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| billing and revenue management: SAP Billing and Revenue Innovation Management Chaitanaya Desai, Sheikna Kulam, Chun Wei Ooi, Maniprakash Balasubramanian, Clement Sanjivi, Andreas Tan, Rakesh Rajagopal, 2019 Whether you're upgrading an existing billing system or moving to a subscription- or consumption-based model, SAP BRIM is ready--and here's is your guide! From subscription order management and charging to invoicing and contract accounting, get step-by-step instructions for each piece of the billing puzzle. For setup, execution, or analytics, follow a continuous case study through each billing process. With this book, join the future of billing! a. End-to-End Billing Learn the what and the why of SAP BRIM, and then master the how! Charging, invoicing, contract accounts receivable and payable, and subscription order management--see how to streamline billing with the SAP BRIM solutions. b. Configuration and Functionality Set up and use SAP BRIM tools: Subscription Order Management, SAP Convergent Charging, SAP Convergent Invoicing, FI-CA, and more. Implement them individually or as part of an integrated landscape. c. SAP BRIM in Action Meet Martex Corp., a fictional telecommunications case study and your guide through the SAP BRIM suite. Follow its path to subscription-based billing and learn from billing industry best practices! 1) SAP Billing and Revenue Innovation Management 2) Subscription order management 3) SAP Convergent Charging 4) SAP Convergent Invoicing 5) Contracts accounting (FI-CA) 6) SAP Convergent Mediation 7) Reporting and analytics 8) Implementation 9) Project management |
| billing and revenue management: The Telco Revenue Assurance Handbook Rob Mattison, 2005 A comprehensive guide to the setup, execution and management of the Revenue Assurance function within telecommunications companies.This book provides readers with information about how to use new technologies and revolutionary new approaches to help make revenue assurance faster, better, easier and more efficient than ever before possible. A must read for any serious telecommunications revenue assurance, billing audit or other financial telco manager. |
| billing and revenue management: Revenue Assurance Eric Priezkalns, 2016-04-19 This cutting-edge reference represents a new phase in the talkRA project-an initiative dedicated to improving the discipline of revenue assurance (RA) for communication providers. From blog to podcasts and now a book, the project offers a platform for a select group of RA experts to share ideas and best practices in revenue assurance, revenue manag |
| billing and revenue management: Ultimate Guide to Dental Billing and Reporting Josh Smith, 2021-07-02 Ultimate Guide to Dental Billing and Reporting provides a proven, accessible, and easy-to-implement dental billing template for any dental office. All practices will benefit from the simplicity and positivity of this important guide. I really like the actual number examples and the templates for how to structure your day. It's great information and a must-have for all dental offices. -Dr. Christopher Comer, DMD FAGD, Savannah, GA This book makes billing and insurance very easy to understand. It maps out a very concise approach to insurance and billing in the dental office. I have taken many CE courses on these topics over the years. This book not only gave a more complete picture of the billing and insurance process than I have seen previously but also gave an easy way to approach and implement the process in the dental office. -Dr. Michael Groover, DMD From Chaos and Confusion to Confidence and Cash Flow Making appointments. Filing claims. Answering the phone. Checking patients in and out. If you're an office manager or insurance coordinator, you know how challenging it is to run a dental office. And if you're new to the industry? Welcome - we're here to help you learn the ropes. Here's the truth: Every dental office's success depends on: Healthy production and collections Smooth patient flow Delivering the ultimate patient experience with a smile The lifeblood of any successful practice is a rock-solid dental billing process. This book is a step-by-step guide to a groundbreaking dental billing process written by a leader in the industry. You're about to learn how dental billing impacts the overall health of your practice. You'll finally understand the gems hidden inside your dental reporting and how to use them. Best of all? You'll leave billing chaos behind and take a major step toward healthy cash flow and confident mastery of your processes. |
| billing and revenue management: Theory and Practice of Business Intelligence in Healthcare Khuntia, Jiban, Ning, Xue, Tanniru, Mohan, 2019-12-27 Business intelligence supports managers in enterprises to make informed business decisions in various levels and domains such as in healthcare. These technologies can handle large structured and unstructured data (big data) in the healthcare industry. Because of the complex nature of healthcare data and the significant impact of healthcare data analysis, it is important to understand both the theories and practices of business intelligence in healthcare. Theory and Practice of Business Intelligence in Healthcare is a collection of innovative research that introduces data mining, modeling, and analytic techniques to health and healthcare data; articulates the value of big volumes of data to health and healthcare; evaluates business intelligence tools; and explores business intelligence use and applications in healthcare. While highlighting topics including digital health, operations intelligence, and patient empowerment, this book is ideally designed for healthcare professionals, IT consultants, hospital directors, data management staff, data analysts, hospital administrators, executives, managers, academicians, students, and researchers seeking current research on the digitization of health records and health systems integration. |
