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behavioral health revenue cycle management: Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition Anne Casto, Susan White, 2023-10-02 |
behavioral health revenue cycle management: DRG Expert Ingenix, 2010-09 THE DRG EXPERT has been a trusted and comprehensive reference to the DRG classification system for over 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively. |
behavioral health revenue cycle management: Roadmaps to Value-Based Profitability Jennifer Ternay, 2019 What does it mean to shift value-based payment models? Maybe you aren't sure where to start. How can you stay competitive amidst the changes in healthcare when resources are limited? While reading this book, you will dive deeply into the key challenges and opportunities of value-based care. We will explore how you can use your core values and strengths to transform your practice-driving away from maximizing volume with fee-for-service billing to reimbursement under incentive programs that are part of value-based payments. By answering critical questions such as where to start, what the finish line looks like, and what happens along the way you will gain the insight needed to deliver a better patient experience while improving health and lowering the cost of care. Learn to: Support your practice's transformation by understanding the leadership skills needed to succeed in value-based incentive programs; evaluate what already exists in your practice and what needs to change to succeed in demonstrating outcomes; determine key elements to assess when considering options for participating in programs with alternative payment models; examine how the organization of teams can deliver better patient experience and higher staff satisfaction; determine how to create a high-functioning team based on each person's strengths; analyze the behavioral traits of team members to maximize their potential and improve retention. Across the healthcare industry, the push is to deliver value rather than volume with value-based payment programs being the financing mechanism to drive change. This book is the perfect starting point to gather information about how to prepare for and maximize, your participation in value-based payment models. You will learn to create the foundation to evaluate value-based payment models and understand how your practice needs to be structured to succeed in value-based care and avoid penalties or exclusion from networks. Reading this book, you will gain insights from a managed care perspective and walk away with recommendations to implement in your practice-- |
behavioral health revenue cycle management: Lean Behavioral Health Joseph Merlino, Joanna Omi, Jill Bowen, 2014 Includes bibliographical references and index. |
behavioral health revenue cycle management: Healthy, Resilient, and Sustainable Communities After Disasters Institute of Medicine, Board on Health Sciences Policy, Committee on Post-Disaster Recovery of a Community's Public Health, Medical, and Social Services, 2015-09-10 In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a return to normal. But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities. |
behavioral health revenue cycle management: Transforming Mental Healthcare Sunil Khushalani, Antonio DePaolo, 2021-12-10 One in five U.S. adults experiences a mental illness within a given year. With more than 550,000 people working to support this underserved community, the mental healthcare system has grappled with inadequacies and shortcomings in safety, quality, and care delivery. There is a wide range of problems, from access-to-care issues and errors, to complications stemming from poor care. Our country is also on an unsustainable path as our healthcare expenditure keeps growing. To add to all of this, we are facing a rampant epidemic of burnout among healthcare workers. Modern advancements introduced with many promises—such as electronic medical records, newer medications, or advanced treatments—have created unique challenges when ushered into a highly regulated healthcare system. What does it take to provide patients with everything they need—the right quality of care, at the right time, and at the right cost—to keep them healthy? Which process steps add value? Which steps are wasteful? A widely accepted fact is that a conservative 30-50% of every step in the mental healthcare process does not help patients feel better or stay better. When considering delays in care, workarounds, excessive documentation, and an overuse of auditing, the care system has moved highly skilled clinicians away from providing value, as administrative tasks continue to encroach on their time. There is a clear need to rethink and redesign the system of care. This book is a primer for understanding the current state of the mental health system and the performance improvement skills and leadership acumen needed to address existing challenges. Sheppard Pratt, the award-winning, leading institution for mental healthcare in America, provided the focus on mental healthcare and became the laboratory for this body of work over the course of eight years. It hired a seasoned systems thinker with improvement expertise to work with mental health professionals and solve some of their most complex and chronic problems. The book is a result of the collaboration between a practicing psychiatrist in a leadership role and the systems engineer. Working together, they demonstrate how to think about redesigning care and redefining the nature of work to enhance value for both the people served and the healthcare workforce. They crafted a multi-pronged approach towards culture change at Sheppard Pratt, including implementing a course on Learning to Improve, which introduced staff to a performance improvement methodology. There are several vignettes interwoven throughout the book that describe the complexities and constraints of the system. Solving some of these challenges creates a new paradigm of work while minimizing waste and enhancing value. |
