The Physician Billing Process: Navigating Potholes on the Road to Getting Paid, 3rd edition

The Physician Billing Process: Navigating Potholes on the Road to Getting Paid, 3rd edition

This MGMA bestseller is a completely revised, comprehensive manual on revenue cycle management.


Item # 8911

ISBN: 9781568294940

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Nonmember price: $129.00

Member price: $99.00

This professional fee billing primer is business critical whether you’re new to medical revenue cycle management or a seasoned medical billing professional.

As the medical reimbursement landscape changes, let industry experts Deborah Walker Keegan and Elizabeth Woodcock be your guides as you navigate the complex revenue cycle management journey of your medical practice.

What's new:

This third edition of the MGMA bestseller on physician billing process and revenue cycle management is a completely revised, comprehensive manual. Delivering proven solutions to optimize your revenue cycle, this professional fee billing primer is business critical whether you’re new to managing the revenue cycle or a seasoned professional. Uncover new possibilities for improving your medical billing and collection performance with this valuable resource.

Physicians are working harder than ever. You deserve a dependable revenue cycle that works relentlessly to ensure that every cent due the medical practice is collected — in a timely, efficient and accurate manner.

The Physician Billing Process is a one-stop power punch for a more profitable medical practice!

2015, 422 pp., ISBN 978-1-56829-494-0

 

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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

Deborah Walker Keegan - Author, Physician Billing ProcessDeborah Walker Keegan, PhD, FACMPE is a nationally recognized healthcare consultant, keynote speaker and author who brings knowledge, expertise and solutions to healthcare organizations. She is the founder and president of Medical Practice Dimensions, Inc., with more than 30 years of experience in practice management, revenue cycle optimization, healthcare system development and academic healthcare administration. Keegan provides strategic planning and practice enhancement services to align physicians, hospitals and health systems with reimbursement and delivery system reform.

Keegan holds a PhD from the Peter F. Drucker Graduate School of Management and an MBA from UCLA’s Anderson Graduate School of Management, and is a Fellow of the American College of Medical Practice Executives. She is the author of Innovative Staffing for the Medical Practice and coauthor of Physician Compensation Plans: State-of-the-Art Strategies and It’s Your Call: Mastering the Telephones in Your Medical Practice. With rich experience in consulting, education and industry research, Keegan resides with her husband in Asheville, N.C.

Elizabeth Woodcock, Author Physician Billing Process 3rd EditionElizabeth Woodcock, MBA, FACMPE, CPC is the founder and principal of Woodcock & Associates. She is also the founder of the Patient Access Symposium™, a group of 53 large healthcare delivery systems working to develop industry standards in patient access. She is the author of Mastering Patient Flow, an industry bestseller and is considered a national expert on medical practice operations. She is frequently published and quoted in national publications including the Wall Street Journal, MGMA Connexion, American Medical News and Medical Economics.

She has focused on medical practice operations and revenue cycle management for more than 20 years and has led educational sessions for leading healthcare organizations. She is the author of 15 best-selling books, including Mastering Patient Flow and Front Office Success, and coauthor of It’s Your Call: Mastering the Telephones in Your Medical Practice and Operating Policies and Procedures Manual for Medical Practices.

Prior to healthcare consulting, Elizabeth worked as group practice services administrator at the University of Virginia Health Services Foundation (the business office for the 500-physician medical group that serves the university), as a long-time consultant for the Medical Group Management Association, and as director of knowledge management for Physicians Practice, Inc. She is a Fellow in the American College of Medical Practice Executives and a Certified Professional Coder.

In addition to a BA from Duke University, she holds an MBA degree in healthcare management from the Wharton School of Business of the University of Pennsylvania. A frequent contributor to national healthcare publications and a sought-after keynote speaker at national forums, she resides in Atlanta with her husband and three children.

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
  • Worksheets

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.

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