| billing and revenue management: Teaching History Hilary Bourdillon, 2013-10-31 Against a background of controversy surrounding the teaching of history, this reader gathers the current thoughts of the leading practitioners. The development of school history up to the national curriculum and beyond is traced, and the main issues concerning history teachers today are examined. These issues include access to history, the definition of 'British' history in a multicultural society, gender and the place of history with the humanities. Progression and attainment are discussed as is the development of pupil's historical understanding, and practical approaches to teaching history to 11-18 level pupils are explored. |
| billing and revenue management: The Revenue Integrity Manager's Guidebook Rose T Dunn, 2018-04 |
| billing and revenue management: Revenue Operations Stephen G. Diorio, Chris K. Hummel, 2022-04-19 Crush siloes by connecting teams, data, and technologies with a new systems-based approach to growth. Growing a business in the 21st Century has become a capital intensive and data-driven team sport. In Revenue Operations: A New Way to Align Sales and Marketing, Monetize Data, and Ignite Growth, an accomplished team of practitioners, academics, and experts provide a proven system for aligning revenue teams and unlocking growth. The book shows everyone how to connect the dots across an increasingly complex technology ecosystem to simplify selling and accelerate revenue expansion. With Revenue Operations, you’ll understand what it takes to successfully transition to the new system of growth without killing your existing business. This practical and executable approach can be used by virtually any business - large or small, regardless of history or industry - that wants to generate more growth and value. By reading this book you will find: Real-world case studies and personal experiences from executives across an array of high technology, commercial, industrial, services, consumer, and cloud-based businesses. The six core elements of a system for managing your commercial operations, digital selling infrastructure, and customer data assets. Nine building-blocks that connect the dots across your sales and marketing technology ecosystem to generate more consistent growth and a better customer experience at lower costs. The skills and tools that next generation growth leaders will need to chart the roadmap for a successful career in any growth discipline for the next 25 years. An indispensable resource for anyone who wants to get more from their business – board members, CEOs, business unit leaders, strategists, thought leaders, analysts, operations professionals, partners, and front-line doers in sales, marketing, and service - Revenue Operations is based on over one thousand surveys of and interviews with business professionals conducted during 2020 and 2021. It also includes a comprehensive analysis of the sales and marketing technology landscape. As a perfectly balanced combination of academic insight and data-driven application, this book belongs on the bookshelves of anyone responsible for driving revenue and growth. |
| billing and revenue management: SAP C/4HANA Sanjjeev K. Singh, Drew Messinger-Michaels, Sven Feurer, Thomas Vetter, 2019 |
| billing and revenue management: Subscribed Tien Tzuo, Gabe Weisert, 2018-06-05 SHORTLISTED FOR THE CMI MANAGEMENT BOOK OF THE YEAR INNOVATION AND ENTREPRENEURSHIP AWARD Today's consumers prefer the advantages of access over the hassles of ownership. It's not just internet services like Netflix and Spotify; even industrial firms like GE and Caterpillar are reinventing themselves as solutions providers. Whether you sell software, clothes, insurance, or industrial machines, you need to master the transition to the subscription model. Adapting to the subscription economy takes more than just deciding to sell subscriptions instead of products. You'll have to reinvent your company from the inside out -- from your accounting to your entire IT architecture. No matter how large or small your company, Subscribed gives you a practical, step-by-step framework to rebuild your business around a customer-centric, recurring revenue model.In ten years, we'll be subscribing to everything: information technology, transportation, retail, healthcare, even housing. Informed by insights straight from the servers of Zuora, the world's largest subscription finance platform, Subscribed is the book that explains how this shift really works -- and how business leaders can prepare and prosper. |
| billing and revenue management: Core Functions of Revenue Integrity Valerie A. Rinkle, 2017 |
| billing and revenue management: Denials Management & Appeals Reference Guide - First Edition AAPC, 2020-03-17 Recoup lost time and revenue with denials management and appeals know-how. Claim denials can sink a profit margin. And given the cost of appeals, roughly $118 per claim, not all denials can be reworked. A practice submitting 50 claims a day at an average reimbursement rate of $200 per claim should bring in $10,000 in daily revenue. But if 10% of those claims are denied, and the practice can only appeal one, they lose $800 per day—upwards of $200K annually. Your medical claims are the lifeblood of operations. Don’t compromise your financial health. Learn how to preempt denials with the Denials Management & Appeals Reference Guide. This vital resource will equip you to get ahead of payers by simplifying the leading causes of denials and showing you how to address insufficient documentation, failing to establish medical necessity, coding and billing errors, coverage stipulations, and untimely filing. Rely on AAPC to walk you through the appeal process. We’ll help you establish protocols to avoid an appeals backlog and teach you how to identify and prioritize denials likely to win an appeal. What’s more, you’ll learn when a claim can be “reopened” to fix a problem. Collect the revenue your practice deserves with effective denials and appeals solutions: Know how to analyze your denials Defeat documentation and compliance issues for successful claims success Utilize payer policy for coverage clues Lock in revenue with face-to-face reimbursement guidance Refine efforts to avoid E/M claim denials Ace ICD-10 coding for optimum reimbursement Put an end to modifier confusion Stave off denials with CCI edits advice Navigate the appeals process like a pro And much more! |
