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Revenue Cycle for Healthcare, 1st Edition

Linda J. Parks

  • Copyright 2024
  • {{checkPublicationMessage('Published', '2023-07-12T00:00:00+0000')}}
Starting At $77.95 See pricing and ISBN options
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Revenue Cycle for Healthcare 1st Edition by Linda J. Parks
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Overview

Present advanced topics in healthcare revenue cycle management and explore current issues impacting healthcare organization reimbursements with Parks' REVENUE CYCLE FOR HEALTHCARE. Ideal for health information management (HIM) bachelor programs, this book introduces the various roles of HIM professionals beyond the traditional HIM department. Students study the measures of hospital performance, such as case mix and risk adjustment programs. Students also examine clinical documentation integrity, physician queries, predictive analytics use in the revenue cycle, claims audits, denials and appeals and pay-for-performance. Twelve chapters correspond to the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) competencies. Activities enhance critical-thinking skills and case studies emphasize real-world applications. Instructor supplements with MindTap digital resources provide course management tools and important student practice.

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Meet the Authors

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Linda J. Parks

Linda J. Parks is associate professor emeritus at Dakota State University. She holds a master's degree in HIIM from St. Scholastica and has RHIT and CCS credentials. Before teaching at Dakota State University, she was HIT program director at Darton College and a faculty member at the College of St. Mary and Macon State College. Professor Parks has previous experience with inpatient settings as RHIT in the patient care unit. She also has experience in utilization review and quality audits in teaching hospitals and has served as a coding supervisor and coder in a community hospital. In outpatient setting, she has also served as an office manager for an internal medicine practice. Professor Parks briefly held the credentials of CTR, working part-time in Cancer Registry. She has been an active member of AHIMA, SDHIMA, GHIMA, HIMSS and SDHIMSS. She also serves as a Cengage Faculty Partner.

Features

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  • UNIQUE MINDTAP DIGITAL RESOURCES PROVIDE INSTRUCTOR SUPPORT FOR YOU AND RESOURCES FOR YOUR STUDENTS. This award-winning online platform, not offered by other revenue cycle management texts, delivers time-saving resources at your fingertips. You customize content to your course, unique teaching style and student needs as you determine which MindTap activities to use. You can even add your own notes, other material and lectures. Videos, hands-on activities, self-check options and review exams increase your students' retention of key concepts.
  • ALL CONTENT AND CRITICAL-THINKING ACTIVITIES CORRESPOND TO CAHIIM DOMAINS FOR A BACHELOR'S DEGREE. Students learn to evaluate and assign diagnostic and procedural codes and groupings according to official guidelines. They learn to manage the revenue cycle in compliance with regulatory requirements and reimbursement methodologies. Students also master organizational management and leadership skills as they learn to verify financial management processes and assess ethical standards of practice.
  • EXPLANATIONS DISCUSS THE "WHAT, WHY AND HOW" BEHIND THE REVENUE CYCLE IN HEALTHCARE. Students study clean claims and compliance with government regulations and insurers’ health plans. They learn to monitor and report case mix index, review for documentation integrity and HCC risk adjustments to be compliant and receive correct reimbursement for services rendered on a timely basis. Your students also learn how to use of artificial intelligence and predictive analytics, ethical coding practices, up-to-date charge description masters, physician queries, internal audits and appeals.
  • CASE STUDIES AND PROFESSIONAL REFERENCES REINFORCE KEY POINTS. Each of this edition's twelve chapters includes authentic case studies and helpful references to current, professional articles to clearly illustrate important points.
  • ALL ACTIVITIES CORRESPOND TO BLOOM’S TAXONOMY IN COMPLIANCE WITH CAHIIM STANDARDS. The author has created meaningful, interactive activities throughout the text and within the instructor's manual that correspond to the 5 and 6 level of Bloom’s taxonomy and meet CAHIIM standards. The instructor's manual includes additional activities, review questions and quizzes for your optional use. MindTap also offers digital matching and multiple-choice questions that you can use for review or assignments.

Table of Contents

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Chapter 1: Overview of Revenue Cycle Management
Chapter 2: Reimbursement Processes and Tools
Chapter 3: Healthcare Financial Information, a strategic resource
Chapter 4: Inpatient Prospective Payment System
Chapter 5: Outpatient Prospective Payment System
Chapter 6: Measures of Hospital Performance
Chapter 7: Pay-for-Performance and Value-Based Purchasing
Chapter 8: Charge Description Master
Chapter 9: Clinical Documentation Integrity
Chapter 10: Physician Queries
Chapter 11: Claims Denials and Appeals
Chapter 12: Compliant Billing and Audits
Appendices

Compare Buying Options

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MindTap Options

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MindTap
Each MindTap product offers the full, mobile-ready textbook combined with superior and proven learning tools at one affordable price. Students who purchase digital access can add a print option at any time when a print option is available for their course.

This Cengage solution can be seamlessly integrated into most Learning Management Systems (Blackboard, Brightspace by D2L, Canvas, Moodle, and more) but does require a different ISBN for access codes. Please work with your Cengage Learning Consultant to ensure the proper course set up and ordering information. For additional information, please visit the LMS Integration site.

Standalone Digital Access — Ultimate Value

Recommended and most popular

  • ISBN-10: 0357625560
  • ISBN-13: 9780357625569
  • RETAIL $99.95
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Textbook Only Options

Traditional eBook and Print Options

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  • ISBN-10: 0357625617
  • ISBN-13: 9780357625613
  • RETAIL $77.95

  • ISBN-10: 035762551X
  • ISBN-13: 9780357625514
  • RETAIL $232.95
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Supplements

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Cengage provides a range of supplements that are updated in coordination with the main title selection. For more information about these supplements, contact your Learning Consultant.

FOR STUDENTS

MindTap for Parks' Revenue Cycle for Healthcare, 2 terms Instant Access

ISBN: 9780357625569
MindTap for Parks' Revenue Cycle for Healthcare, First Edition, offers a comprehensive fully-digital online learning solution that easily integrates with your school's LMS and Gradebook. Fully customizable, MindTap gives you complete control of your course—to provide engaging content, to challenge every individual, and to build confidence and career success. The LearningPath is organized by chapter to mirror the text, and offers an embedded eBook with read-speaker. MindTap includes assessments and flash cards that reinforce learning and retention. MindTap analytics provides faculty and administration with individual and class-level metrics to view student engagement and performance!