Authors: Allan DeKaye, Dekaye
ISBN-13: 9780834208438, ISBN-10: 0834208431
Format: Hardcover
Publisher: Jones & Barlett Learning
Date Published: July 1997
Edition: 1st Edition
DeKaye, Allan P., MBA, FHFMA (DeKaye Consulting, Inc)
This comprehensive handbook addresses both the technical and operational aspects of accounts receivable management. It provides the "basics" of accounts receivable management in addition to addressing the importance of today's changing healthcare environment. This book will help patient accounts managers improve their understanding of accounts receivable management skills and achieve their organizational goals and objectives. The "Certified Healthcare Collection Specialist Program," developed jointly by The American Collectors Association Healthcare Services Program (ACA/HSP) and The American Association of Healthcare Administrative Management (AAHAM) lists this book as a part of its recommended reading list! An instructor's manual is available.
This monograph on patient accounts management is a blend of fundamental or technical subjects with perspectives on the external forces that impact healthcare organizations' patient accounts departments. The book is intended to help individuals involved in patient accounts management improve their basic accounts receivable management skills and achieve their organizational objectives. The book will help others understand the process. The audience would include current and prospective patient account managers, healthcare administrators, directors of admitting departments and medical practice managers, among others. The book is organized into six parts: organization; registration; billing process; collection cycle; managing and reporting; and perspectives on external forces. The 29 chapters are written by 26 authors, all individuals experienced in the patient accounts management process. A glossary of terms is included. The book is a comprehensive review of topics important to patient accounts management. Current patient account managers will find the book enlightening. Other individuals, whether they be prospective patient account managers or managers in other healthcare departments, should read this book to help them understand the complexity of the subject. The book has potential as a textbook in healthcare management courses.
Contributors | ||
Foreword | ||
Introduction | ||
Acknowledgments | ||
Pt. I | Managing in a Period of Change | 1 |
Ch. 1 | So You Want To Be a (Better) Patient Accounts Manager | 3 |
Ch. 2 | A View from the Chief Operating Officer | 8 |
Ch. 3 | Another View from the Chief Operating Officer | 20 |
Ch. 4 | Understanding the Unique Challenges of Different Settings | 42 |
Pt. II | Knowing Who the Customer Is: The Registration of the Patient | 53 |
Ch. 5 | The Impact of the Admitting Process on the Cash Flow Cycle | 55 |
Ch. 6 | Understanding the ADT System and Its Impact on People and Process | 62 |
Ch. 7 | Improving Productivity in the Admitting Department | 77 |
Ch. 8 | Improving Data Exchange with Physicians | 91 |
Pt. III | Electronic Simplification or New Nightmare: The Billing Process | 103 |
Ch. 9 | The Charge Collection Process | 105 |
Ch. 10 | Managing the Patient Account | 129 |
Ch. 11 | The Electronic Age of Billing | 144 |
Ch. 12 | Audit-Proofing | 154 |
Pt. IV | Where Cash is King: The Collection Cycle | 165 |
Ch. 13 | Ensuring Cash Flow | 167 |
Ch. 14 | The Self-Paying Patient | 183 |
Ch. 15 | Following Up on Patient Accounts - Employing New Technologies | 215 |
Ch. 16 | Using Electronic Remittances | 232 |
Ch. 17 | The Health Care Receivables Finance Program | 245 |
Ch. 18 | From the Payer's Vantage Point | 255 |
Pt. V | Telling the Whole Story: Managing the Process and Reporting | 275 |
Ch. 19 | Measuring Monthly Performance | 277 |
Ch. 20 | Fixing Your Compass: Assessing Your Current Position | 290 |
Ch. 21 | Improving Operations through Process Reengineering | 310 |
Ch. 22 | Cost Savings and Efficiencies Attained through Consolidation | 325 |
Ch. 23 | Attaining Departmental Goals | 337 |
Ch. 24 | Inservice Education: Critical Ingredient to Goal Attainment | 350 |
Pt. VI | Perspectives | 359 |
Ch. 25 | Learning To Cope with Regulations | 361 |
Ch. 26 | Information Technology Solutions for the Managed Care Environment | 373 |
Ch. 27 | New Informational Technologies Influence Practice Management | 387 |
Ch. 28 | Changing Directions in Uncompensated Care | 409 |
Ch. 29 | Educating Future Patient Accounts Managers | 423 |
Glossary | 440 | |
Index | 447 | |
About the Editor | 461 |