Title: Principles of Healthcare Reimbursement / Edition 4
Author: Anne Casto
ISBN-10: 1584263407
ISBN-13: 9781584263401
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