behavioral health revenue cycle management: Lean Behavioral Health Joseph P. Merlino, Joanna Omi, Jill Bowen, 2014-01-08 Lean Behavioral Health: The Kings County Hospital Story is the first lean book that focuses entirely on behavioral health. Using the principles of the Toyota Production System, or lean, the contributors in this groundbreaking volume share their experience in transforming a major safety net public hospital after a tragic and internationally publicized event. As the largest municipal hospital system in the United States, the New York City Health & Hospitals Corporation adopted lean as the transformational approach for all of its hospitals and clinics. Kings County Hospital Center, one of the largest providers of behavioral health care in the country, continues on its transformational journey utilizing lean's techniques. While not every event was fully successful, most were and every event, including failures, increased the knowledge base about how to continually improve quality and safety. Having made major changes, Kings County Hospital Center is now recognized as a center for transformation and quality receiving high marks from oversight agencies. This volume begins by describing the basic principles of the lean approach-adding value, eliminating waste, and tapping the organization's line staff to create and sustain dramatic change. An overview of the use of lean from a quality improvement perspective follows. Lean tools are applied to many services that comprise the behavioral health value stream and these stories are highlighted. The experts in identifying waste and adding value are the line staff whose voices are captured in the clinical chapters. Insights learned by event participants are emphasized as teaching points to provide context for what has worked or has not worked at Kings County Hospital Center. While the burning platform at Kings County Hospital Center was white hot and while the Department of Justice scrutinized its quality of patient care, the application of lean methods and tools has transformed the hospital into a potential model for behavioral health programs facing the challenges of the present healthcare environment. It is a must-have story for clinicians, administrators and other leaders in the mental health field devoted to improving quality and safety at their hospitals and clinics. |
behavioral health revenue cycle management: Smartsourcing Thomas M Koulopoulos, Tom Roloff, 2006-02-24 Outsourcing is the most popular movement of the new global business economy. In fact, the typical executive will soon spend one-third of their budget on outsourcing! Smartsourcing is the next evolution in outsourcing. Traditional outsourcing reduces costs by moving the work to where the least expensive workers are. While that may cut costs, it simply replicates the status quo. Smartsourcing goes a step further by showing companies how to partner with service providers to not only cut costs, but also increase innovation across the full spectrum of their business. Smartsourcing is the first book on the market to be ahead of the curve on one of the most important shifts in business today. |
behavioral health revenue cycle management: Healing the New Childhood Epidemics: Autism, ADHD, Asthma, and Allergies Kenneth Bock, Cameron Stauth, 2008-04-29 A comprehensive program that targets all four of the 4-A epidemics: autism, ADHD, asthma, and allergies “An easy-to-read commonsense guide to beneficial biomedical treatments.”—Temple Grandin Doctors have generally overlooked the connections among the 4-A disorders. For years the medical establishment has considered autism medically untreatable and utterly incurable, and has limited ADHD treatment mainly to symptom suppression. Dr. Kenneth Bock, a leading medical innovator, along with his colleagues, have discovered a solution that goes to the root of the problem. They have found that modern toxins, nutritional deficiencies, metabolic imbalances, genetic vulnerabilities, and assaults on the immune and gastrointestinal systems trigger most of the symptoms of the 4-A disorders, resulting in frequent misdiagnosis and untold mysteries. Dr. Bock’s remarkable Healing Program is an innovative biomedical approach that has changed the lives of more than a thousand children. Drawn from medical research and based on years of clinical success, this program offers a safe, sensible solution that is individualized to each child to help remedy the root causes. Dr. Bock also shares the dramatic true stories of parents and children that will inspire you to change the life of your own child. Hope is at last within reach. |
