schedules, payment classification groups, exclusion lists, market baskets, and wage indexes required for accurate reimbursement
• Explanations of the various methods, plans, and programs that typify government-sponsored payment systems, commercial insurance, and managed care
• Online student workbook
• Instructor's material includes downloadable instructor manual with answer key and PowerPoint slides for presentations

Product Details

ISBN-13:	9781584264347
Publisher:	American Health Information Management Association
Publication date:	01/01/2015
Edition description:	New Edition
Product dimensions:	8.50(w) x 10.80(h) x 0.80(d)

About the Author

Anne B. Casto, RHIA, CCS, is president of Casto Consulting, LLC.

Elizabeth Forrestal, PhD, RHIA, CCS, FAHIMA, is professor in the Department of Health Services and Information Management at East Carolina University.