| billing and revenue management: The Medical-Legal Aspects of Acute Care Medicine James E. Szalados, 2021-04-02 The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a comprehensive resource intended to provide a state-of-the-art overview of complex ethical, regulatory, and legal issues of importance to clinical healthcare professionals in the area of acute care medicine; including, for example, physicians, advanced practice providers, nurses, pharmacists, social workers, and care managers. In addition, this book also covers key legal and regulatory issues relevant to non-clinicians, such as hospital and practice administrators; department heads, educators, and risk managers. This text reviews traditional and emerging areas of ethical and legal controversies in healthcare such as resuscitation; mass-casualty event response and triage; patient autonomy and shared decision-making; medical research and teaching; ethical and legal issues in the care of the mental health patient; and, medical record documentation and confidentiality. Furthermore, this volume includes chapters dedicated to critically important topics, such as team leadership, the team model of clinical care, drug and device regulation, professional negligence, clinical education, the law of corporations, tele-medicine and e-health, medical errors and the culture of safety, regulatory compliance, the regulation of clinical laboratories, the law of insurance, and a practical overview of claims management and billing. Authored by experts in the field, The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a valuable resource for all clinical and non-clinical healthcare professionals. |
| billing and revenue management: Medical Billing 101 Crystal Clack, Linda Renfroe, Michelle Rimmer, 2015-02-03 Learn the basics of physican-based medical billing with MEDICAL BILLING 101, 2E. Clear and practical guidelines introduce you to the job responsibilities and basic processes in the medical billing world. Case studies and software tools like SimClaimTM CMS-1500 software offer you practice on actual forms to build confidence and understanding of the reimbursement process. This easy-to-use guide starts you off on the right path as you begin your journey to becoming a medical billing professional. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version. |
| billing and revenue management: The Essential Guide to Coding in Audiology Debra Abel, 2018 |
| billing and revenue management: Central Finance and SAP S/4HANA CARSTEN. AWAN HILKER (JAVAID. DELVAT, JULIEN.), Javaid Awan, Julien Delvat, 2018-08-28 |
| billing and revenue management: The Imagination Machine Martin Reeves, Jack Fuller, 2021-06-08 A guide for mining the imagination to find powerful new ways to succeed. We need imagination now more than ever—to find new opportunities, rethink our businesses, and discover paths to growth. Yet too many companies have lost their ability to imagine. What is this mysterious capacity? How does imagination work? And how can organizations keep it alive and harness it in a systematic way? The Imagination Machine answers these questions and more. Drawing on the experience and insights of CEOs across several industries, as well as lessons from neuroscience, computer science, psychology, and philosophy, Martin Reeves of Boston Consulting Group's Henderson Institute and Jack Fuller, an expert in neuroscience, provide a fascinating look into the mechanics of imagination and lay out a process for creating ideas and bringing them to life: The Seduction: How to open yourself up to surprises The Idea: How to generate new ideas The Collision: How to rethink your idea based on real-world feedback The Epidemic: How to spread an evolving idea to others The New Ordinary: How to turn your novel idea into an accepted reality The Encore: How to repeat the process—again and again. Imagination is one of the least understood but most crucial ingredients of success. It's what makes the difference between an incremental change and the kinds of pivots and paradigm shifts that are essential to transformation—especially during a crisis. The Imagination Machine is the guide you need to demystify and operationalize this powerful human capacity, to inject new life into your company, and to head into unknown territory with the right tools at your disposal. |
| billing and revenue 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 |
| billing and revenue management: SAP Malakar Sudipta, 2019-09-20 Phases of SAP Activate MethodologyKey features 400 PLUS Real-time SAP Activate & SAP S/4 HANA Interview questions and answers Numerous Tricky Real-time SAP Activate Case Studies and Demos SAP S/4 HANA-Approach & Guidelines Explore the application scenarios of SAP Activate SAP Activate issues and challenges in large-, mid- and small-scale projects and mitigation plan Digital transformation tips and tricks Intelligent enterprise tips and tricks Integration of SAP S/4HANA with machine learning intelligence.DescriptionThe book promises to make you understand and practise the SAP Activate Framework. The focus is to take you on a journey of all the phases of SAP Activate methodology and make you understand all the phases with real life examples, lessons learnt, accelerators and best practices. Well articulation on how SAP Activate methodology can be used through real-world use cases, with a comprehensive discussion on Agile and Scrum, in the context of SAP Project. SAP Activate is an innovative, next generation business