behavioral health revenue cycle management: Fundamentals of Telemedicine and Telehealth Shashi Gogia, 2019-10-27 Fundamentals of Telemedicine and Telehealth provides an overview on the use of information and communication technologies (ICTs) to solve health problems, especially for people living in remote and underserviced areas. With the advent of new technologies and improvement of internet connectivity, telehealth has become a new subject requiring a new understanding of IT devices and how to utilize them to fulfill health needs. The book discusses topics such as digitizing patient information, technology requirements, existing resources, planning for telehealth projects, and primary care and specialized applications. Additionally, it discusses the use of telemedicine for patient empowerment and telecare in remote locations. Authored by IMIA Telehealth working group, this book is a valuable source for graduate students, healthcare workers, researchers and clinicians interested in using telehealth as part of their practice or research. - Presents components of healthcare that can be benefitted from remote access and when to rely on them - Explains the current technologies and tools and how to put them to effective use in daily healthcare - Provides legal provisions for telehealth implementation, discussing the risks of remote healthcare provision and cross border care |
behavioral health revenue cycle management: Oxford Textbook of Obstetrics and Gynaecology Sabaratnam Arulkumaran, William Ledger, Lynette Denny, Stergios Doumouchtsis, 2020-01-16 The Oxford Textbook of Obstetrics and Gynaecology is an objective and readable text that covers the full speciality of obstetrics and gynaecology. This comprehensive and rigorously referenced textbook will be a vital resource in print and online for all practising clinicians. Edited by a team of four leading figures in the field, whose clinical and scientific backgrounds collectively cover the whole spectrum of obstetrics and gynaecology with particular expertise in fetomaternal medicine and obstetrics, gynaecological oncology, urogynaecology, and reproductive medicine, the textbook helps inform and promote evidence-based practice and improve clinical outcomes worldwide across all facets of the discipline. The editors are supported by contributors who are internationally renowned specialists and ensure high quality and global perspective to the work. Larger sections on the Basics in Obstetrics and Gynaecology, Fetomaternal Medicine, Management of Labour, Gynaecological problems, and Gynaecological Oncology are complimented by specialist sections on areas such as Neonatal Care and Neonatal Problems, Reproductive Medicine, and Urogynaecology and Pelvic Floor Disorders to name a few. The evidence-based presentation of diagnostic and therapeutic methods is complemented in the text by numerous treatment algorithms, giving the reader the knowledge and tools needed for effective clinical practice. The Oxford Textbook of Obstetrics and Gynaecology is essential reading for obstetricians and gynaecologists, subspecialists, and trainees across the world. |
behavioral health revenue cycle management: Healthcare Financial Management Cassandra R. Henson, DPA, MBA, 2023-06-29 Healthcare Financial Management: Applied Concepts and Practical Analyses is a comprehensive and engaging resource for students in health administration, health management, and related programs. It brings together the problem-solving, critical-thinking, and decision-making skills that students need to thrive in a variety of health administration and management roles. Engaging case studies, practice problems, and data sets all focus on building the core skills and competencies critical to the success of any new health administrator. Real-world examples are explored through a healthcare finance lens, spanning a wide variety of health care organizations including hospitals, physician practices, long-term care, and more. Core conceptual knowledge is covered in detailed chapters, including accounting principles, revenue cycle management, and budgeting and operations management. This conceptual knowledge is then brought to life with an interactive course project, which allows students to take ownership of and apply their newly-acquired skills in the context of a nuanced real-world scenario. Healthcare Financial Management is an engaging and thorough resource that will equip students with both the theoretical and practical skills they need to make a difference in this dynamic and rapidly-growing field. Key Features: Student-focused textbook that builds critical thinking, problem-solving and decision-making skills around financial strategy, financial management, accounting, revenue cycle management, budgeting and operations, and resource management 20+ years of the author’s professional industry experience is applied to the textbook theory, preparing students for the complexities of real-world scenarios Microsoft Excel exercises accompany the standard healthcare finance calculations, for hands-on practice and application of concepts Chapter case studies based on timely subject matter are presented at the end of every chapter to reinforce key concepts An interactive course project demonstrates the entire healthcare finance role by bringing together the healthcare finance concepts and calculations in an all-inclusive exercise |
behavioral health revenue cycle management: CPT 2015 American Medical Association, 2014 This codebook helps professionals remain compliant with annual CPT code set changes and is the AMAs official coding resource for procedural coding rules and guidelines. Designed to help improve CPT code competency and help professionals comply with current CPT code changes, it can help enable them to submit accurate procedural claims. |
