Medical Office Management and Technology

ISBN-10: 1608317420

ISBN-13: 9781608317424

Edition: 2013

Authors: Brandy Ziesemer

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This text helps student's navigate through their medical office management courses, whether as part of a health information technology, medical assisting, medical administration, or any other allied health programme.
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Book details

List price: $103.00
Copyright year: 2013
Publisher: Lippincott Williams & Wilkins
Publication date: 12/5/2012
Binding: Paperback
Pages: 352
Size: 8.37" wide x 10.87" long x 1.00" tall
Weight: 2.156
Language: English

The Basics of Today's Medical Offices
Goals of a Medical Practice
The Flow of Work in a Modern Medical Office
The Most Common Positions on the Medical Office Team
The Relationship Between Physicians and the Office Administrator
External Forces Influencing the Practice
The Application of Classic Management Principles in a Modern Medical Office
The Planning Function of Management
Utilizing a Balanced Score Card for Strategic Planning
The Organizing Function of Management
The Leading or Coaching Function of Management
The Controlling Function of Management
The Budget, Both a Controlling and a Planning Tool
Leading the Medical Office Team
The Game Plan
Recruiting and Hiring the Right Players
New Team Member Orientation and Handbook
Training, Retaining and Motivating a Team of Champions
Coaching, Corrective Action, and Discipline
Managing the Team Players
Employment Laws
The Occupational Safety and Health Act (OSHA)
Performance Appraisals
Compensation, Benefits and Payroll
Managing Third Party Payers
Basic Concepts and Terminology Regarding Third Party Payers
Medicare and Medicaid
Commercial Health Insurance
Managed Care
Health Reform
Managing the Revenue Cycle and the Financial Health of the Practice
Patient Registration, Patient Check-in, Clinical Encounter and Check-out
Correct Coding and Billing
Claims Generation and Transmittal
Claims Clearinghouses
Processing Payments and Coordination of Benefits
Preparation and Transmittal of Patient Statements
Collections and Finalizing Payments
Denial Management, Appeals, Refunds and ERISA
Managing Additional Financial Aspects of the Practice
Managing Quality and Performance Improvement
Total Quality Management and Performance Improvement
Performance Assessment and Improvement Methods and Tools
Assessment and Improvement of Clinical Performance and Patient Safety
The Physician Quality Reporting Initiative (PQRI) and Pay for Performance (P4P)
Assessment and Improvement of Non-Clinical Performance
Utilization Management from a Quality Perspective
Risk Management from a Quality Perspective
Customer Service, Patient Loyalty and Marketing
First Impressions - Telephone Etiquette and Procedures
Face-to-Face With the Patient
The Waiting Game
Patient Education and Follow-Up
Other Customers - Internal and External
Measuring Patient Loyalty
Marketing and Growing the Practice
Managing the Legal Aspects of Health Information
Compliance with HIPAA
Compliance with Fraud and Abuse Regulations
The Red Flag Rule
The Legally Sound Medical Record
Managing Health Information Technology
Electronic Health Records
Integrated Practice Management Systems
Interoperability: Health Information Organizations and the Nationwide Health Information Network
Secure Messaging
Patient Portals
Managing Non-Routine Physician Tasks, Interacting with other Health Facilities, and Tracking Emerging Trends
Physician Credentialing
CMS Provider Enrollment, Chain and Ownership System (PECOS)
Physician Schedules and Events
Implementing HIPAA Transaction Updates (5010) and ICD-10
Appendix: Forms Commonly Used by Medical Office Managers
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