suite that allows producing working deliverables straight away. SAP Activate Methodology is a harmonized agile implementation approach for cloud, on premise, and hybrid deployments for delivering shippable product increments in an iterative and incremental way.What will you learnYou will get familiar with SAP S4HANA which is an incredibly innovative platform for businesses that can store business data, interpret it, analyze it, process it in real time, and use it when it is needed depending upon the business requirement. This book articulates integration of SAP S/4HANA with machine learning intelligence, intelligent enterprise tips & tricks, SAP Geographical Enablement Framework, Agricultural Contract Management, SAP Activate issues and challenges in large-, mid- and small-scale projects and mitigation plan, Fit/Gap Workshops, Master Data Management, Vendor-Managed Inventory, useful Tips & Tricks for successful implementation of any Greenfield or brownfield, use of Agile, Scrum, Kanban, XP in SAP S/4 HANA Project and contains 400 PLUS Real-time SAP Activate & SAP S/4 HANA Interview questions and answers. Who this book is forSAP Consultants, SAP technical, business analysts, architects, team leads, project Leads, project managers, account manager, account executives, CEO, CTO, COO, CIO, Sr. VP, and Directors. Table of contents1. SAP Activate Methodology - Introduction2. Journey New Implementation (In Cloud)3. Journey New Implementation (On-Premise)4. Journey System Conversion for SAP S/4 HANA 5. Journey Landscape Transformation for SAP S/4 HANA 6. Activate Methodology and SAP Activate - Top 410 Plus7. SAP S/4 HANA and SAP Activate - Test your knowledge8. SAP S/4 HANA and SAP Activate - Key TakeawaysAbout the authorSudipta Malakar is an accomplished IT SAP Project Manager, Program Manager, Agile Coach with 15+ years of experience in directing SAP DEV teams in supporting many major fortune 500 clients in multiple large accounts that include more than 7 years of experience in IT Project/Program & Solution Delivery Management and 5+ years of experience in Agile as SCRUM Master, Agile Coach. He is certified Disruptive Strategy professional from HBX Harvard Business School, USA, Bachelor degree in Technology (B. TECH) in Chemical Technology from Calcutta University. He is certified Sr. Project Manager in (Prince-2), CSP(R), CSM(R), KMP, ICP-ACC(R), TKP(R), ITIL, DevOps, ISO, Lean Six Sigma Black Belt, CMMi. |
| billing and revenue management: Accounts Receivable Management Best Practices John G. Salek, 2005-10-24 Praise for Accounts Receivable Management BestPractices An excellent reference tool on how to manage the accountsreceivable process for any company. The use of real-life examplesmakes the concepts easy to understand. I recommend the book toanyone who wants to improve cash flow and reduce bad debtloss. —Michael E. Beaulieu, Senior Vice President, Finance CardinalHealth Rather than simply explaining how to get the greatest returnfrom an investment in accounts receivable, John G. Salek revealshow companies shoot themselves in the foot when management setspolicies and procedures without consideration of the impact on cashflow. Accounts Receivable Management Best Practices isn't just forcredit and collection professionals who often spend more timecleaning up process errors and other corporate 'garbage,' insteadof managing risk. It should be required reading for C-levelexecutives, the sales staff, operations managers, and anybody elsewhose job impacts the order-to-cash cycle. —David Schmidt, Principal, A2 Resources Coauthor of PowerCollecting: Automation for Effective Asset Management Enhancing a company's competitive profile is all about givingenough customers the right product, at the right price, at theright time. This author's real-world approach to accomplishing thisgoal through the prism of receivables management makes this book amust-read for those companies looking to make their mark as anorganization that cares about its customers as well as their ownneed to produce financial results. —Bruce C. Lynn, Managing Director The Financial ExecutivesConsulting Group, LLC I have worked with John Salek since 1992, both as his clientand as a project manager working with his organization. Hisknowledge of receivables management . . . the technology, theprocesses, and the formula for success . . . are unsurpassed in thefield. —Stephen L. Watts, Manager, Global Receivables (retired)General Electric Medical Systems Mr. Salek has written a masterpiece on the intricacies andmanagement of the accounts receivable portfolio. I would recommendthis book to CFOs, controllers, treasurers, credit managers, andsmall business owners. —Steve Kozack, Credit Manager Lennox Hearth Products Written by an author who has been in the trenches and citesactual examples. This is not written in theory, but frompractice. —Milt Dardis, Collection Consultant Dardis &Associates |
| billing and revenue management: Compendium on Enterprise Resource Planning Siar Sarferaz, 2022-04-01 This book explains the functional scope, the data model, the solution architecture, the underlying engineering concepts, and the programming model of SAP S/4HANA as the most well-known enterprise resource planning (ERP) system. The approach is to start with general concepts and then to proceed step-by-step to concrete implementations in SAP S/4HANA. In the first part the reader learns about the market view of ERP solutions and vendors. The second part deals with the business processes for sales, marketing, finance, supply chain, manufacturing, services, procurement, and human resources which are covered with SAP S/4HANA. In the third part the underlying concepts of SAP S/4HANA are described, for example in-memory storage, analytics and search, artificial intelligence, process and data integration, security and compliance, lifecycle management, performance and scalability, configuration and implementation. The book is concluded with a final chapter explaining how to deploy an appliance to explore SAP S/4HANA. The target audience for the book are managers and business analysts who want to understand the market situation and future ERP trends, end users and process experts who need to comprehend the business processes and the according solution capabilities provided with SAP S/4HANA, architects and developers who have to learn the technical concepts and frameworks for enhancing SAP S/4HANA functionality, and consultants and partners who require to adopt and configure SAP S/4HANA. |