behavioral health revenue cycle management: Health Professions Education Institute of Medicine, Board on Health Care Services, Committee on the Health Professions Education Summit, 2003-07-01 The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system. |
behavioral health revenue cycle management: Taking Action Against Clinician Burnout National Academies of Sciences, Engineering, and Medicine, National Academy of Medicine, Committee on Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being, 2020-01-02 Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field. |
behavioral health revenue cycle management: Mental Health Outcome Measures Graham Thornicroft, Michele Tansella, 2012-12-06 Mental Health Outcome Measures provides an authoritative review of measurement scales currently available to assess the outcomes of mental health service intervention. The excerpt of summaries by leading writers in the field assess the contributions of scale in areas including mental state examination, quality of life, patient satisfaction, needs assessments, measurement of service cost, global functioning scales, and social disability. These chapters provide a critical appraisal of how far such scales have been shown to be reliable and valid, and provide valuable insights in to their ease of use. This book will provide an invaluable reference manual for those who want to take research on mental health services, and for those who need to interpret this research for policy, planning, and clinical practice. |
behavioral health revenue cycle management: Healthcare Digital Transformation Edward W. Marx, Paddy Padmanabhan, 2020-08-02 This book is a reference guide for healthcare executives and technology providers involved in the ongoing digital transformation of the healthcare sector. The book focuses specifically on the challenges and opportunities for health systems in their journey toward a digital future. It draws from proprietary research and public information, along with interviews with over one hundred and fifty executives in leading health systems such as Cleveland Clinic, Partners, Mayo, Kaiser, and Intermountain as well as numerous technology and retail providers. The authors explore the important role of technology and that of EHR systems, digital health innovators, and big tech firms in the ongoing digital transformation of healthcare. Importantly, the book draws on the accelerated learnings of the healthcare sector during the COVID-19 pandemic in their digital transformation efforts to adopt telehealth and virtual care models. Features of this book: Provides an understanding of the current state of digital transformation and the factors influencing the ongoing transformation of the healthcare sector. Includes interviews with executives from leading health systems. Describes the important role of emerging technologies; EHR systems, digital health innovators, and more. Includes case studies from innovative health organizations. Provides a set of templates and frameworks for developing and implementing a digital roadmap. Based on best practices from real-life examples, the book is a guidebook that provides a set of templates and frameworks for digital transformation practitioners in healthcare. |
behavioral health revenue cycle management: Health-Care Utilization as a Proxy in Disability Determination National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Health Care Utilization and Adults with Disabilities, 2018-04-02 The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for listing-level severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience. |
behavioral health revenue cycle management: Ask a Manager Alison Green, 2018-05-01 From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together |
behavioral health revenue cycle management: Long Term Care Services in the United States: 2013 Overview National Center for Health Statistics, 2014-03 Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers. |
behavioral health revenue cycle management: Pain at End of Life Barbara Karnes, 2019-07 There is much fear and misconception surrounding pain management at end of life.This booklet is intended for families/significant others in the weeks to days before death, for education of hospital and nursing facility staff, as well as anyone interested in, or dealing with, narcotics and pain management as end of life approaches.Pain at End of Life addresses, win a fifth grade, non medical terminology: pain as it relates to the dying process, fear of overdosing, and addiction, standard dosages, around the clock administration, laxatives, uses of morphine, sedation as it relates to dying, supplemental therapies.Use Pain at End of Life to ease the confusion and apprehension surrounding narcotic administration. |
behavioral health revenue cycle management: Crossing the Quality Chasm Institute of Medicine, Committee on Quality of Health Care in America, 2001-07-19 Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change. |
behavioral health revenue cycle management: Healthcare Financial Management , 2009 Some issues accompanied by supplements. |
behavioral health revenue cycle management: Artificial Intelligence in Healthcare Adam Bohr, Kaveh Memarzadeh, 2020-06-21 Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. - Highlights different data techniques in healthcare data analysis, including machine learning and data mining - Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks - Includes applications and case studies across all areas of AI in healthcare data |
