The Healthcare Executive's Guide to ACO Strategy, Second Edition Coker Group Max Reiboldt, CPA Ellis "Mac" Knight, MD The Healthcare Executive's Guide to ACO Strategy, Second Edition, provides healthcare leaders with new strategies and tools to implement and manage accountable care organizations (ACO). Based on the experiences of organizations that have started down the path of ACO development, the authors discuss what has and hasn't worked and share new strategies for organizations grappling with managing an ACO. Wherever an organization is on the timeline for structuring its alliances and addressing evolving reimbursement issues in the accountable care era, this book delivers valuable information to help healthcare executives meet their pending challenges. This resources offers: Discussion of all updated regulations pertaining to ACOs Academic and real-world examples of the evolution of the Pioneer program Explanation of a new approach to bedside care that moves from the volume/productivity model to a value-based model A physician's viewpoint on ACOs from author Ellis "Mac" Knight, MD A focus on taking ACOs from theory to practice in implementing a value-based model: Coker's "Care Process Design System" Analysis of what has and hasn't worked, based on real experience A chapter dedicated to the experiences of the Pioneer program Table of Contents Chapter 1: Accountable Care Organizations and Clinically Integrated Networks: An Overview Chapter 2: How We Got Here Chapter 3: What We Anticipate About Accountable Care Concept Chapter 4: Moving From a Structural Construct to a Functional Construct Chapter 5: Physician-Hospital Integration Chapter 6: Compensation and Anticipated Changes Chapter 7: Are You Ready for an ACO and CIN Environment? Chapter 8: Legal Considerations of ACOs and CINs Chapter 9: The Pioneer Program and Its Outcomes Chapter 10: The CMS Shared Savings Program Chapter 11: Benchmarks for CMS Shared Savings Program Chapter 12: Quality Measures Chapter 13: The Role of Information Technology Chapter 14: Patient-Centered Medical Homes Chapter 15: Where Do We Go From Here? Appendix A: Pilot Programs in Place Appendix B: SSP Participants by Region/State Appendix C: Glossary of Acronyms Who should read this book? Healthcare executives C-suite and other high level financial, administrative, and clinical leaders within a hospital setting and in large private practices Healthcare attorneys Medical Staff Quality/Patient Safety professionals
For example: The current contracted coder is paid $30 per/hour and codes an average of five inpatient records per hour for a cost of $6 per/record. If the organization pays coders $3 for each additional inpatient record, ...
3-24A Ultrasound, Gallbladder LOCATION: Outpatient, Hospital PATIENT: Billy Zack PHYSICIAN: Ronald Green, MD RADIOLOGIST: Edward Riddle, MD EXAMINATION OF: Gallbladder sonogram CLINICAL SYMPTOMS: Abdominal pain in the right upper ...
This study guide covers ICD-9-CM guidelines using real-life examples and each body system is reviewed, including coverage of the anatomy, related diagnosis coding, CPT® coding, HCPCS Level II coding, and modifiers.
Instructor's Curriculum Resource to Accompany Step-by-Step Medical Coding
Corresponding to the chapters in Lovaasen's ICD-10-CM/PCS Coding: Theory and Practice, 2017 Edition, this workbook lets you apply your coding knowledge to realistic medical records. This edition reflects the latest updates to ICD-10.
Repetition of skills in each chapter reinforces material, and creates a logical progression to for easy learning, as well as illustrating skill integration In-text exercises throughout each chapter immediately reinforce the coding rules and ...
New to this edition: * New chapters - Category II codes and the Appendixes in the CPT codebook are now explained in two new chapters * New illustrations - Enable readers to visualize the area being discussed * mDecision Tree Flow Charts for ...
Practical and easy to understand, UNDERSTANDING MEDICAL CODING: A COMPREHENSIVE GUIDE, THIRD EDITION teaches readers everything they need to know about medical coding.
Resource added for the Health Information Technology program 105301.
"Medical coding lab access code inside"--Cover.