| billing and revenue management: Revenue Cycle Management Kem Tolliver, Shawntea Moheiser, 2020-04-16 It is easy to get lost in all the phases of revenue management, so how does a practice keep it all straight? Proven solutions to optimize revenue cycle are the key, and this primer is a business-critical resource to deliver just that. |
| billing and revenue management: The Chargemaster Essentials Toolkit Valerie A. Rinkle, 2016-12-19 |
| billing and revenue management: Principles of Healthcare Reimbursement and Revenue Cycle Management, Eighth Edition Anne Casto, Susan White, 2023-10-02 |
| billing and revenue management: Reinventing Revenue Cycle Management April Wilson, Casey Williams, Marty Callahan, 2018-06-08 While the industry continues to undergo growing pains, transitioning to value-based care from fee-for-service, hospitals and providers are also fielding new challenges that have emerged on the regulatory, technology, and patient-consumer fronts. Hospitals and providers are in a race against one another to find new ways to attract and retain patients. Now that patients are assuming greater financial responsibility for their healthcare costs, whether voluntarily or involuntarily, their expectations are high about having a positive clinical and financial experience. Therefore, the engagement of patients should begin before the actual clinical encounter. The RCM departments of forward-thinking organizations recognize that an active patient engagement strategy is an effective way of influencing positive patient payment behaviors.Revenue cycle plays an intrinsic role in the overall patient experience, and there are multiple touchpoints by which to engage patients before billing them. Some examples include being transparent with patients at the outset about their financial obligations, removing barriers to payment by providing flexible options and payment tools, such as an online payment portal, and enhancing the design of billing statements. Patient engagement that prioritizes consumer satisfaction can lead to good financial outcomes for healthcare organizations.This book will help RCM professionals navigate the changing environment successfully. |
| billing and revenue management: Revenue Management for the Hospitality Industry David K. Hayes, Joshua D. Hayes, Peggy A. Hayes, 2021-11-09 REVENUE MANAGEMENT FOR THE HOSPITALITY INDUSTRY Explore intermediate and advanced topics in the field of revenue management with this up-to-date guide In the newly revised second edition of Revenue Management for the Hospitality Industry, an accomplished team of industry professionals delivers a comprehensive and insightful review of hospitality pricing and revenue optimization strategies. The book offers realistic industry examples from hotels, restaurants, and other hospitality industry segments that use differential pricing as a major revenue management tool. The authors discuss concepts critical to the achievement of hospitality professionals’ revenue management goals and include new examinations of the growing importance of effective data collection and management. A running case study helps students learn how to incorporate the revenue management principles and strategies included in the book’s 14 chapters. Written for students with some prior knowledge and understanding of the hospitality industry, the new edition also includes: A brand-new chapter on data analysis and revenue management that addresses many of the most important data and technology-related developments in the field, including the management of big data, data safety, and data security In-depth discussions of revenue management topics including Net Revenue Per Available Room, Direct Revenue Ratio, and other KPIs Major changes to the book’s instructor support materials and an expansion of the instructor’s test bank items and student exercises. An indispensable resource for students taking courses in hospitality management or business administration, Revenue Management for the Hospitality Industry, Second Edition is also ideal for managers and executives in the hospitality industry. |
| billing and revenue management: Understanding Health Insurance: A Guide to Billing and Reimbursement - 2020 Michelle Green, 2020-01-02 Prepare for a successful career in medical billing and insurance processing or revenue management with the help of Green's UNDERSTANDING HEALTH INSURANCE: A GUIDE TO BILLING AND REIMBURSEMENT, 2020 Edition. This comprehensive, inviting book presents the latest medical code sets and coding guidelines as you learn to complete health plan claims and master revenue management concepts. This edition focuses on today’s most important topics, including managed care, legal and regulatory issues, coding systems and compliance, reimbursement methods, clinical documentation improvement, coding for medical necessity, and common health insurance plans. Updates introduce new legislation that impacts health care. You also examine the impact on ICD-10-CM, CPT, and HCPCS level II coding; revenue cycle management; and individual health plans. Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version. |