behavioral health revenue cycle management: The Future of the Public's Health in the 21st Century Institute of Medicine, Board on Health Promotion and Disease Prevention, Committee on Assuring the Health of the Public in the 21st Century, 2003-02-01 The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists. |
behavioral health revenue cycle management: Managing Managed Care Institute of Medicine, Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care, 1997-04-21 Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers. |
behavioral health revenue cycle management: Strategic Marketing For Health Care Organizations Philip Kotler, Robert J. Stevens, Joel I. Shalowitz, 2021-02-17 A thorough update to a best-selling text emphasizing how marketing solves a wide range of health care problems There has been an unmet need for a health care marketing text that focuses on solving real-world health care problems. The all new second edition of Strategic Marketing for Health Care Organizations meets this need by using an innovative approach supported by the authors' deep academic, health management, and medical experience. Kotler, Stevens, and Shalowitz begin by establishing a foundation of marketing management principles. A stepwise approach is used to guide readers through the application of these marketing concepts to a physician marketing plan. The value of using environmental analysis to detect health care market opportunities and threats then follows. Readers are shown how secondary and primary marketing research is used to analyze environmental forces affecting a wide range of health care market participants. The heart of the book demonstrates how health management problems are solved using marketing tools and the latest available market data and information. Since the health care market is broad, heterogenous, and interconnected, it is important to have a comprehensive perspective. Individual chapters cover marketing for consumers, physicians, hospitals, health tech companies, biopharma companies, and social cause marketing – with strategies in this last chapter very relevant to the Covid-19 pandemic. Each chapter gives readers the opportunity to improve marketing problem-solving skills through discussion questions, case studies, and exercises. |
behavioral health revenue cycle management: Finding Allies, Building Alliances Mike Leavitt, Rich McKeown, 2013-08-12 From Governor and White House cabinet member Mike Leavitt: how to find collaborative solutions to the greatest challenges Your business challenges extend far beyond you and your firm, to the competitors within your industry and the regulators outside it. Finding solutions to larger issues requires cooperation between diverse stakeholders, and in this rapidly changing world, only those able to adapt and network successfully will produce fast, competitive solutions. How can leaders successfully bridge divides and turn competitors into collaborators? Leavitt and McKeown explain how a well-chosen network can become a powerful alliance. Whether you're launching a new partnership, or rehabilitating one already in progress, Finding Allies, Building Alliances will help you find workable solutions to the most complex problems. Written by Mike Leavitt, former Governor of Utah who brought the 2002 Winter Olympics to Salt Lake City, former US Secretary of Health and human services, and former head of the EPA; with his former Chief of Staff and business partner Rich McKeown, co-founder of Leavitt Partners Includes a framework of 8 elements that will help any leader foster and maintain an effective, productive collaborative venture Shows how better collaboration can not only solve problems, but boost the competitiveness and resilience in all sectors Finding Allies, Building Alliances is essential reading for any business leader looking for transformative solutions and a sustainable future. |
behavioral health revenue cycle management: Public Health Practice Jonathan E. Fielding, Steven M. Teutsch, Stephanie N. Caldwell, 2012-11-29 In Public Health Practice: What Works, the leaders of LA County's Department of Public Health compile the lessons and best practices of working in a complex and evolving public health setting. |
behavioral health revenue cycle management: Relative Values for Physicians Relative Value Studies, Inc, 2000-01-01 |
behavioral health revenue cycle management: Burnout in Women Physicians Cynthia M. Stonnington, Julia A Files, 2020-06-15 This book is the first to dissect the factors contributing to burnout that impact women physicians and seeks to appropriately address these issues. The book begins by establishing the differences in epidemiology between female physicians and their male counterparts, including rates of burnout, depression and suicide, chosen fields, caregiving responsibilities at home, career tradeoffs in dual physician marriages, patient satisfaction and outcomes, academic rank, leadership positions, salary, and turnover. The second part of the book explores the drivers of physician burnout that disproportionately affect women, each chapter beginning with a case vignette. This section covers many issues that often go unrecognized including unconscious bias, sexual harassment, gender role conflicts, domestic responsibilities, depression, addiction, financial stress, and the impact related to reproductive health such as pregnancy and breastfeeding. The book concludes by focusing on strategies to prevent and/or mitigate burnout among individual women physicians across the career lifespan.This section also includes recommendations to change the culture of medicine and the systems that contribute to burnout. Burnout in Women Physicians is an excellent resource for physicians across all specialties who are concerned with physician wellness and burnout, including students, residents, fellows, and attending physicians. |
