Table of Contents - The Physician Billing Process, 3rd Edition
The Changing Reimbursement Environment
The Revenue Cycle: An Overview
Pothole 1: The Patient Financial Clearance Process
Pothole 2: The Patient Check-in and Check-out Processes
Pothole 3: The Charge Capture Process
Pothole 4: The Coding Process
Pothole 5: The Charge Submission Process
Pothole 6: The Claims Management Process
Pothole 7: The Patient Statement Process
Pothole 8: The Payment and Denial Posting Process
Pothole 9: The Insurance Follow-up Process
Pothole 10: The Denial Management Process
Pothole 11: The Patient Collection Process
Pothole 12: The Contract and Reimbursement Management Process
Staffing the Revenue Cycle
Internal Controls for the Revenue Cycle
The Debate: Centralize, Decentralize, or Outsource Billing?
Leveraging Technology to Enhance the Revenue Cycle
Measuring and Analyzing the Revenue Cycle
Regulations Impacting the Revenue Cycle
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“They have done it again! Deborah Walker Keegan and Elizabeth Woodcock have written the ultimate primer for the physician billing process. This book provides a complete toolbox for both novice and experienced medical practice administrators to navigate the changing world of… the revenue cycle.” –Robert Bush, FACMPE, vice president, MedHealth, Methodist Primary Care Network, Dallas
“This is the most complete, detailed and comprehensive book about the revenue cycle process that has ever been written. Walker Keegan and Woodcock are experts in their field, and the results of their efforts shine through these pages. Any medical practice looking to ensure that its billing processes are optimized will benefit from this well-presented guide. This practical, logical approach … is a game changer in revenue cycle management. I strongly recommend picking up a copy.” – Eric Brodsky, FACMPE, director, billing and operations, Midwest Center for Women’s HealthCare, Northbrook, Ill.
The Physician Billing Process: Navigating Potholes on the Road to Getting Paid
allows you to:
- Diagnose and treat your revenue cycle
- Ensure a healthy bottom line
- Access a practical, easy-to-read manual
- Benefit from timely and sound techniques for optimizing revenue performance
In addition, you'll benefit from:
- Proven tools for benchmarking
- Self-assessment guides
- Policies and procedures information