| billing and revenue management: The Essential Guide to Coding in Otolaryngology Seth M. Brown, Kimberley J. Pollock, Michael Setzen, Abtin Tabaee, 2021-09-07 The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is a comprehensive manual on how to properly and compliantly code for both surgical and non-surgical services. It is a practical guide for all otolaryngology providers in the United States, including physicians early in their career requiring a working knowledge of the basics, experienced providers looking to understand the latest updates with ICD-10-CM and CPT changes, related specialists (audiology, speech pathology, and physician extenders) providing otolaryngologic health care, and office administrative teams managing coding and billing. Included are sections on how to approach otolaryngology coding for all subspecialties in both the office and operating room. Foundational topics, such as understanding the CPT and ICD-10-CM systems, use of modifiers, managing claim submissions and appeals, legal implications for the provider, coding for physician extenders, and strategies to optimize billing, are presented by experts in the field. Focused on a practical approach to coding, billing, and practice management, this text is user-friendly and written for the practicing physician, audiologist, speech pathologist, physician extender, and coder. The income and integrity of a medical practice is tied to the effectiveness of coding and billing management. As profit margins are squeezed, the ability to optimize revenue by compliant coding is of the upmost importance. The Essential Guide to Coding in Otolaryngology: Coding, Billing, and Practice Management, Second Edition is vital not only for new physicians but for experienced otolaryngologists. New to the Second Edition: * Strategies for integrating revised guidelines for coding and documenting office visits * New and evolving office and surgical procedures, including Eustachian tube dilation and lateral nasal wall implants * Updated coding for endoscopic sinus surgery and sinus dilation * Billing for telehealth visits * Revision of all sub-specialty topics reflecting changes in coding and new technologies * New and revised audiologic diagnostic testing codes Key Features * All chapters written by practicing otolaryngologists, health care providers, practice managers, legal experts, and coding experts * Discussion of the foundations of coding, billing, and practice management as well as advanced and complex topics * Otolaryngology subspecialty-focused discussion of office-based and surgical coding * Tips on how to code correctly in controversial areas, including the use of unlisted codes * A robust index for easy reference |
| billing and revenue management: CDT 2021 American Dental Association, 2020-09-08 To find the most current and correct codes, dentists and their dental teams can trust CDT 2021: Current Dental Terminology, developed by the ADA, the official source for CDT codes. 2021 code changes include 28 new codes, 7 revised codes, and 4 deleted codes. CDT 2021 contains new codes for counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use, including vaping; medicament application for the prevention of caries; image captures done through teledentistry by a licensed practitioner to forward to another dentist for interpretation; testing to identify patients who may be infected with SARS-CoV-2 (aka COVID-19). CDT codes are developed by the ADA and are the only HIPAA-recognized code set for dentistry. CDT 2021 codes go into effect on January 1, 2021. -- American Dental Association |
| billing and revenue management: Denial Management Pam Waymack, 2005 |
| billing and revenue management: CRC Handbook of Modern Telecommunications Patricia A. Morreale, Kornel Terplan, 2018-09-03 Addressing the most dynamic areas of the ever-changing telecommunications landscape, the second edition of the bestselling CRC Handbook of Modern Telecommunications once again brings together the top minds and industry pioneers in wireless communication networks, protocols, and devices. In addition to new discussions of radio frequency identification (RFID) and wireless sensor networks, including cognitive radio networks, this important reference systematically addresses network management and administration, as well as network organization and governance, topics that have evolved since the development of the first edition. Extensively updated and expanded, this second edition provides new information on: Wireless sensor networks RFID Architectures Intelligent Support Systems Service delivery integration with the Internet Information life cycle and service level management Management of emerging technologies Web performance management Business intelligence and analytics The text details the latest in voice communication techniques, advanced communication concepts, network organization, governance, traffic management, and emerging trends. This comprehensive handbook provides telecommunications professionals across all fields with ready access to the knowledge they require and arms them with the understanding of the role that evolving technologies will play in the development of the telecommunications systems of tomorrow. |
| billing and revenue management: Official Gazette of the United States Patent and Trademark Office , 2003 |
| billing and revenue management: The Physician Billing Process Deborah Walker Keegan, Elizabeth W. Woodcock, 2016 This third edition of the MGMA bestseller on physician billing process and revenue cycle management is a completely revised, comprehensive manual. Delivering proven solutions to optimize your revenue cycle, this professional fee billing primer is business-critical whether you're new to managing the revenue cycle or a seasoned professional. |
| billing and revenue management: The Lean Law Firm Larry Port, Dave Maxfield, 2018 [This book] is the first book published by the ABA to employ the graphic novel to teach business lessons. Follow the engaging story of lawyer Carson Wright, who suddenll finds himself responsible for saving a small law firm, as his mentor Guy Chapman imparts the lean techniques that transformed his factory from the brink of bankruptcy to new heights of profitability.--Back cover. |
