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Health Care Finance and the Mechanics of Insurance and Reimbursement Pap/Psc Edition

by Michael K. Harrington (Author)
4.3 4.3 out of 5 stars 161 ratings
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Health Care Finance and the Mechanics of Insurance and Reimbursement
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Health Care Finance and the Mechanics of Insurance and Reimbursement stands apart from other texts on health care finance or health insurance, in that it specifically addresses the methods and process for reimbursement, including coding, reimbursement strategies, compliance, financial reporting, case mix index, and external auditing. With up-to-date coverage of the Affordable Care Act, this one-of-a-kind text will prepare health administration and health information management students with the necessary tools to successfully transition from the classroom to the health care facility. Some of the topics covered include: • Claims Processing • The Affordable Care Act • Medicare Prospective Payment System (Inpatient) • Medicare Outpatient Prospective Payment Systems (Non-Inpatient) • Coding for the Non-HIM Professional • Revenue Cycle Management • Healthcare Fraud and Abuse • Electronic Health Records and Meaningful Use • Government Incentive Programs • Recovery Audit Contractors Student & Instructor Resources: This text comes packaged with Navigate 2 Advantage Access, a comprehensive package of mobile-ready course materials including: Learn: A complete eBook with interactive tools Practice: A virtual Study Center with robust practice activities and flashcards Assess: A homework and testing Assessment center with prepopulated quizzes and examinations Analyze: Dashboards with learner and educator views that reports actionable data
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  1. ISBN-10
    1284026124
  2. ISBN-13
    978-1284026122
  3. Edition
    Pap/Psc
  4. Publisher
    Jones & Bartlett Learning
  5. Publication date
    March 24, 2015
  6. Language
    English
  7. Dimensions
    7 x 1 x 8.9 inches
  8. Print length
    348 pages
  9. See all details
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Editorial Reviews

About the Author

Michael K. Harrington, MATS, MSHA, RHIA, CHP, has more than 30 years of experience in health care in areas such as Health Information Management, managing homecare companies on a local and regional level, and consulting in the post-acute sector. He is a leading authority on healthcare reimbursement and Revenue Cycle Management (RCM) and has extensive experience in implementing the RCM model in physicians’ offices and other healthcare organizations outside of the acute-care setting. After starting out in the healthcare field in a home care company as a coordinator, Harrington quickly advanced into managing home care companies that handled durable medical equipment, specialty home infusion, high-tech respiratory services, and specialty biologicals, and repositioned these companies by using reimbursement and quality clinical care as the cornerstones to his success. In addition to managing home care companies, Harrington started to teach and was part of the adjunct faculty at Gwynedd Mercy College, Temple University, and St. Joseph’s University in the Philadelphia area. His focus has always been in healthcare reimbursement when teaching, but he has instructed in other areas, such as Healthcare Policy, Healthcare Ethics, Healthcare Delivery, Computerized Medical Records, and Healthcare Law. Recently, Harrington has been named Program Director over the Health Administration Department for St. Joseph’s College of Maine. His responsibilities include the Undergraduate Health Administration, Health Information Management, Long-Term Care, Radiologic Science Administration Programs, and a Graduate Level Health Administration Program. Harrington earned his bachelor’s degree from LaSalle College and his master’s degree from Independence University (formerly California College for Health Sciences). Harrington also earned his Registered Health Information Management (RHIA) credentials at Alabama State University. He is an active patient advocate and is a much soughtafter speaker, on a global basis, in the areas of healthcare reimbursement, healthcare finance, and healthcare operations. He can be reached at michaelharrington@sjcme.edu.

Product details

  • Publisher ‏ : ‎ Jones & Bartlett Learning; Pap/Psc edition (March 24, 2015)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 348 pages
  • ISBN-10 ‏ : ‎ 1284026124
  • ISBN-13 ‏ : ‎ 978-1284026122
  • Item Weight ‏ : ‎ 1.31 pounds
  • Dimensions ‏ : ‎ 7 x 1 x 8.9 inches
  • Customer Reviews:
    4.3 4.3 out of 5 stars 161 ratings

Customer reviews

4.3 out of 5 stars
4.3 out of 5
161 global ratings
The index is wrong?
3 Stars
The index is wrong?
I’ve tried to use the index at the back of the book numerous times, and the pages listed in the back are totally wrong. The book is in fine shape for a used book, but I have to work so hard to find stuff because the index in inaccurate.
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Top reviews from the United States

Gene Graham
5.0 out of 5 stars Five Stars
Reviewed in the United States on July 2, 2017
Verified Purchase
Arrived in time for class, much appreciated.
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Edward
5.0 out of 5 stars Five Stars
Reviewed in the United States on June 5, 2015
Verified Purchase
Exactly what I needed. Quick and cheap.
One person found this helpful
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Abigayle/Annie
4.0 out of 5 stars Book
Reviewed in the United States on February 10, 2021
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Great book for my classes, but I wish the book was a bit bigger.
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Andrew
3.0 out of 5 stars but fairly poor writing. Plenty of mistakes and grammatical errors
Reviewed in the United States on May 7, 2016
Verified Purchase
Decent information, but fairly poor writing. Plenty of mistakes and grammatical errors. The reading doesn't flow well and is void of any good examples to teach the concepts. The chapters could be organized better so that the information presented made a bit more sense.
3 people found this helpful
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Janelle E.
1.0 out of 5 stars Horrible
Reviewed in the United States on May 30, 2021
Verified Purchase
Don't buy the eBook! It's formated really weird and very difficult to follow along and read. Asked for a refund right away. Now I just have to wait for shipping and to get the book physically. Fingers crossed it's not like the eBook!
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Jamie W.
3.0 out of 5 stars The index is wrong?
Reviewed in the United States on March 26, 2024
Verified Purchase
I’ve tried to use the index at the back of the book numerous times, and the pages listed in the back are totally wrong. The book is in fine shape for a used book, but I have to work so hard to find stuff because the index in inaccurate.
Customer image
Jamie W.
3.0 out of 5 stars The index is wrong?
Reviewed in the United States on March 26, 2024
I’ve tried to use the index at the back of the book numerous times, and the pages listed in the back are totally wrong. The book is in fine shape for a used book, but I have to work so hard to find stuff because the index in inaccurate.
Images in this review
Customer image
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Stephen J Matteucci
2.0 out of 5 stars Mostly good info, but terrible writing
Reviewed in the United States on December 17, 2015
Verified Purchase
This book is full of information. If you need to learn how to help a hospital submit claims to insurance companies and Medicare, this book will show you how. Unfortunately, the writing is terrible. The way the author expresses his points is hard to follow. Here's just one example, taken from chapter 8: "Once an episode is opened on the Common Working File (CWF) with the processing of a RAP." This isn't even a sentence. Plus, I don't know what happens once an episode is opened on the CWF with the processing of a RAP. Of course, the right sentence could be, "An episode is opened on the CWF with the processing of a RAP." These kinds of sentences show up regularly throughout the book. Another weakness: the chapter on the Affordable Care Act sounded more like propaganda than analysis. A couple of times I read that if a person likes his current plan he can keep it, which is not part of the law and has proven to be a colossal lie told to sell the Act to the voters. CNN called this the biggest political lie of 2013. The author here, writing in 2015, writes as if that's exactly what happened.
13 people found this helpful
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ZL
4.0 out of 5 stars Very pleased with this book as it gave me an A ...
Reviewed in the United States on October 2, 2017
Verified Purchase
A book I had got for school, which broke down how reimbursement and the revenue cycle work. Very pleased with this book as it gave me an A for my class and a better understanding as to how hospital policies are played out
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