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: Principles of Healthcare Reimbursement, Fourth Edition
Price: $99.95 | Member Price: $79.95
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Anne B. Casto, RHIA, CCS; and Elizabeth Forrestal, PhD, RHIA, CCS, FAHIMA

eBook available

This fourth edition of Principles of Healthcare Reimbursement provides health information management educators and students an up-to-date textbook to understand how reimbursement systems affect providers and payers, consumers, policy makers, and the development of classification and information technology systems.
This publication makes a complex topic understandable for students and practitioners and helps to clarify the US healthcare reimbursement maze.

New to this Edition

  • Affordable Care Act overview and implementation timeline
  • Expanded requirement for electronic claim submissions
  • Accountable care organizations and value-based purchasing
  • Most recent PPS rules
  • Dual eligibility and special needs plans
  • Safety-net providers and hospice

Key Features

  • Covers accessing and using fee schedules, payment classification groups, exclusion lists, market baskets, and wage indexes required for accurate reimbursement
  • Explanations of the various methods, plans, and programs that typify government-sponsored payment systems, commercial insurance, and managed care
  • Online student workbook
  • Instructor's material includes downloadable instructor manual with answer key and PowerPoint slides for presentations
  • Answer keys designated as "instructor material" are only provided to verified instructors employed at a school with an .edu address. No exceptions will be made

About the Authors

Anne B. Casto
, RHIA, CCS, is president of Casto Consulting, LLC.

Elizabeth Forrestal, PhD, RHIA, CCS, FAHIMA, is professor in the Department of Health Services and Information Management at East Carolina University.

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