Medical Office Management and Technology: An Applied Approach

by Brandy Ziesemer

Overview

From A to Ziesemer, Medical Office Management and Technology is the text to help student's navigate through their medical office management courses, whether as part of a health information technology, medical administration, or any other allied health program. This text starts at the beginning, with an introduction to new students not familiar with this topic, and works thorugh even the most advanced topics in medical office management. With a special focus on leadership, and a logical progression through the topics, this has the makings of a faculty member's most trusted resource for this course.

Product Details

ISBN-13:	9781469825960
Publisher:	Wolters Kluwer Health
Publication date:	03/27/2013
Sold by:	Barnes & Noble
Format:	eBook
Pages:	352
File size:	11 MB
Note:	This product may take a few minutes to download.

Table of Contents

Table of Contents

Chapter 1 The Basics of Today’s Medical Offices
Overview
Goals of a Medical Practice
The Flow of Work in a Modern Medical Office
The Most Common Positions on the Medical Office Team
The Relationship Between Physicians and the Office Administrator
External Forces Influencing the Practice
Workbook

Chapter 2 The Application of Classic Management Principles in a Modern Medical Office
Overview
The Planning Function of Management
Utilizing a Balanced Score Card for Strategic Planning
The Organizing Function of Management
The Leading or Coaching Function of Management
The Controlling Function of Management
The Budget, Both a Controlling and a Planning Tool
Workbook


Chapter 3 Leading the Medical Office Team
Overview
The Game Plan
Recruiting and Hiring the Right Players
New Team Member Orientation and Handbook
Training, Retaining and Motivating a Team of Champions
Coaching, Corrective Action, and Discipline
Workbook

Chapter 4 Managing the Team Players
Overview
Employment Laws
The Occupational Safety and Health Act (OSHA)
Performance Appraisals
Compensation, Benefits and Payroll
Workbook

Chapter 5 Managing Third Party Payers
Overview
Basic Concepts and Terminology Regarding Third Party Payers
Medicare and Medicaid
Commercial Health Insurance
Managed Care
Health Reform
Workbook

Chapter 6 Managing the Revenue Cycle and the Financial Health of the Practice
Overview
Step 1: Patient Registration, Patient Check-in, Clinical Encounter and Check-out
Step 2: Correct Coding and Billing
Step 3: Claims Generation and Transmittal
Claims Clearinghouses
Step 4: Processing Payments and Coordination of Benefits
Step 5: Preparation and Transmittal of Patient Statements
Step 6: Collections and Finalizing Payments
Denial Management, Appeals, Refunds and ERISA
Managing Additional Financial Aspects of the Practice
Workbook

Chapter 7 Managing Quality and Performance Improvement
Overview
Total Quality Management and Performance Improvement
Performance Assessment and Improvement Methods and Tools
Assessment and Improvement of Clinical Performance and Patient Safety
The Physician Quality Reporting Initiative (PQRI) and Pay for Performance (P4P)
Assessment and Improvement of Non-Clinical Performance
Utilization Management from a Quality Perspective
Risk Management from a Quality Perspective
Workbook

Chapter 8 Customer Service, Patient Loyalty and Marketing
Overview
First Impressions – Telephone Etiquette and Procedures
Face-to-Face With the Patient
The Waiting Game
Patient Education and Follow-Up
Other Customers – Internal and External
Measuring Patient Loyalty
Marketing and Growing the Practice
Workbook

Chapter 9 Managing the Legal Aspects of Health Information
Overview
Compliance with HIPAA
Compliance with Fraud and Abuse Regulations
The Red Flag Rule
The Legally Sound Medical Record
Workbook

Chapter 10 Managing Health Information Technology
Overview
Electronic Health Records
Integrated Practice Management Systems
Interoperability: Health Information Organizations and the Nationwide Health Information Network
Secure Messaging
Patient Portals
Workbook

Chapter 11 Managing Non-Routine Physician Tasks, Interacting with other Health Facilities, and Tracking Emerging Trends
Overview
Physician Credentialing
CMS Provider Enrollment, Chain and Ownership System (PECOS)
Physician Schedules and Events
Implementing HIPAA Transaction Updates (5010) and ICD-10
Workbook

Appendix: Forms Commonly Used by Medical Office Managers

Glossary