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Business Concepts for Healthcare Providers : A Quick Reference for Midwives, PAS, NPS, CNSS, and Other Disruptive Innovators - Joan Slager

Business Concepts for Healthcare Providers

A Quick Reference for Midwives, PAS, NPS, CNSS, and Other Disruptive Innovators

Paperback Published: 9th January 2004
ISBN: 9780763722906
Number Of Pages: 116

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This book is a "pocket consult" For The non-physician provider who wishes to gain a basic understanding of some of the most common concepts of the business of being a healthcare provider. It details the business aspects of being a healthcare provider in today's managed care environment, and covers such topics as billing, coding, benchmarking practice (measuring productivity), and contract negotiation.  Much of the material in this book is derived from the author's 12 years of personal experience as a non-physician provider. She asserts that as healthcare continues to evolve, and as healthcare professionals continue to meet today's clinical challenges, they are now faced with demonstrating knowledge of things such as fiscal responsibility, productivity, and quality management. Failure to develop business acumen may result in lost jobs, closing practices, or becoming subjected to unreasonable demands or expectations. Whatever the background or motivator, this book is a primer in business For The non-traditional health care provider.

Prefacep. ix
Introductionp. xi
Acknowledgementsp. xii
A Crisis Is an Opportunityp. 1
Historical Backgroundp. 1
Crisesp. 3
Playing by the Rulesp. 6
Federal Lawp. 6
State Lawp. 7
Local Rules and Regulationsp. 9
The Physician Connectionp. 9
No Taxation Without Representationp. 11
Legislationp. 12
Bylawsp. 12
Committees and Department Meetingsp. 13
Practice Guidelinesp. 13
Practice Meetingsp. 14
Professional Organizationsp. 14
Special Interest Groupsp. 14
What's in a Name?p. 16
Nonphysician Providerp. 17
Midlevel Providerp. 17
Physician Extenderp. 17
Paraprofessionalp. 18
Advanced Practice (Registered) Nursep. 18
Allied Healthcare Providerp. 18
East or West, Which Is Best?p. 19
Friend or Foe, Who You Should Knowp. 20
Make a Good First Impressionp. 20
Administrators, Board Members, and Office Managers, Oh My!p. 21
Public Relationsp. 22
Support Staffp. 22
Physiciansp. 23
Nursesp. 23
The Healthcare Communityp. 24
The Business Communityp. 24
Education Programsp. 24
Volunteerp. 25
Sales Representativesp. 25
Politiciansp. 25
Patientsp. 26
Signing on the Dotted Linep. 27
Specifics of a Contractp. 27
Employee Handbooksp. 28
Legal Considerationsp. 28
Noncompetition Clausesp. 30
Ownership Interestp. 31
Managing Liabilityp. 33
Liability Insurancep. 33
Vicarious Liabilityp. 35
The Anatomy of a Lawsuitp. 36
Decreasing Your Riskp. 37
Providing Expert Testimonyp. 39
Working and Playing Well with Othersp. 41
The Physicianp. 41
Philosophyp. 42
The Courtshipp. 42
The Prenuptial Agreementp. 44
The Marriagep. 45
The Wedding Partyp. 45
The Environmentp. 46
The Capitol Connectionp. 49
Who Am I?p. 54
Adopt a Definitionp. 54
Adopt an Identityp. 55
Know the Rulesp. 55
Define Your Patient Populationp. 55
Define the Scope of Practicep. 56
Act Like a Professionalp. 56
Work with the Systemp. 56
Be a Team Playerp. 57
Be Indispensablep. 57
Be Preparedp. 58
Who am I?p. 58
The Mark of Excellencep. 59
Defining the Scope of Practicep. 59
Defining Standard of Carep. 61
Identifying Clinical Benchmarksp. 62
Quality Management and Process Improvementp. 63
Playing the Numbersp. 65
Cost Measures and Productivityp. 65
Contracting Healthcarep. 66
Quality Measuresp. 67
Patient Satisfactionp. 68
Data Collectionp. 68
Sharing Datap. 69
Employment Contractsp. 69
There's No Business Like Good Businessp. 71
The Rulesp. 71
The Billing and Coding Languagep. 75
Billing Modelsp. 83
Variables Affecting Reimbursementp. 84
Enhancing Reimbursementp. 84
Inpatient Chargesp. 85
Facility Chargesp. 85
Worth Your Weight in Goldp. 87
Productivity Data Setsp. 87
Patient Encountersp. 88
Billed Revenuep. 89
Resource-Based Relative Value Unitsp. 90
Productivity-Based Contractsp. 91
There's Safety in Numbersp. 93
Establishing Standards for Educationp. 93
Establishing Clinical Standards for Practicep. 94
Coordination of Researchp. 95
Political Actionp. 95
Professional Supportp. 95
Marketing and Public Relationsp. 95
Quality Managementp. 96
Networkingp. 96
Membershipp. 97
Maximizing Your Benefitsp. 97
The Honeymoon Never Lastsp. 99
Suggested Readingsp. 100
Professional Organizationsp. 103
Glossaryp. 104
Indexp. 110
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780763722906
ISBN-10: 0763722901
Audience: Tertiary; University or College
Format: Paperback
Language: English
Number Of Pages: 116
Published: 9th January 2004
Publisher: Jones and Bartlett Publishers, Inc
Country of Publication: US
Dimensions (cm): 22.23 x 15.24  x 0.64
Weight (kg): 0.2