| billing and revenue management: Telecommunications for the Modern Business Ron Legarski, 2024-08-29 Telecommunications for the Modern Business: Strategies and Solutions is an essential guide for business leaders, IT professionals, and decision-makers seeking to navigate the complex world of telecommunications. As the digital landscape continues to evolve, the ability to leverage telecommunications effectively has become a cornerstone of modern business success. Authored by Ron Legarski, a seasoned expert in telecommunications and the President & CEO of SolveForce, this book provides a comprehensive and practical approach to understanding and implementing telecommunications solutions that drive business growth, enhance efficiency, and foster innovation. The book is structured to cater to both newcomers and experienced professionals in the field. It begins with foundational concepts, exploring the evolution of telecommunications and its critical role in today's business environment. Readers will gain a solid understanding of key terminologies, network architectures, and the impact of telecommunications on global commerce. As the chapters progress, the book delves into more advanced topics, including data networking, voice solutions, cloud computing, and cybersecurity. Each section is meticulously designed to provide readers with actionable insights, supported by real-world case studies and examples that illustrate successful implementations of telecommunications technologies across various industries. In addition to covering established technologies, the book also explores emerging trends such as 5G, artificial intelligence, and quantum communications. These technologies are poised to revolutionize the telecommunications landscape, and the book offers valuable perspectives on how businesses can prepare for and capitalize on these advancements. What sets this book apart is its emphasis on practical application. The strategies and solutions presented are not just theoretical but are grounded in the realities of modern business. Whether you are looking to upgrade your existing telecommunications infrastructure, explore new technologies, or optimize your overall strategy, this book provides the tools and knowledge needed to make informed decisions and achieve tangible results. Telecommunications for the Modern Business: Strategies and Solutions is more than just a technical manual; it is a strategic resource that empowers organizations to harness the full potential of telecommunications in the digital age. Whether you are managing a small business or leading a large enterprise, this book will guide you through the complexities of telecommunications, helping you to unlock new opportunities and stay competitive in an increasingly connected world. |
| billing and revenue management: The Physician Billing Process Deborah L. Walker, Sara M. Larch, Elizabeth W. Woodcock, 2004 Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance. |
| billing and revenue management: Model Rules of Professional Conduct American Bar Association. House of Delegates, Center for Professional Responsibility (American Bar Association), 2007 The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts. |
| billing and revenue management: Hospital Billing from A to Z Charlotte L. Kohler, 2014-08-21 Hospital Billing from A to Z Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC With Kohler HealthCare Consulting, Inc., associates Catherine Clark, CPC, CRCE-I Darrin Cornwell, CRCS-I Janet Ellis, RN, BSN, MS Dawn Doll Homer, CPC, CRCS-I, CDC Daria Malan, RN, LNHA, MBA, RAC-CT(R) John Ninos, MS, MT(ASCP), CCS Robin Stover, RN, BSBA, CPC, CPC-H, CMAS Deanna Turner, MBA, CPOC, CPC, CPC-I, CSSGB Susan Walberg, JD, MPA, CHC Hospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements. Hospital Billing From A to Z is a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process. Beginning with Advance Beneficiary Notice and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following: 2-Midnight Rule and Inpatient Admission Criteria Correct Coding Initiative CPT(R), HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value Codes Critical Access Hospitals Deductibles, Copayments, and Coinsurance Denials, Appeals, and Reconsideration Requirements Dialysis and DME Billing in Hospitals Hospital-Issued Notice of Noncoverage Laboratory Billing and Fee Schedule Local and National Coverage Determinations Medically Unlikely Edits and Outpatient Code Editor Medicare Advantage Plans Medicare Beneficiary Numbers and National Provider Identifier Medicare Part A and Part B No-Pay Claims Observation Services Outlier Payments Present on Admission Rejected and Returned Claims UB-04 Form Definitions Who should read this book? Finance and reimbursement staff Chargemaster staff Billers and coders HIM staff Clinical department staff Revenue managers Compliance officers and auditors Registration staff Fiscal intermediary staff Healthcare attorneys, consultants, and CPAs Legal department staff |
| billing and revenue management: How to Draft Bills Clients Rush to Pay J. Harris Morgan, Jay G. Foonberg, 2003 This is a step-by step guide on drafting and formatting invoices that clients will fully understand, find reasonable, and be more likely to pay-on time and without complaint. |
| billing and revenue management: Financial Accounting with SAP S/4HANA Jonas Tritschler, 2019 Finance professionals, it's time to simplify your day-to-day. This book walks through your financial accounting tasks, whether you're using SAP GUI transactions or SAP Fiori apps in your SAP S/4HANA system. For each of your core FI business processes-general ledger accounting, accounts payable, accounts receivable, and fixed asset accounting-learn how to complete key tasks, click by click. Complete your FI operations smoothly and efficiently!-- |
What Is Billing in Accounting - Billing Process Explained - Deskera
Billing in accounting is defined as the process of generating invoices for customers to request payment, for either a one-time or recurring purchase.