behavioral health revenue cycle management: Firefighter Zen Hersch Wilson, 2020-05-26 “Be brave. Be kind. Fight fires.” That’s the motto of firefighters, like Hersch Wilson, who spend their lives walking toward, rather than away from, danger and suffering. As in Zen practice, firefighters are trained to be fully in the moment and present to each heartbeat, each life at hand. In this unique collection of true stories and practical wisdom, Wilson shares the Zen-like techniques that allow people like him to stay grounded while navigating danger, comforting others, and coping with their personal response to each crisis. Every life contains the unexpected and the unwelcome. How you cope with those inevitable events, more than the events themselves, defines the quality of your life. Firefighter Zen is an invaluable guide to meeting every day with your best calm, resilient, and optimistic self. |
behavioral health revenue cycle management: Managing Integrated Health Systems () (Jay) Shiver, John Cantiello, 2015-08-03 Managing Integrated Healthcare Systems: A Guide for Health Executives provides those managers engaged in and studying healthcare the understanding and the knowledge required to succeed in this dynamic industry. |
behavioral health revenue cycle management: Primary Care and Public Health Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Integrating Primary Care and Public Health, 2012-07-19 Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health. |
behavioral health revenue cycle management: Leveraging Data in Healthcare Rebecca Mendoza Saltiel Busch, 2017-07-27 The healthcare industry is in a state of accelerated transition. The proliferation of data and its assimilation, access, use, and security are ever-increasing challenges. Finding ways to operationalize business and clinical data management in the face of government and market mandates is enough to keep most chief officers up at night!Leveraging Dat |
behavioral health revenue cycle management: The Palgrave Handbook of American Mental Health Policy Howard H. Goldman, Richard G. Frank, Joseph P. Morrissey, 2019-05-07 This handbook is the definitive resource for understanding current mental health policy controversies, options, and implementation strategies. It offers a thorough review of major issues in mental health policy to inform the policy-making process, presenting the pros and cons of controversial, significant issues through close analyses of data. Some of the topics covered are the effectiveness of various biomedical and psychosocial interventions, the role of mental illness in violence, and the effectiveness of coercive strategies. The handbook presents cases for conditions in which specialized mental health services are needed and those in which it might be better to deliver mental health treatment in mainstream health and social services settings. It also examines the balance between federal, state, and local authority, and the financing models for delivery of efficient and effective mental health services. It is aimed for an audience of policy-makers, researchers, and informed citizens that can contribute to future policy deliberations. |
behavioral health revenue cycle management: Demystifying Big Data and Machine Learning for Healthcare Prashant Natarajan, John C. Frenzel, Detlev H. Smaltz, 2017-02-15 Healthcare transformation requires us to continually look at new and better ways to manage insights – both within and outside the organization today. Increasingly, the ability to glean and operationalize new insights efficiently as a byproduct of an organization’s day-to-day operations is becoming vital to hospitals and health systems ability to survive and prosper. One of the long-standing challenges in healthcare informatics has been the ability to deal with the sheer variety and volume of disparate healthcare data and the increasing need to derive veracity and value out of it. Demystifying Big Data and Machine Learning for Healthcare investigates how healthcare organizations can leverage this tapestry of big data to discover new business value, use cases, and knowledge as well as how big data can be woven into pre-existing business intelligence and analytics efforts. This book focuses on teaching you how to: Develop skills needed to identify and demolish big-data myths Become an expert in separating hype from reality Understand the V’s that matter in healthcare and why Harmonize the 4 C’s across little and big data Choose data fi delity over data quality Learn how to apply the NRF Framework Master applied machine learning for healthcare Conduct a guided tour of learning algorithms Recognize and be prepared for the future of artificial intelligence in healthcare via best practices, feedback loops, and contextually intelligent agents (CIAs) The variety of data in healthcare spans multiple business workflows, formats (structured, un-, and semi-structured), integration at point of care/need, and integration with existing knowledge. In order to deal with these realities, the authors propose new approaches to creating a knowledge-driven learning organization-based on new and existing strategies, methods and technologies. This book will address the long-standing challenges in healthcare informatics and provide pragmatic recommendations on how to deal with them. |
