Medical office insurance staff members play a critical role in any practice. They understand – perhaps more than anyone – that their role is to “get the money in the door.” This book provides billing basics to help build and maintain a solid financial foundation for the medical practice. Readers will learn critical basics regarding:
- Fundamentals of health care insurance in the United States
- Billing and payment process overview
- Revenue cycle elements
- Medical practice staff member duties – how they fit into the revenue cycle
- Medical office insurance staff member tasks
- Fundamentals of health care insurance in the United States
- Billing and payment process overview
- Revenue cycle elements
- Medical practice staff member duties – how they fit into the revenue cycle
- Medical office insurance staff member tasks
Useful for staff, practice managers and executives, Get the Money in the Door serves as an insurance primer and personal handbook for insurance staff members; a teaching and hiring tool for practice managers with direct responsibility for insurance departments; an insurance primer and personal handbook for insurance staff members; and a teaching and hiring tool for practice managers with direct responsibility for insurance departments.
The book includes 25 real-life scenarios, each describing actual situations that medical insurance staff members face every day, and options on how to handle each one; a glossary of terms useful for medical insurance staff members; and a discussion of modifiers and place-of-service codes.
Listen to Sarah Holt as she explains what you’ll learn from Get the Money in the Door.
Sarah J. Holt, PhD, FACMPE
Holt is the administrator of several health care organizations in Cape Girardeau, Mo. She provides practice management for Cape Girardeau Surgical Clinic, Inc. & Breast Care Center and for The Breast Care & Diagnostic Center as well as Cape Medical Billing Corp, a medical practice billing company. Additionally, she is the administrator of Cape Girardeau Doctors' Park, which offers a full range of medical services on an 80-acre complex composed of 35 medical buildings.
Holt received a PhD in policy analysis with a health care emphasis from St. Louis University, a master's in counseling from Southeast Missouri State University and an undergraduate degree in education. She has done extensive research on how medical office insurance staff members make decisions relating to insurance reimbursement and how complexity influences organizations. She teaches health policy and health care reimbursement at the graduate level at Southeast Missouri State University and speaks on health care management topics to audiences of physicians, management and staff.
Holt's leadership has led Cape Girardeau Surgical Clinic, Inc., to be recognized as an Medical Group Management Association (MGMA) Better Performer numerous times. For many years Sarah has been an active participant of the American College of Medical Practice Executives (ACMPE) and in MGMA at local, state and national levels. She is a Fellow in ACMPE and a past chair of the ACMPE Board of Directors.
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"Dr. Sarah Holt’s new book – Get the Money in the Door – is a very important contribution. She offers a very systematic overview of the mechanics of the complex payment systems that are used by the myriad payers that currently exist in the U.S. health care system and very valuable insights based on her research on the attitudes and behavior of medical office administrative staff. As a result, there is little question that this book will prove to be very useful to medical group managers who are trying to improve their financial management efficiency and effectiveness and health care management faculty who are addressing financial management issues in ambulatory care management."
Michael A. Counte, PhD
Professor, Department of Health Management and Policy
Saint Louis University
"This is an excellent resource and training tool for managers with responsibility involving the revenue cycle for their organization."
Alan J. Beason, MS, FACMPE
CEO/Administrator
Cardiovascular Consultants, LLP
Shreveport, Louisiana