Billing vs Invoicing: What’s the Difference Between These Two?
Aug 5, 2022 · When it comes to billing or invoicing – most of us consider them the same. In the corporate world, bills and invoices are often interchanged. There are distinguishing qualities …
Billing Vs Invoicing: What's the Difference? - Bloom
Dec 25, 2023 · Billing keeps clients informed on total account status, while invoicing facilitates payment for individual transactions. Think of it this way – billing statements allow customers to …
What is Billing? Different Types of Billing, Procedures and Process
Oct 4, 2024 · Billing is the process when a business sends an invoice to the ‘payee’ or customer for the products or services provided and collects payment. It is a crucial process in finance and …
What Is The Billing Process? [Steps, Purpose & Tips] - IntaSend
Billing is an integral part of any business that ensures you generate revenue and stay afloat. Learn what the billing process entails and how to streamline it. The struggles of many small to mid …
What is Medical Billing? - AAPC
Medical billing is the process of generating healthcare claims to submit to insurance companies for the purpose of obtaining payment for medical services rendered by providers and provider …
Best Billing Software for Small & Medium Business - Zoho
Manage your offerings, pricing, tax, and more with a powerful product catalog. Breeze through your sales cycle with optimized sales strategies, flexible pricing models, and pricing table widgets. …
Best Invoicing And Billing Software – Forbes Advisor
Oct 31, 2024 · Forbes Advisor found the most affordable (and even free) options that rank highly in value, features and tools, making them the best billing software solutions available
The billing process - AccountingTools
Dec 9, 2024 · The following billing procedure addresses three tasks in the billing process, which involve collecting the information needed to construct an invoice, creating invoices, and issuing …
Billing & Invoicing Software - Get Paid Faster - QuickBooks
Send invoices and bill customers with a Pay Now button. Track when they’re sent, viewed, and paid. Get paid faster by simplifying and automating the billing process. Prepare billing statements and …
What Is Billing in Accounting - Billing Process Explained - Deskera
Billing in accounting is defined as the process of generating invoices for customers to request payment, for either a one-time or recurring purchase.
Billing vs Invoicing: What’s the Difference Between These Two?
Aug 5, 2022 · When it comes to billing or invoicing – most of us consider them the same. In the corporate world, bills and invoices are often interchanged. There are distinguishing qualities …
Billing Vs Invoicing: What's the Difference? - Bloom
Dec 25, 2023 · Billing keeps clients informed on total account status, while invoicing facilitates payment for individual transactions. Think of it this way – billing statements allow customers to …
What is Billing? Different Types of Billing, Procedures and Process
Oct 4, 2024 · Billing is the process when a business sends an invoice to the ‘payee’ or customer for the products or services provided and collects payment. It is a crucial process in finance …
What Is The Billing Process? [Steps, Purpose & Tips] - IntaSend
Billing is an integral part of any business that ensures you generate revenue and stay afloat. Learn what the billing process entails and how to streamline it. The struggles of many small to …
What is Medical Billing? - AAPC
Medical billing is the process of generating healthcare claims to submit to insurance companies for the purpose of obtaining payment for medical services rendered by providers and provider …
Best Billing Software for Small & Medium Business - Zoho
Manage your offerings, pricing, tax, and more with a powerful product catalog. Breeze through your sales cycle with optimized sales strategies, flexible pricing models, and pricing table …
Best Invoicing And Billing Software – Forbes Advisor
Oct 31, 2024 · Forbes Advisor found the most affordable (and even free) options that rank highly in value, features and tools, making them the best billing software solutions available
The billing process - AccountingTools
Dec 9, 2024 · The following billing procedure addresses three tasks in the billing process, which involve collecting the information needed to construct an invoice, creating invoices, and …
Billing & Invoicing Software - Get Paid Faster - QuickBooks
Send invoices and bill customers with a Pay Now button. Track when they’re sent, viewed, and paid. Get paid faster by simplifying and automating the billing process. Prepare billing …
