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Medical Office Management and Technology

An Applied Approach
9781608317424
ISBN/ISSN
9781608317424
Publication Date
December 17, 2012
2012-12-17
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IN STOCK
9781608317424
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  • Description
    From A to Ziesemer, Medical Office Management and Technology is the text to help student's navigate through their medical office management courses, whether as part of a health information technology, medical administration, or any other allied health program. This text starts at the beginning, with an introduction to new students not familiar with this topic, and works thorugh even the most advanced topics in medical office management. With a special focus on leadership, and a logical progression through the topics, this has the makings of a faculty member's most trusted resource for this course.
  • Specs
    ISBN/ISSN
    9781608317424
    Product Format
    PB-Paperback
    Trim Size
    8.375 x 10.875
    Pages
    352
    Illustration
    100
    Table
    30
    Publication Date
    December 17, 2012
    Weight
    1.75
  • Brandy Ziesemer MA, RHIA, CCS

    HIM Program Manager and Associate Professor, Lake Sumter Community College, Leesburg, FL

  • Features
    • Learning Outcomes at the beginning of each chapter guide both students and instructors to the material in the chapter and help to prepare you for the information provided.
    • Leadership Boxes highlight leadership concepts and how they relate to medical office management.
    • Case Studies provide real-world examples throughout the text to illustrate key concepts.
    • Video Clips featurescenarios related to the case studies and are included on thePoint Web site.
    • Key Terms appear at the beginning of each chapter and are highlighted throughout the text with definitions in the margin.
    • Tips illustrate a best-practice approach for a management task.
    • Chapter Review Questions appear at the end of each chapter and challenge students to use critical thinking to recall concepts and theories learned in each chapter.
    • Workbook Activities are included at the end of each chapter to allow students to apply the management principles that they have learned.
    • Glossary lists terms and definitions at the end of the text.
    • Appendix includes forms frequently used by medical office managers.

  • Table of contents
    Table of Contents

    Chapter 1 The Basics of Today’s Medical Offices
    Overview
    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
    Workbook

    Chapter 2 The Application of Classic Management Principles in a Modern Medical Office
    Overview
    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
    Workbook


    Chapter 3 Leading the Medical Office Team
    Overview
    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
    Workbook

    Chapter 4 Managing the Team Players
    Overview
    Employment Laws
    The Occupational Safety and Health Act (OSHA)
    Performance Appraisals
    Compensation, Benefits and Payroll
    Workbook

    Chapter 5 Managing Third Party Payers
    Overview
    Basic Concepts and Terminology Regarding Third Party Payers
    Medicare and Medicaid
    Commercial Health Insurance
    Managed Care
    Health Reform
    Workbook

    Chapter 6 Managing the Revenue Cycle and the Financial Health of the Practice
    Overview
    Step 1: Patient Registration, Patient Check-in, Clinical Encounter and Check-out
    Step 2: Correct Coding and Billing
    Step 3: Claims Generation and Transmittal
    Claims Clearinghouses
    Step 4: Processing Payments and Coordination of Benefits
    Step 5: Preparation and Transmittal of Patient Statements
    Step 6: Collections and Finalizing Payments
    Denial Management, Appeals, Refunds and ERISA
    Managing Additional Financial Aspects of the Practice
    Workbook

    Chapter 7 Managing Quality and Performance Improvement
    Overview
    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
    Workbook

    Chapter 8 Customer Service, Patient Loyalty and Marketing
    Overview
    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
    Workbook

    Chapter 9 Managing the Legal Aspects of Health Information
    Overview
    Compliance with HIPAA
    Compliance with Fraud and Abuse Regulations
    The Red Flag Rule
    The Legally Sound Medical Record
    Workbook

    Chapter 10 Managing Health Information Technology
    Overview
    Electronic Health Records
    Integrated Practice Management Systems
    Interoperability: Health Information Organizations and the Nationwide Health Information Network
    Secure Messaging
    Patient Portals
    Workbook

    Chapter 11 Managing Non-Routine Physician Tasks, Interacting with other Health Facilities, and Tracking Emerging Trends
    Overview
    Physician Credentialing
    CMS Provider Enrollment, Chain and Ownership System (PECOS)
    Physician Schedules and Events
    Implementing HIPAA Transaction Updates (5010) and ICD-10
    Workbook

    Appendix: Forms Commonly Used by Medical Office Managers

    Glossary
  • Review
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