behavioral health revenue cycle management: Emergency Department Compliance Manual, 2018 Edition McNew, 2018-04-20 Emergency Department Compliance Manual provides everything you need to stay in compliance with complex emergency department regulations, including such topics as legal compliance questions and answers--find the legal answers you need in seconds; Joint Commission survey questions and answers--get inside guidance from colleagues who have been there; hospital accreditation standard analysis--learn about the latest Joint Commission standards as they apply to the emergency department; and reference materials for emergency department compliance. The Manual offers practical tools that will help you and your department comply with emergency department-related laws, regulations, and accreditation standards. Because of the Joint Commission's hospital-wide, function-based approach to evaluating compliance, it's difficult to know specifically what's expected of you in the ED. Emergency Department Compliance Manual includes a concise grid outlining the most recent Joint Commission standards, which will help you learn understand your compliance responsibilities. Plus, Emergency Department Compliance Manual includes sample documentation and forms that hospitals across the country have used to show compliance with legal requirements and Joint Commission standards. Previous Edition: Emergency Department Compliance Manual, 2017 Edition, ISBN: 9781454886693 |
behavioral health revenue cycle management: Managed Competition , 1993-07 Pamphlet from the vertical file. |
behavioral health revenue cycle management: Best Practices in Financial Management for Behavioral Health and Social Services J. Jay Mackie, 2008-08 |
Mental and Behavioral Health Services in Miami - Jackson Healt…
Jackson Health System provides comprehensive mental and behavioral health services for children, adolescents, adults, and seniors. We offer psychiatric and psychological evaluation and consultation, …
Behavioral Aid Solutions » Community Mental Health Center
Practice serving Miami-Dade County. Available statewide via #Telehealth. Behavioral services include Counseling, Psychotherapy, Testing, TCM and more.
BEHAVIORAL Definition & Meaning - Merriam-Webster
The meaning of BEHAVIORAL is of or relating to behavior : pertaining to reactions made in response to social stimuli. How to use behavioral in a sentence.
Behavioral Health: What It Is and When It Can Help
Jul 12, 2023 · Behavioral health practices focus on the ways that your thoughts and emotions influence your behavior. “Behavioral health” is a term for a wide-reaching field that looks at mental health,...
About Behavioral Health | Mental Health | CDC - Centers for Diseas…
Jun 9, 2025 · Behavioral health is a key component of overall health. The term is also used to describe the support systems that promote well-being, prevent mental distress, and provide access to treatments and …
Mental and Behavioral Health Services in Miami - Jackson Health System
Jackson Health System provides comprehensive mental and behavioral health services for children, adolescents, adults, and seniors. We offer psychiatric and psychological evaluation …
Behavioral Aid Solutions » Community Mental Health Center
Practice serving Miami-Dade County. Available statewide via #Telehealth. Behavioral services include Counseling, Psychotherapy, Testing, TCM and more.
BEHAVIORAL Definition & Meaning - Merriam-Webster
The meaning of BEHAVIORAL is of or relating to behavior : pertaining to reactions made in response to social stimuli. How to use behavioral in a sentence.
Behavioral Health: What It Is and When It Can Help
Jul 12, 2023 · Behavioral health practices focus on the ways that your thoughts and emotions influence your behavior. “Behavioral health” is a term for a wide-reaching field that looks at …
About Behavioral Health | Mental Health | CDC - Centers for …
Jun 9, 2025 · Behavioral health is a key component of overall health. The term is also used to describe the support systems that promote well-being, prevent mental distress, and provide …
BEHAVIORAL | English meaning - Cambridge Dictionary
BEHAVIORAL definition: 1. US spelling of behavioural 2. relating to behavior: 3. expressed in or involving behavior: . Learn more.
Behavioral Therapy: Definition, Types, Techniques, Efficacy
Jan 12, 2024 · Behavioral therapy is a therapeutic approach that uses behavioral techniques to eliminate unwanted behaviors. Learn how this approach is used to treat phobias, OCD, and …
BEHAVIORAL Definition & Meaning | Dictionary.com
relating to a person’s manner of behaving or acting. The program provides academic and behavioral supports for students of concern. Most of our biggest health risks are largely …
What is behavioral health? - American Medical Association
Aug 22, 2022 · Behavioral health generally refers to mental health and substance use disorders, life stressors and crises, and stress-related physical symptoms. Behavioral health care refers …
Behavioral Psychology: Definition, Theories, & Examples
What is behavioral psychology? Learn more about this psychological movement, its classic studies, and why its therapeutic influences still matter.